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Mental Health

Semicolon tattoo: Here's what it means and why it matters.

They represent hope.

Photo by The Semicolon Tattoo Project.

A semicolon tattoo

Have you seen anyone with a semicolon tattoo like the one above?

If not, you may not be looking close enough. They're popping up...

Semicolon Tattoo

Photo by The Semicolon Tattoo Project.

...everywhere.

Photo by The Semicolon Tattoo Project.

That's right: the semicolon. It's a tattoo that has gained popularity in recent years, but unlike other random or mystifying trends, this one has a serious meaning behind it. (And no, it's not just the mark of a really committed grammar nerd.)

The semicolon tattoo represents mental health struggles and the importance of suicide prevention.

Photo by The Semicolon Tattoo Project.

Project Semicolon was born from a social media movement in 2013.

They describe themselves as a "movement dedicated to presenting hope and love to those who are struggling with depression, suicide, addiction, and self-injury. Project Semicolon exists to encourage, love, and inspire."

But why a semicolon?

"A semicolon is used when an author could've chosen to end their sentence, but chose not to. The author is you and the sentence is your life."

Originally created as a day where people were encouraged to draw a semicolon on their bodies and photograph it, it quickly grew into something greater and more permanent. Today, people all over the world are tattooing the mark as a reminder of their struggle, victory, and survival.

Photo by The Semicolon Tattoo Project.

Photos by The Semicolon Tattoo Project.

I spoke with Jenn Brown and Jeremy Jaramillo of The Semicolon Tattoo Project, an organization inspired by the semicolon movement. Along with some friends, Jenn and Jeremy saw an opportunity to both help the community and reduce the stigma around mental illness.

In 2012, over 43 million Americans dealt with a mental illness. Mental illness is not uncommon, yet there is a stigma around it that prevents a lot of people from talking about it — and that's a barrier to getting help.

More conversations that lead to less stigma? Yes please.

"[The tattoo] is a conversation starter," explains Jenn. "People ask what it is and we get to tell them the purpose."

"I think if you see someone's tattoo that you're interested in, that's fair game to start a conversation with someone you don't know," adds Jeremy. "It provides a great opportunity to talk. Tattoos are interesting — marks we put on our bodies that are important to us."

In 2014, The Semicolon Tattoo Project held an event at several tattoo shops where people could get a semicolon tattoo for a flat rate. "That money was a fundraiser for our crisis center," said Jenn. In total, over 400 people received semicolon tattoos in one day. Even better, what began as a local event has spread far and wide, and people all over the world are getting semicolon tattoos.

And it's not just about the conversation — it's about providing tangible support and help too.

Jenn and Jeremy work with the Agora Crisis Center. Founded in 1970, it's one of the oldest crisis centers in the country. Through The Semicolon Tattoo Project, they've been able to connect even more people with the help they need during times of crisis. (If you need someone to talk to, scroll to the end of the article for the center's contact information.)

So next time you see this small punctuation tattoo, remember the words of Upworthy writer Parker Molloy:

"I recently decided to get a semicolon tattoo. Not because it's trendy (though, it certainly seems to be at the moment), but because it's a reminder of the things I've overcome in my life. I've dealt with anxiety, depression, and gender dysphoria for the better part of my life, and at times, that led me down a path that included self-harm and suicide attempts.

But here I am, years later, finally fitting the pieces of my life together in a way I never thought they could before. The semicolon (and the message that goes along with it) is a reminder that I've faced dark times, but I'm still here."

No matter how we get there, the end result is so important: help and support for more people to also be able to say " I'm still here."

If you want to see more incredible semicolon tattoos, check out nine photos and stories that our readers shared with us!

This article was written by Laura Willard and originally appeared 10 years ago.

From Your Site Articles

mental health

Family

A mom whose 19-yr-old died by suicide has a vital message for parents about marijuana today

"You may be thinking, 'C'mon, Laura, it's no big deal – it's just pot.' 'Pot's legal, so it must be safe.'"

Laura Stack/Facebook

Johnny Stack

Laura Stack's son Johnny lost his life to suicide on November 20, 2019 when he was just 19 years old. Though the grief of his death was "still fresh," Stack took to Facebook to share something that happened three days before Johnny died, hoping it will help other parents whose kids may be at risk.

She wrote:

"On Sunday, November 17, 2019 around 5:30 PM, he came over for dinner. He lived in our condo a couple miles down the street and would often pop in for a home-cooked meal. This evening, he was a bit agitated but lucid. 'I need to tell you that you were right,' he told me. 'Right about what?' I asked. 'Right about the marijuana and the drugs. You told me weed and drugs would hurt my brain, and it's ruined my mind and my life. You were right all along. I'm sorry, and I love you.' He died by suicide three days later.

Stack explained that Johnny had "dabbed" since he was 15 or 16. "Do you understand the difference between smoking pot (and some edibles) and dabbing high-THC wax, shatter, or butter?" she asked. "Most of my friends look at me blankly when I say these words and say, 'I've never even heard about this.' If you don't know what cannabis extracts are, and you have children, grandchildren, sisters, brothers, nieces and nephews between the ages of 14 and 24, PLEASE keep reading."

"I am NOT talking about those of you who are supporters of legal recreational marijuana for adults over 21 years old—it's your life—do what you want," Stack clarified. "I know some people who take it successfully for specific medical purposes, so please don't write comments in my post about my personal experience. I'm specifically talking about illegal usage by children and young adults under 21, whose adolescent brains are still forming. You may be thinking, 'C'mon, Laura, it's no big deal – it's just pot.' 'Pot's legal, so it must be safe.' Or 'I did pot when I was a kid, too, and look, it didn't hurt me.'

Well, have you recently studied TODAY'S pot, and have you personally seen its effects on your children like I have?"

Stack explained why today's recreational cannabis is so different:

"First, the tetrahydrocannabinol (THC), a crystalline compound that is the main active ingredient of cannabis that gives the 'high,' is extracted out of the cannabis so that it's nearly pure. THC is the principal psychoactive constituent of cannabis. Then a butane torch is used to heat the crystals (similar to beeswax) or oil in a 'rig' (just google it), or a vaping device with a heating element called a dab pen can be used. Forget the 'grass' or 'papers' that were rolled in the 70s and 80s. The pot we grew up with (10% or less THC content) is HUGELY different than today's high-concentrate extracts (often 80% THC content or higher)."

She also explained why young people tend to be affected more by these high THC concentrations, and that the earlier they start the more likely it is that they'll develop a disorder.

"The brain is still developing through a person's 20s, and psychotic disorders typically develop in the late teenage years. During brain formation, heavy cannabis use has been shown to have a negative effect on the formation of neural pathways. It can also lead to heavier drug use. While the vast majority of marijuana smokers never experience CIP, researchers have found that the earlier and heavier someone starts dabbing, the more likely it is that they will develop a disorder at some point (often years later). We must educate our children when they are young (10-12 years old) and use hyper-vigilance in the early teen years, which we found was much easier before the age of 16, when they could drive. We couldn't lock him up or monitor him 24/7. Keep talking and keep trying!!

The harmful combination of a still-forming mind, high-potency THC products, and a high frequency of use = Cannabis-Induced Psychosis. Yes, that's a real diagnosis (or High-THC Abuse – Severe). Repeated CIP incidents can trigger schizophrenia or other mental illness, and even when the cannabis is withdrawn, the psychosis doesn't go away. This is what happened to my beautiful boy. When he died, the toxicology report showed he had ZERO drugs in his system. He wasn't depressed, neglected, drugged, or unloved. He was psychotic, paranoid, and delusional by the time he reached 19, and he refused the anti-psychotic drugs that he now needed, because he thought he wasn't sick (common to schizophrenia)."

It's so easy to think that marijuana use isn't that big of a deal, especially since some states have begun legalizing the drug for recreational use and many people see it as "natural." But the mild, laid-back high many people picture with pot use is not the reality of many of today's marijuana products or methods. Parents need to be aware of the dangers cannabis-derived drugs pose to their children's mental health and educate them as early as possible.

Stack included the following links to articles and studies backing up what she's learned about today's THC products. These are things we all should read and share, as this knowledge and awareness could literally save someone's life.

Potent pot, vulnerable teens trigger concerns in first states to legalize marijuana - The Washington Post

The contribution of cannabis use to variation in the incidence of psychotic disorder - The Lancet Journal

Association of Cannabis Use in Adolescence and Risk of Depression, Anxiety, and Suicidality in Young Adulthood - Journal of the American Medical Association

Dabs, Wax, Vaping Weed, Edibles and the Real Impact of High Potency THC Products: What Parents Need to Know - Resources to Recover

How Marijuana May Damage Teenage Brains in Study Using Genetically Vulnerable Mice - Johns Hopkins

Significant link between cannabis use and onset of mania symptoms – Science Daily

Cannabis-induced psychosis: A Review – Psychiatric Times

Summary of literature on marijuana and psychosis - Moms Strong

You can learn more about CIP and donate to Johnny's Ambassadors, a youth THC prevention organization started by Stack.

Editor's Note: This article originally appeared five years ago The opinions expressed in this piece are solely those of the author and the subjects written about or quoted.

From Your Site Articles

mental health

Joy

A 23-year-old shot herself and survived. She's showing her scars and sharing hope.

She lost teeth and parts of her chin and nose. She was back on camera within a month.

j.a.z.m.i.n.e_/TikTok

Editor's Note: This story discusses suicide. If you are having thoughts about taking your own life, or know of anyone who is in need of help, the 988 Suicide & Crisis Lifeline is a United States-based suicide prevention network of over 200+ crisis centers that provides 24/7 service via a toll-free hotline with the number 9-8-8. It is available to anyone in suicidal crisis or emotional distress.

23-year-old Jazmine Walton has struggled with schizophrenia most of her life. For years she battled paranoia and haunting hallucinations. Schizophrenia can make the act of living extraordinarily difficult. One night in January of 2023, Jazmine felt that she couldn't go on. She got her hands on her boyfriend's handgun and shot herself in the face.

Miraculously, she survived, and was even conscious directly after the gunshot. She was able to make it to a hospital despite catastrophic injuries and massive blood loss, and was in a coma for two weeks after two emergency surgeries that saved her life.

By February, she was posting on social media again, unafraid of showing the world her scars as she began to heal.

Jazmine has since become an outspoken force for good. She regularly talks about her recovery, both mental and physical, and works to keep others from going down the dark road she took herself.

@j.a.z.m.i.n.e_
its hard to be strong for you guys but heres some positivity to get you through your darkest hour #fyp

In a video from earlier this year, she pleads:

"Suicide is not the answer."

"Now that I've been alive for a year and some months, I've learned the importance and the feeling of loving life again. ... I'm making this video to help you handle the dark times in your life."

She stresses the importance of finding a support system, not withdrawing from people who love you, and learning how to love yourself when times are tough.

The advice hits hard coming from Jazmine versus a psychologist or other expert. You can visually see that she's been through struggles most of us couldn't imagine, and she's come out the other side of it. Hurt, but alive. Her existence proves that it's possible to get better.

Sadly, nearly 50 thousand people die every year from suicide in the United States.

Surviving a suicide attempt does not mean a person is out of the woods. Even besides physical recovery, survivors face a major uphill battle again shame, depression, grief, and self-stigma.

It's extremely hard for them to talk about what they've been through, even with their closest loved ones.

Jazmine has gone through many phases of her recovery. There have been numerous reconstructive surgeries, good days and bad days, breakthroughs and setbacks. After life-threatening injuries to her face, no one would have blamed her for hiding away.

But she continues to share details of her recovery with over 200 thousand followers, most of whom are relative strangers to her. She hopes it gives others the strength to dot he same.

Her openness and vulnerability have undoubtedly saved lives.

Jazmine from a video posted in late 2022lifeasjazminee/TikTok

Probably the most inspiring videos on Jazmine's page, though, are far more mundane. Trying on clothes, doing her makeup, or talking about music.

@j.a.z.m.i.n.e_
trying here #fyp #viral #nailsoftiktok

You also see her posing in outfits and bikinis and trying out new hairstyles — or finding beauty and joy in her new look. Her viewers are so supportive at every turn, constantly reminding her, and each other, that they're glad she's still here, that she's beautiful, that they appreciate her.

In another video, she tells her viewers, "It gets better, trust me."

It's an old cliche, but Jazmine is living, breathing evidence that it's actually true.

suicide

Health

Woman shows moments leading up to her suicide attempt as a jarring reminder to everyone

Reach out to check on your people.

Brie Johnson|TikTok

Woman's video before her suicide attempt is a reminder to everyone.

Editor's Note: This story discusses suicide. If you are having thoughts about taking your own life or know of anyone who is in need of help, the 988 Suicide & Crisis Lifeline is a United States-based suicide prevention network of over 200+ crisis centers that provides 24/7 service via a toll-free hotline with the number 9-8-8. It is available to anyone in suicidal crisis or emotional distress.

Not all depression looks the same. Sometimes people don't even realize they're depressed for a long time while others go to great lengths to appear okay to the outside world. People who have functional depression—who still go to work, spend time with friends and look to be enjoying life—may not seem depressed to those closest to them.

This kind of masking can be done for many reasons, but a lot of times, it's because they don't want other people to worry about them. But this could mean suicidal thoughts go unnoticed by loved ones. When people appear happy or as if they're handling everything well, others are much less likely to check in on them.

When Brie Johnson uploaded a video with a quote that reads, "You can always tell when someone is going to attempt," the happy videos and pictures that followed contrasted the reality of her attempting suicide.

Johnson, who's a staff sergeant in the Air Force and mother of one, posted the short video in March with the caption, "Check up on your loved ones. It's not always obvious." This is a sentiment that has been expressed by people repeatedly with a widely shared graphic that reminds people to check on their strong friends—the sentiment being that when people appear to be handling things well, no one checks in to make sure they're actually doing okay.

Johnson's video is a harsh reminder that not every smiling face is conveying joy. Sometimes smiles and laughter are just a mask. So how are people supposed to know when someone is truly struggling when their outward behaviors seem to show everything is fine?

@itsbriej
Check up on your loved ones. It’s not always obvious #fyp #SeeHerGreatness #mentalhealth #mentalhealthmatters #recovery #survivor #awareness #love #miltok #foryou

Knowing when to reach out can be tricky, but there can be subtle signs that may easily be missed. Social media posts may change subtly, like broadly asking for prayers frequently when they haven't been in the habit of doing that. Some people may post memes that are either sad or borderline dark humor when those may be out of the ordinary. There could be a lack of care around how much alcohol or drugs they're taking.

Someone who's normally outgoing canceling plans more frequently than usual. Making jokes about death or suicide when it's not a normal conversation for them. A friend who's struggling may ask you about your final plans so they can bring up theirs without raising alarms.

These are all things that can be easily overlooked if you don't know what to look for. But one of the best indicators that you need to reach out is any change, no matter how subtle, that makes you ask the question, "I wonder what's going on with them?" So many times we ignore the tiny alarm bells that go off in our bellies because we're on the lookout for the bigger, louder alarm bells. The tiny alarms are just as important. Now how do you reach out?

Several years ago, I noticed a subtle change in a friend's social media statuses that activated my tiny alarm bells. After waiting about a week or so to see if things went back to normal, I reached out. Never having spoken to this person outside of the comments section in our online running community, I wasn't sure how she would respond. But I sent a message that said something along the lines of, "I just wanted to do a check in with you. I noticed a change in your posts and I wanted you to know that I'm here if you need to talk."

They responded that there were struggling with something pretty big that no one knew about. We spoke on the phone for a couple of hours with me mostly listening. They thanked me about a year later for seeing them when they felt no one else did.

Reaching out doesn't have to be complicated, so try not to overthink it. A lot of times all it takes is genuinely asking how someone is doing and informing them that you want the real answer, not something surface. Then, just listen without judgment and without unsolicited advice or commentary. Ask them what they need and follow through. Human connection, along with the reminder that you matter, can go a long way.

This article was written by Jacalyn Wetzel, Licensed Clinical Social Worker and practicing therapist.

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Health

Simple things you can do to help someone who may be thinking about suicide

This problem is bigger than numbers. It's people. It's moms, dads, kids, siblings, grandparents, friends, and partners.

Canva

Sometimes it's hard to recognize if someone is depressed.

Suicide affects people across race, age, gender, and socioeconomic status. Quite frankly, suicide doesn't care.

More than 45,000 people died by suicide in 2020 alone, according to the Centers for Disease Control and Prevention. For people between ages 10 and 34, it's the second leading cause of death. While thousands complete suicide each year, an estimated 9.4 million adults in the U.S. had serious thoughts of committing suicide.

This problem is bigger than numbers. It's people. It's moms, dads, kids, siblings, grandparents, friends, and partners.

These are complex but treatable issues, and yet too often it's still considered taboo to discuss or speak frankly about suicide or mental health.

When a friend, loved one, or colleague appears to be suicidal, it can be hard to know what to do or say. But the numbers don't lie. Our silence won't slow this public health crisis; when it comes to helping someone in need, inaction is not an option.

Health professionals and people who specialize in suicide prevention say there are small actions you can take to help.

Here are some simple things you can do to help someone who may be thinking about taking their life:

1. Know what to look for.

Familiarize yourself with the warning signs. People thinking about suicide or self-harm may talk about feeling hopeless, trapped, or in incredible pain; withdraw from friends or family; experience drastic changes in mood; and/or increase their use of alcohol or drugs. Someone considering suicide may also talk or write about wanting to die. But the warning signs aren't always cut and dry.

"We tell people to look for changes," says Andy Cartmill, a trainer of suicide and intervention models and senior program educator with Addiction Services for Washington County, Oregon. "Trust your intuition. If you think something is up, there's no harm in being honest and saying, 'I just noticed a change. Are you doing OK?'"

2. Show support without judgment or anger.

Even if your friend hasn't reached out to you, check in. Let them know you care about them and you're concerned. This isn't the time to panic, argue with them, or even to try and talk them out of it.

"We tend to fix things and point out people's strengths and say, 'What about your wife?' 'What about your kids?'" Cartmill says. "It's possible they might not perceive those as strengths. So they very well might think, 'I'm doing my wife or kids a favor by relieving them of a burden.'"

Simply listen. And allow them to speak without judgment.

3. Ask specific questions.

If you're not sure if your friend is in immediate danger, the best thing to do is ask.

Individuals at the highest risk for suicide in the near future will often have a plan, the means to put the plan into action, a time frame, and intention. Asking questions will help you determine immediate risks, and the answers may inform what you do next:

"Do you have a plan to harm or kill yourself?"
"Do you have access to weapons or things you can use to harm yourself?"
"Have you thought about how or when you would do it?"
"Are you thinking about suicide?"

If you don't know what a statement or response means, ask for clarity. This may feel awkward or intimidating, but it's important to be direct and honest. And don't worry, talking about suicide won't plant the seed in someone's head.

"Research over and over again says that is not going to happen," Cartmill says. "That's one of the things people are afraid of ... 'If I ask that question, am I going to get them thinking about suicide?' and the answer is no."

4. It's OK to not know what to say.

If you're not a trained health professional or crisis counselor, this territory can be tough to navigate. It's OK to not have the perfect speech or talking points. It's first and foremost your job to listen and recognize they're hurting. That means not changing the subject or minimizing their pain.

"You don't have to be an expert; you really don't. Listening respectfully and being honest is OK," Cartmill says. "It's OK to tell people, 'What you're saying is scaring me. I want you to be OK,' and go from there."

5. Suggest professional help, or offer to help them find it.

This is not an effort to pass them off to someone else and instead aims to get them to a doctor or therapist better equipped to help with their pain. If they're seeing a professional, encourage them to get in touch with them immediately. You can even offer to accompany them to the appointment.

If they're not under a doctor or counselor's care, help them find a mental health professional or call the U.S. National Suicide Prevention Lifeline at 800-273-TALK (8255). It's a free, 24/7 service that can provide people thinking about suicide and those who care about them with support and connections to local resources.

6. Remember, if it's an immediate or crisis situation, it is OK to use the emergency room.

If you wouldn't hesitate to call for a broken bone or allergic reaction, don't hesitate with suicide. In a true crisis, it can't wait.

Suicide doesn't care. But lots of people do.

Keep the number for the National Suicide Prevention Lifeline in your phone, 800-273-TALK (8255). In an emergency, having that number handy for yourself or someone you care about may make all the difference.

Even talking about suicide or suicidal ideation may seem overwhelming or scary, but experts agree: Hope and recovery are possible. There are many treatment options available, with several at low or no cost. It starts with paying attention to warning signs, reaching out, and getting help if you need it.

This article originally appeared on 04.12.17

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community

Pop Culture

Biker rushes in to stop homeless man from jumping off a bridge just in the nick of time

"Every day we have a chance to make someone's life better."

@ryan_s_mann/TikTok

He arrived just in the nick of time.

Experiencing homelessness can take a severe toll on a person's mental health. Even without studies confirming this (of course, they do), it’s not hard to imagine how not having a safe and comfortable place to live along with a lack of financial resources, nutrition and community—all while having to deal with other health conditions, constant stress, loneliness and the threat of danger—can be damaging to someone's well-being.

It’s also not hard to understand how repeated exposure to even one of these factors, let alone multiple on any given day, could result in suicidal ideation. According to an article posted by the Harvard Public Health Review in 2018, those experiencing homelessness in the U.S. are nine times more likely to die by suicide than those who aren't.

However, even with that alarming statistic, other studies have shown that someone who is prevented from taking an attempt on their own life is far less likely to do it a second time. And while those odds might change when considering life factors like homelessness, there is something to be said about how stepping in can truly keep someone from causing themselves irreparable harm.

And that’s what makes a short, sweet TikTok recently posted by Ryan Mann so powerful.

Mann’s content consists almost entirely of GoPro-style videos of himself riding a motorcycle. A trick here, a crash there, facing different elements. The usual content for a biker.

However, on July 14, we see Mann rushing on his bike toward a man he saw on a nearby bridge. Though it’s impossible to get full context from such a short video, presumably, the man was getting ready to jump off.

Once Mann arrives, he immediately steps off his bike to ask if the man is okay and tell him he was worried about him. The two then exchange a couple of hugs. At the end of the video, the man, who introduced himself as Cameron, confirmed that he was now safe.

Watch:

Watch on TikTok

Whether or not Cameron was actually dealing with suicidal thoughts, Mann’s stance, which he put in the video’s caption, rings true:

“It doesn’t matter who you were, who you are, or who you’re trying to become, every day we have the chance to improve someone else’s life. Don’t waste that chance.”

Others who watched the video agreed with Mann’s sentiment and praised him for showing kindness.

“Character—doing something for someone you know can offer you nothing in return,” one person wrote.

Another added, “Bro need more compassionate people in society like you. Hopefully, he got some help. That hug had me tearing up. You’re a good person!”

Whether or not Cameron was on the brink of ending his life, it’s clear that at the moment, what he needed most of all was connection. It’s something we all need, and not just in times of peril. A warm interaction with another human is sometimes all it takes for the world to become a little brighter.

And as Mann so eloquently put it, there’s a chance for those little life-changing moments every day.

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heroes

Dr. Tyler Black hopes his answers make a difficult topic a little bit easier to understand.

Canva

Probably the biggest would be that suicide behaviour or thinking is only for people with mental illness.

If you or someone you know is struggling, know that there are immediate resources available if you're in a crisis. There are many organizations to become familiar with, including the 988 Suicide and Crisis Lifeline , the Crisis Text Line (text "HOME" to 741741), and the Trevor Project 866-488-7386.

Suicide is one of the hardest topics to discuss.

That's why so many of us have such a difficult time recognizing signs of suicidality or responding to them.

Add to that the myths we're told about suicide — "just talking about is dangerous," for instance; or that people who are contemplating suicide always show outward signs — and it becomes even more difficult to navigate. Even as several high-profile celebrity passings, and rising suicide rates re-affirm that the discussion is now more important than ever.

On World Suicide Prevention Day, an expert took to Reddit to make the conversation just a little bit easier.

Dr. Tyler Black is a child and adolescent psychiatrist and the Medical Director of the Child and Adolescent Psychiatric Emergency Department at BC Children's Hospital in Vancouver, where he's worked with thousands of families during his nine-year tenure.

Aside from the work and research he does at the hospital, Black is passionate about educating others about the science of suicide. And because he knows that the world's got questions, he set up an "Ask Me Anything" to give people a chance to further their understanding of suicide in order to reduce its rates.

One question makes it clear we need to rethink how we view suicide.

When one user posed the question of what one misconception Black wants others to stop believing, the doctor dropped some real knowledge that does away with the belief that only those with serious mental health issues become suicidal:

Probably the biggest would be that suicide behaviour or thinking is only for people with mental illness. Risk factors and protective factors don't work like that. Just like all humans are at risk for heart attack (some, very very very low compared to most humans, some very very very high), all of us have various risk factors that push us towards suicidal thinking and protective factors that push us away. Mental illnesses add to our suffering but so do physical illnesses, stressors, bad news, poor sleep, etc etc. There are hundreds of risk and protective factors that all work in different directions to influence suicide risk.

This misconception, Black explained, allows us to ignore risk factors until they're at crisis levels. It also allows us to not think about suicide until a person shows outward dysfunction. But for many people, suicide isn't often predated by a long period of mental illness.

That's why it's so important for us to be aware of the emotional states of our friends and loved ones, check in on them regularly, and make an effort to be there for anyone we care about.

What can you do to help others? Show up.

One of Black's most important points is this: Often, we undervalue the impact we have in others' lives. We think that psychiatrists are the only ones who can help those who may be contemplating suicide, but as Black notes — mental health professionals are just one piece of the puzzle.

Recognizing that we have the ability to help others, only if it's just by listening, is a powerful way to let those we care about know they're not alone. So if you've been thinking about calling a friend who is struggling, or just saying hi to someone you haven't seen in a while — now's a good time to reach out. Of course, no one's expecting us to single-handedly change a person's entire outlook on life, but making contact can make a huge difference.

This article originally appeared on 09.11.18

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mental health

We have a small favor to ask of you

suicide

They represent hope.

Have you seen anyone with a semicolon tattoo like the one above?

Project Semicolon was born from a social media movement in 2013.

"A semicolon is used when an author could've chosen to end their sentence, but chose not to. The author is you and the sentence is your life."

More conversations that lead to less stigma? Yes please.

And it's not just about the conversation — it's about providing tangible support and help too.

So next time you see this small punctuation tattoo, remember the words of Upworthy writer Parker Molloy:

If you want to see more incredible semicolon tattoos, check out nine photos and stories that our readers shared with us!

"You may be thinking, 'C'mon, Laura, it's no big deal – it's just pot.' 'Pot's legal, so it must be safe.'"

She lost teeth and parts of her chin and nose. She was back on camera within a month.

Surviving a suicide attempt does not mean a person is out of the woods. Even besides physical recovery, survivors face a major uphill battle again shame, depression, grief, and self-stigma.

Probably the most inspiring videos on Jazmine's page, though, are far more mundane. Trying on clothes, doing her makeup, or talking about music.

Reach out to check on your people.

This problem is bigger than numbers. It's people. It's moms, dads, kids, siblings, grandparents, friends, and partners.

Here are some simple things you can do to help someone who may be thinking about taking their life:

1. Know what to look for.

2. Show support without judgment or anger.

3. Ask specific questions.

4. It's OK to not know what to say.

5. Suggest professional help, or offer to help them find it.

6. Remember, if it's an immediate or crisis situation, it is OK to use the emergency room.

Suicide doesn't care. But lots of people do.

"Every day we have a chance to make someone's life better."

Dr. Tyler Black hopes his answers make a difficult topic a little bit easier to understand.

On World Suicide Prevention Day, an expert took to Reddit to make the conversation just a little bit easier.

One question makes it clear we need to rethink how we view suicide.

What can you do to help others? Show up.