https://www.veteranscrisisline.net/Resources/AdditionalInformation.aspx Crisis Line: 1-800-273-8255 (Press 1) Confidential Veterans Chat: https://www.veteranscrisisline.net/ChatTermsOfService.aspx?account=Veterans%20Chat

www.mentalhealth.va.gov/suicide_prevention/ www.facebook.com/VeteransAffairs Veterans Crisis Line: 1-800-273-8255 (Press 1)

https://suicidepreventionlifeline.org/ Suicide Hotline: 1-800-273-8255 Online Chat: http://chat.suicidepreventionlifeline.org/GetHelp/LifelineChat.aspx Safe Space: https://suicidepreventionlifeline.org/safe-space/

https://afsp.org/ Hotline: 1-888-333-AFSP (2377) Crisis Text Line: Text TALK to 741741 Find Support: https://afsp.org/find-support/

http://www.suicidology.org/ Find your crisis center: http://www.suicidology.org/Resources/Crisis-Centers Hotline: 1-800-273-TALK (8255) https://www.facebook.com/AASuicidology/?ref=ts

http://www.sprc.org/ https://www.facebook.com/SuicidePreventionResourceCenter Phone Number: 877-GET-SPRC

Most people who die by suicide have communicated some intent. Someone who talks about suicide gives the guide and/or clinician an opportunity to intervene before suicidal behaviors occur.

Most suicidal ideas are associated with treatable disorders. Helping someone find a safe environment for treatment can save a life. The acute risk for suicide is often time-limited. If you can help the person survive the immediate crisis and overcome the strong intent to die by suicide, you have gone a long way toward promoting a positive outcome.

Sometimes problems seem like they are impossible to solve for many different reasons. Sometimes we are not even fully aware a problem is building up. We just know something is wrong. When problems build up, even the strongest individuals may think about suicide. Yet suicide is not the answer. Are you, or someone you know, at risk for suicide? Seek help if you notice any of the following warning signs: • Threatening to hurt or kill self • Looking for ways to kill self • Trying to get pills, guns, or other means to harm oneself • Talking or writing about death, dying or suicide • Feeling hopeless • Experiencing rage, uncontrolled anger or seeking revenge • Acting reckless or engaging in risky activities • Feeling trapped, like there’s no way out • Abusing drugs or alcohol • Withdrawing from friends or family • Having dramatic changes in mood • Feeling like there is no reason for living, no sense of purpose in life • Sleeping too much or too little • Giving away possessions

Asking about suicide does not create suicidal thoughts. The act of asking the question simply gives the veteran permission to talk about his or her thoughts or feelings.

-Mental disorders, particularly mood disorders, schizophrenia, anxiety disorders, and certain personality disorders -Alcohol and other substance use disorders -Hopelessness -Impulsive and/or aggressive tendencies -History of trauma or abuse -Major physical illnesses -Previous suicide attempt(s) -Family history of suicide -Job or financial loss -Loss of relationship(s) -Easy access to lethal means -Local clusters of suicide -Lack of social support and sense of isolation -Stigma associated with asking for help -Lack of healthcare, especially mental health and substance abuse treatment -Cultural and religious beliefs, such as the belief that suicide is a noble resolution of a --personal dilemma -Exposure to others who have died by suicide (in real life or via the media and Internet)

- he just made plans for a vacation - she has young children at home - he made a verbal or written promise - she knows how dearly her family loves her Reality: The intent to die can override any rational thinking. Someone experiencing suicidal ideation or intent must be taken seriously and referred to a clinical provider who can further evaluate their condition and provide treatment as appropriate.

Frequent deployments Deployments to hostile environments Exposure to extreme stress Physical/sexual assault while in the service (not limited to women) Length of deployments Service related injury

(released 2014; 39,000 downloads in 95 countries) provides tools to assist users in practicing mindfulness meditation.

(released 2014; 5,400 downloads in 54 countries) teaches problem solving skills and can be used in a stand-alone fashion or while participating in Problem Solving training.

for insomnia (released 2013; 86,000 downloads in 87 countries) was a collaborative effort between the Department of Veterans Affairs’ National Center for PTSD (NCPTSD), Stanford University Medical Center, and the Department of Defense’s National Center for Telehealth and Technology (T2). CBT-i Coach is a mobile phone app designed for use by people who are having difficulty sleeping and are participating in Cognitive Behavioral Therapy for Insomnia guided by a healthcare professional.

Suicide Lifeguard is a FREE app intended for anyone concerned that someone they know may be thinking of suicide. It provides information on: • How to recognize warning signs of suicide • How to ask about suicidal thoughts and/or intentions • How to respond and • Where to refer Features include: • Immediate connection to the National Suicide Prevention Lifeline • Specific resources for: o Military/Veterans o Those who identify as LGBTQ o Spanish speaking individuals o Persons who are deaf or hard of hearing

for depression (released 2014; 23,000 downloads in 93 countries) supports people currently participating in Acceptance and Commitment Therapy (ACT) who want to use an app in conjunction with their therapist to bring ACT practice into daily life.

(released 2011; 233,000 downloads in 95 countries) is a VA and DoD joint project and is widely acclaimed, winning numerous awards. It is a tool for self-management of PTSD, and includes: a self-assessment tool; educational materials about PTSD symptoms, treatment, related conditions, and forms of treatment; relaxation and focusing exercises designed to address symptoms; and immediate access to crisis resources, personal support contacts, or professional mental healthcare.