Why Are College Students at Risk?
Suicide is complicated, and there's never just one reason behind it. “Mental health issues like depression and anxiety are common contributors, but life events—like a breakup or death of a loved one—can also trigger these feelings,” explains E. Kirk Luder, MD, Carilion Mental Health.
College students face unique pressures: adapting to a new environment and responsibilities, managing classes, financial stress and figuring out their future. When these pile up, it can feel like there’s no way out.
The American Foundation for Suicide Prevention reports that suicide is the second leading cause of death among college students. Many others deal with suicidal thoughts and other mental health problems. But there are things you can do to help.
Suicide Warning Signs
The signs aren’t always obvious—some show no signs at all. But there are a few red flags to watch out for:
- Things They Say:
- Talking about feeling trapped, being a burden or not having a reason to live
- Mentioning self-harm, death or suicide (even if it seems like a joke)
- Expressing hopelessness or pain
- Things They Do:
- Withdrawing from friends, family or activities they once enjoyed
- Giving away important belongings
- Increasing drug or alcohol use
- Acting recklessly or engaging in dangerous behavior (like driving too fast)
- Having sudden mood swings or personality changes
- Things They’re Going Through:
- Experiencing a big loss (like a breakup, death of a loved one or losing a job)
- Struggling with school or finances
- Dealing with a major life change or feeling overwhelmed
- Experiencing bullying or harassment
How You Can Help
If you notice someone showing one or more of these warning signs, don’t ignore it. Here’s what you can do:
- Be Real and Direct: Ask them how they're feeling and if there's anything on their mind. Talk openly and listen without judgement. Don’t be afraid to ask directly about suicidal thoughts if you're worried.
- Encourage Them to Get Help: Suggest talking to a counselor, therapist or someone they trust. Most campuses have free or low-cost mental health resources. Offer to go with them if that makes it easier.
- Stay in Touch: Keep checking in. Consistent support can help them feel less alone and more connected.
- Know When to Get Immediate Help: If someone is in immediate danger, don’t leave them alone. Accompany them to the closest emergency room, or call 911, the National Suicide Prevention Lifeline (988 in the U.S.) or campus security.
Carilion Mental Health’s College Students in Crisis Program offers inpatient psychiatric treatment for students with mental health issues. “Our goal is to meet their urgent needs and minimize the impact on their studies—making return to school easier and as efficient as possible,” says Dr. Luder. Students can be referred to the program through their on-campus healthcare team or by calling Carilion’s emergency mental health team at 540-981-8181.
Supporting someone who's struggling can be emotionally draining. Remember to look after your own mental health, too. It’s okay to set boundaries, seek your own support and practice self-care.
Building a Supportive Campus Community
Preventing suicide isn’t just about responding to crises—it’s about building a culture of support and understanding. Here’s how we can help create a safer environment:
- Be an Advocate: Encourage your campus leaders to create peer support programs and host mental health awareness events.
- Break the Stigma: Share your own experiences, talk openly and encourage others to do the same. It’s okay to not be okay.
- Educate Yourself: Learn how to spot the signs and help someone in crisis. Attend workshops or training programs like Mental Health First Aid.
- Create a Community: Join or create clubs and groups that foster inclusion and connection. A sense of belonging can be a powerful tool against mental health struggles.
If you or someone you know is struggling, remember: you’re not alone, and there’s help out there.
Reach out for 24/7 confidential support:
- National Suicide Prevention Lifeline: Call or text 988
- Crisis Text Line: Text HOME to 741741 (U.S.)
- Carilion CONNECT: Call 540-981-8181
