Call Us: 423 661-4734 | Email: requests@comeandreason.com      
Suicide: Risk and Prevention

Suicide: Risk and Prevention

For the past decade, the suicide rate among teens has been increasing. Among teen boys, suicide completion has increased 33 percent over the last 10 years, according to research published in the Journal of the American Medical Association. [1]

 

The major risk factors for suicide are genetics, mood disorder (major depression), pessimism, misreading social cues, impulsivity, and impaired learning.

Fifty percent of suicide risk is genetic, meaning suicide risk is inheritable and does run in families. This does not mean that a person is predestined to die by suicide if they have family members who have died by suicide, but they do have an increased risk for it. This risk can be mitigated by awareness and purposeful interventions to prevent or treat the other factors that increase risk, thereby reducing suicide risk even in those who have genetic vulnerability. There isn’t a specific gene that increases the risk; instead, it’s the interaction of hundreds if not thousands of genes. Thus, even though the genetic risk is well documented, a specific genetic test is not available.

While we cannot point to a specific gene, it is known that the brain’s serotonin system is involved. Postmortem studies reveal that people at high risk of suicide have fewer serotonin transporters in their brains when compared to people who died in accidents. And brain changes in serotonin receptors predict suicidality and also the lethality of the attempt.

Depression and Suicide

People with a history of recurrent major depression have a 13-fold increased risk of suicide. Major depression is the most important and treatable risk factor for suicide. Many people believe that suicide risk goes up because of some stressful life event while failing to realize that many of the stressful life events are the result of major depression that is not being treated.

When people are depressed, they are more likely to:

  • socially isolate, be unavailable, be easily overwhelmed, and thereby experience relationship problems and breakups
  • call in sick to work, have impaired job performance, and thereby lose their job
  • fail to pay bills either because of lost work and can’t afford to, or lost attention to life’s responsibilities, and thereby lose their car or home or have creditors calling

So, the life stressors people attribute as the cause of suicide may, in reality, be due to underlying depression that is not being treated. Then when these additional life problems hit persons already suffering from depression, they are overwhelmed and pursue suicide as a means to escape their mental and emotional pain. In fact, the data shows that people without depression who face similar life stressors have significantly reduced risk of suicide when compared to someone with depression facing the stressor.

Further, studies show that not all people with depression experience suicidal thoughts, but those who have a pessimistic mindset in addition to being depressed are the ones at increased risk. Even when the depression is treated and remits, those at higher risk for suicide continue to manifest a pessimistic outlook on life compared to depressed people who are not suicidal.

The point here is that hope and hopefulness in the face of depression and real-life stressors reduces suicide risk, whereas pessimism increases the risk.

Four Risk Factors to Look For

Research documents four factors, occurring simultaneously, that work together to drive suicidal behavior. Those four factors are:

  • Recurrent major depression
  • Misreading social cues
  • Impulsivity/reactivity
  • Impaired learning

Brain studies reveal that when given standard tests that require them to determine emotional states by looking at faces, those at high risk for suicide misread the faces in ways that incite fear, hurt, rejection—which is a dysfunction of dorsolateral prefrontal cortex, the part of the brain where we reason, think, and problem solve.

Further, those at increased risk demonstrate impaired response inhibition—the ability to pause, think, and make a wise choice. When given a choice of receiving $50 immediately or $300 in 30 minutes, those at risk for suicide take the $50 right away, whereas those at low risk for suicide wait the 30 minutes. This is impairment in response inhibition, the ability to stop an impulse and wait for a better opportunity.

People at high risk also demonstrate impaired learning from previous events. We have all experienced situations in which something stressful has occurred, inciting anxiety, fear, and worry—but eventually, the problem passed. People at low risk for suicide are able to learn from such events so that when new stressors occur, they are able to remember that things will get better, the stressor will resolve, and life will improve. But people at high risk fail to learn this, and each new stressor is experienced with overwhelming fear and often hopelessness.

It should be noted that all of the above risk factors are worsened by alcohol and drug abuse. Such substances increase mood disorders, damage thinking and learning circuits, increase impulsivity, and often contribute to increased life stress (financial, relational, and legal problems).

Taking Action

Understanding all of these risk factors has led to effective interventions that reduce suicide risk and rates. What are the factors with proven efficacy in reducing suicide?

  • Removing the means—removing guns and lethal pills from home
  • Treating depression with psychotherapies and medications; both reduce suicide
  • In-school education about risks and warning signs and ways to get help
  • Limiting media reporting and coverage of suicides
  • Alcohol- and substance-use treatment

Another factor at play in suicide risk includes loss of meaning, value, and purpose. Neuroscience demonstrates that when the brain’s love circuits activate, they calm the fear/stress circuits. Activities and experiences that increase love, altruism, other-centered connection, and meaning will decrease suicide risk, whereas actions that isolate and increase fear will increase suicide risk.

With this in mind, let’s examine societal trends and infer some potential changes that may be increasing risk. Historically, American values were built on three overriding elements: God, Family, Country. When these elements are valued and esteemed, they create an other-centered worldview—we live to glorify God, to bless and protect our families, and to help our country. As John F. Kennedy said more than 50 years ago, “Ask not what your country can do for you; ask what you can do for your country.”

But today’s generation is taught that there is no God, many families are fractured, and the country is abusive, can’t be trusted, and is supposed to give to “me.” This change in values and mindset means that there is nothing more important than the self, which results in increased fear, which in turn neurobiologically drives increasing depression, hopelessness, and suicide.

How can we reduce suicide risk? By being aware, by removing means from those at risk, by treating mental illness (depression), getting into substance treatment—but also by increasing love, purpose, and meaning. We need to teach young people that they are valued, they are loved, they are precious, and they have purpose, but also that life is not all about them; we teach them that their true joy, happiness, and health will be realized only when they come into harmony with how God built reality to operate. And God built reality to operate upon other-centered love.

Young people must see in their families, churches, schools, and community how genuine compassion, grace, mercy, and altruism functions. They must see love in action, love manifested toward them and those they care about. They must see the God of love, choose to surrender self, and live lives in harmony with God’s design—lives of altruism, compassion, and service—seeking to give, to bless others, rather than seeking to get. When this occurs, the fear circuits of the brain calm and the risk for suicide decreases.

For more read my blog Suicide and the Myth of Lost Salvation.


[1] Miron, O., et al., Suicide Rates Among Adolescents and Young Adults in the United States, 2000-2017, JAMA. 2019;321(23):2362-2364. doi:10.1001/jama.2019.5054

 

Email me the blog whenever a new one is published.

Donate online, securely via PayPal using your credit or debit card (no PayPal account needed, unless you want to set up a monthly, recurring payment).


cancel recurring payment

 

Want to use zelle instead?
See how on our
Support and Donations page.

Upcoming Events

calendar

Testimonial Post Slider

Testimony 67

I was introduced to Come And Reason by a friend of my mother-in-law, who gave me several CD’s of Dr. Jennings. The clarity of the message and recognition that God’s is a God of love was so clear, advancing beyond Dr. Maxwell’s message. However, grappled with Maxwell saying God used emergency measures for the fallen world. Now after several years of being a regular listener of the Come And Reasoning bible study class and attending Jennings’ meetings in Dallas/Fort Worth, TX, things are becoming clearer for me. Design law versus imposed law has added so much to my personal understanding of theology. This message has really impacted my work in counseling so many people miserable because they are searching for and trusting human governments to create order and peace or believing in a God who says love Me or I will kill you. I am grateful that I have an alternative view to offer my clients that makes sense. I teach a bible study class on a semi-regular basis and I value the materials that Come And Reason so freely offers to aid me in presenting this vital message. Thank you for continuing to provide advancement in our very limited understanding of a Infinite God that is rational and believable.

Dr. Roger D, Arlington, TX, USA

 

Testimony 27

Your teachings about our heavenly Father have changed my life. Thank you sooooooo very very much! I know He’s doing some serious healing in my heart and life and I look forward to each new day to learn something new about Him and to just hear you speak about Him. Thank you, forever.

Nancy S.

 

Testimony 72

I am blown away by the truth that you present. God’s Design Law makes so much sense! You have validated my impression that, if God is love, He would not kill those who don’t want to know him. If God gives us choice, then how can He destroy us if our choice is not to follow him. Thank you for opening my eyes and heart to the pure love of God seen through Jesus. The love I now have for Jesus is deeper and free from condemnation. My heart has been opened to love others as Jesus loves me. May God continue to bless your God-given insight into His word and your ministry. The truth has set me free!

H. Miller, Centereach, NY

Testimony 51

I Love This Ministry!!!!!!! I see first hand how this message is desperately needed, how erroneous beliefs about God and His Character negatively affect humanity at every level. I thank God for your ministry, as I was searching on my own and was discovering some of your same beliefs and was blown away when I found your ministry. I know you hear it all the time, but it is truly life changing. May God continue to reveal His Will to you and Bless you!

Eric S., Sanford, FL, USA

 

Testimony 53

I was so blessed by a friend who gave me your book, “The God Shaped Brain,” while I was sitting in church asking God to please help me learn more about Him and help me not to be so confused and scared. That was about 2 years ago. Your books have helped me to love God even more. I’m not confused or scared anymore! I have listened to all of your bible study classes and feel like I know the wonderful people that attend every week. Thank you for all that you’re doing in spreading the true message about God and His law of love. God bless you and your whole class.

Elssy P., Modesto, CA, USA

 

Testimony 4

I’m a youth leader in South Africa. We as a youth group are currently using a lot of the material on the Come and Reason site. Since we’ve started using the material, our youth group has grown.

R. V. N., South Africa

 

Testimony 18

The Healing the Mind DVD set tarted me on a journey that has changed my relationship with our loving God more significantly than any other study, and brought me to your book and Bible study podcasts, which I now listen to daily, thanks to the availability of archived content on your site and on iTunes.

Anonymous

 

Testimony 14

We really appreciate your views on the judgment and they make good sense considering our free choice.

Anonymous

 

Testimony 58

I have been watching your videos in The Power of Love seminar and I must say these have liberated me and have improved my relationship with the Lord. I am no longer terrified of him as I was before following your teachings.

Thando N., South Africa

 

Testimony 7

Ok, so last night I listened to “The Law of Liberty” and “How to Achieve Victory: Freedom, Truth and Spirtual Warfare.” These are both MY ABSOLUTE FAVORITES so far! The logic is just soooooo beautiful. I had to re-listen to them a couple of times. I just want to EXPLODE! (<< we assume with joy and happiness)

N. B., Canada

 

Testimony 66

I am incredibly grateful for the transformative impact you’ve had on my life, and words cannot fully express my appreciation. Over the years, I have been an avid listener and follower of C&R and extend my heartfelt thanks for creating the C&R mobile app. It has allowed me to immerse myself in your lessons repeatedly, enabling me to grasp the profound significance about the Character of God, Design Law, the protocols for life, the reasons behind the current chaos, and Christ’s mission to restore everything. They have deeply touched me. Having studied with various churches, I came away with the perception that God is no different from the deities of ancient Greek or Roman mythology—demanding sacrifices and taking pleasure in bloodshed. Thanks to your transformative teachings, I have experienced a profound awakening to the true nature of God and the immense power of His love. It is truly a remarkable and liberating sensation to finally grasp the truth and embrace the empowering nature of God’s laws. My self-perception has become brighter and more infused with love. My journey of growth continues on a daily basis.

Chris P., Lake Mary, FL, USA

 

Testimony 69

After reading your book, ‘Could It Be This Simple,’ someone was explaining Christianity in a way that made sense to me for the first time in my life. One morning, I simply prayed “I’m sorry and I love you.” As soon as I silently said that, I could literally feel God’s presence and light flood down on me from above and fill me up with love and joy. I sat there crying my eyes out, because I was so overpowered with this feeling of love and joy. It was just so incredible. I hope that more people can read this book and get a blessing from it. It’s really amazing.

Rachael H.

Testimony 25

I just want to say thank you so much for your conversations via YouTube. I regularly tune in to your lectures, “Let’s Talk” sessions, and many others. Through these I’ve found greater depth and meaning to God’s word. Thanks for all that you do and please continue. I’m currently working in the middle of Silicon Valley at Stanford University. I feel like God really has me in the right place right now and I’m sensing that your teachings might be part of it.

B. F., Silicon Valley, CA, USA

 

Testimony 24

I wanted to thank you very much for presenting your understanding of God. I’ve always been troubled by this question: Why did Jesus have to die? Since my conversion I understood that The Father & Jesus are one, I did not have issues with that. But was there not any other way to save us than for Jesus to die? I guess I actually had a question about God – if He is so wise, how come He did not find another way? I did not see the real ‘beauty’  in the cross. Only when you explained the picture in the medical context, Jesus providing medicine for my selfishness, have I started to finally ‘see the light’. Thank you so much. Your seminar, “Healing the Mind,” are absolutely marvelous & have shared them with my family and many other people, including colleagues at work. Thanks, thanks, thanks. May God bless you abundantly in your ministry.

M. W., Australia

 

Testimony 28

I have been following your Bible study class for about a year now. I must say I am impressed with how your ministry has grown. I took it upon myself to listen to all your lesson podcasts from the past and they have both enriched me physically, mentally, emotionally and spiritually. I have learnt a lot from this class. I have also noticed how the class has grown in spiritual strength. One of the things that benefited me is that now I am not afraid of God. I use to be, but now it has melted away. The second thing is that you helped me to have a real life relationship with God. Now He is my friend that was always there and I love having him with me all the time. Thirdly, because of this class, it inspired me to take over and lead a class. I have called it “Let Us Reason Together,” adapting your inquisitive style and creating a class of free thinkers.

T. Banda, Malawi, Africa