Understanding Suicidal Thoughts
This page reflects our understanding of mental health topics as of 2026. If you are reading this at a later date, some details may no longer be current, so please verify anything important against up to date sources. If you notice anything that needs updating, we would welcome you letting us know.
If you are thinking about suicide, you do not have to face this alone. Call or text 9-8-8 (Canada's Suicide Crisis Helpline) at any time. If you are in immediate danger or have a plan to end your life, call 911 or go to your nearest emergency department now. Young people can also reach Kids Help Phone at 1-800-668-6868 or by texting 686868.
Suicidal thoughts are thoughts about ending your life or wishing you were not alive. They are more common than many people realize and can affect people of any age or background. For most people, suicidal thoughts are a sign of overwhelming pain, not a true wish to die. They often arise when someone feels trapped, hopeless, or like a burden, and cannot see another way out. Having these thoughts does not make you weak or broken, and it does not mean you will act on them. It does mean you deserve support. Help is available, and many people who have experienced suicidal thoughts go on to feel better and live meaningful lives.
What Suicidal Thoughts Can Look Like
- Passive thoughts, such as wishing you could go to sleep and not wake up, or wishing you could just disappear.
- Thinking others would be better off without you, or feeling like a burden.
- Feeling hopeless about the future or trapped with no way out.
- Thoughts that come and go, or that feel persistent and intrusive.
- Active thoughts about wanting to die or ending your life.
Warning signs that someone may be at higher risk include talking about wanting to die, looking for ways to end their life, saying goodbye or giving away possessions, withdrawing from others, increased alcohol or drug use, and sudden calm after a period of deep distress. These signs call for immediate support.
Why They Happen
Suicidal thoughts usually arise from a combination of factors. Mental health conditions such as depression, bipolar disorder, PTSD, eating disorders, and substance use are strongly linked with suicidal thoughts. Life events, such as loss, relationship breakdown, financial crisis, bullying, discrimination, chronic pain, or serious illness, can contribute. Feelings of isolation, being a burden, and hopelessness are especially powerful. Some people also experience suicidal thoughts alongside self-harm.
When people are in intense emotional pain, thinking narrows and it becomes hard to see options or imagine things improving. This narrowing is part of the pain itself and can change with support and time. Suicidal crises are often temporary, which is why reaching out during these moments can be lifesaving.
What They Are Not
- Not a character flaw or a sign of weakness. They reflect pain that feels unbearable.
- Not attention-seeking. Talk of suicide should always be taken seriously.
- Not something that asking about will cause. Asking someone directly about suicide does not put the idea in their head and can open the door to help.
- Not permanent. Many people who have felt suicidal go on to recover.
How to Get Help
If you are having suicidal thoughts, reach out now: call or text 9-8-8, contact a trusted person, or go to an emergency department if you feel you might act. Making your surroundings safer by removing or locking away things you could use to hurt yourself can reduce risk during a crisis. A safety plan, which lists warning signs, coping strategies, people to contact, and crisis numbers, can help in difficult moments. Ongoing treatment is effective. Therapies such as cognitive behavioural therapy for suicide prevention and dialectical behaviour therapy reduce suicidal thoughts and behaviour. Treating underlying depression or other conditions helps. If you are worried about someone else, ask them directly, listen without judgment, stay with them if they are in danger, and help them connect with support.
Getting Support at Pacific Maple Psych Centre
If you have been having thoughts of suicide, please reach out to crisis support now if you are in danger. For ongoing support, therapy can help you understand the pain behind these thoughts and build reasons and ways to keep going.
Pacific Maple Psych Centre offers compassionate individual therapy for people experiencing suicidal thoughts and the pain behind them, in Vancouver and virtually across British Columbia.
Book a SessionCommon Questions About Suicidal Thoughts
Are suicidal thoughts common?
Yes. Many people experience suicidal thoughts at some point, especially during periods of intense pain or depression.
Do suicidal thoughts mean I will act on them?
Not necessarily. Many people have these thoughts without acting on them, but they always deserve support.
What should I do if I am having suicidal thoughts right now?
Call or text 9-8-8, reach out to someone you trust, or call 911 or go to an emergency department if you are in danger.
Do I need help if I only wish I would not wake up?
Yes. These passive thoughts, wishing you were not alive or could disappear without a plan, still signal pain that deserves support.
Does asking someone about suicide make it more likely?
No. Asking directly does not put the idea in someone's head and can help them feel understood and open up.
What are warning signs that someone may be suicidal?
Warning signs include talking about wanting to die, withdrawing, giving away possessions, increased substance use, and sudden calm after distress.
How can I help a friend who is thinking about suicide?
Ask directly, listen without judgment, stay with them if they are in danger, and help them contact 9-8-8 or emergency services.
What should I write down to prepare for a crisis moment?
A personal safety plan lists warning signs, coping strategies, people to contact, and crisis numbers to use during difficult moments.
Which therapies help reduce suicidal thoughts?
Cognitive behavioural therapy for suicide prevention and dialectical behaviour therapy have evidence, along with treating underlying conditions.
Can people recover after feeling suicidal?
Yes. Suicidal crises are often temporary, and many people who have felt suicidal go on to live meaningful lives.