Suicidal thoughts do not always look the way people expect. While withdrawing from loved ones, losing interest in once-enjoyed activities, changes in sleep, and feelings of hopelessness can be warning signs, a person may also appear happy or successful on the outside while quietly struggling.
In the Philippines, suicide remains a serious public health concern, particularly among young people. According to data cited by the Department of Health, an estimated 3.2 to 3.5 deaths per 100,000 Filipinos are attributed to suicide, with a significant proportion involving individuals aged 15 to 24.
“Mental illness or personality disorder affect a person’s ability to make sound judgement,” explains Carmina Charmaine G. Bernardo, MD, FPPA, FPCPsych, psychiatrist and Head of the Mood and Anxiety Resource and Referral Center at Makati Medical Center. However, she notes that traumatic experiences such as relationship breakdowns, bereavement, abuse, financial difficulties, career setbacks, or serious illness can also contribute to overwhelming emotional pain.
Recognizing changes in a loved one’s behavior can be an important first step. Warning signs may include withdrawing from others, engaging in unusually risky behavior, giving away valued possessions, or suddenly seeking out people to say goodbye or make amends.
Certain dates and occasions can also be particularly difficult for someone struggling emotionally. Birthdays, anniversaries, holidays, and other significant milestones may intensify feelings of loneliness or distress. Reaching out during these periods can help remind someone that they are not alone.
Talking openly about suicide can feel uncomfortable, but Dr. Bernardo emphasizes the importance of asking directly and compassionately when there is genuine concern. Listen without judgment, avoid dismissing their feelings, and allow them to express what they are going through.
Most importantly, take immediate action if someone appears to be at risk of harming themselves. Do not leave them alone, help keep them away from anything they could use to hurt themselves, and seek professional assistance immediately. Contact emergency services or bring them to the nearest hospital for urgent care.
Supporting someone through a mental health crisis does not mean having all the answers. Sometimes, simply staying present, listening, and helping them connect with professional support can make a life-saving difference.
For mental health concerns and professional guidance, contact MakatiMed On-Call at +632 8888 999 or email [email protected]. You may also visit Makati Medical Center for more information.
