Pamela Sagness Executive Director, Behavioral Health | North Dakota Department of Health and Human Services
Pamela Sagness Executive Director, Behavioral Health | North Dakota Department of Health and Human Services
North Dakota Health and Human Services (HHS) is highlighting the importance of suicide prevention and mental health awareness during the holiday season. The holidays, while often associated with joy, can also lead to increased stress or loneliness for many people. Recognizing signs of suicide and taking action can save lives.
"Nobody thinks it’s going to happen to them—until it does," said Melissa Markegard, Suicide Prevention Administrator for HHS. "Warning signs are often missed or dismissed until it’s too late. That’s why it’s vital to stay vigilant, have open conversations, and reach out for help. Call or text 988—don’t wait."
Data from FirstLink, which answers North Dakota's 988 Suicide and Crisis Lifeline, shows nearly 8,000 calls, texts, and chats in 2024 alone. Almost 1,200 were made in October.
People experiencing suicidal thoughts may show warning signs that can be identified early:
Risk factors include mental health conditions like depression or anxiety; substance use; family dysfunction; access to lethal means; and significant life changes.
Warning signs involve talking about wanting to die or feeling hopeless; behavioral changes such as social withdrawal; mood shifts; and alarming messages on social media.
Immediate actions that can help include asking directly if someone is thinking about suicide, listening without judgment, providing reassurance that help is available, securing dangerous items like weapons or pills, and contacting help through 988.
For personal mental wellness during stressful times like the holidays:
- Stay connected with friends or family.
- Set boundaries by declining extra responsibilities.
- Take breaks for activities that recharge you.
- Acknowledge your feelings without judgment.
"Help is always just a call away," Markegard stated. "Reaching out to the 988 Suicide & Crisis Lifeline can be the first step toward hope and healing. You don’t have to go through it alone."
The lifeline offers support via call or text at 988 or online at 988lifeline.org. Mobile crisis teams provide immediate assistance statewide via either 988 or 911. The CARES Crisis Response team supports those with developmental disabilities through 988 access. Crisis stabilization facilities across eight regions offer short-term residential care in cities like Fargo and Bismarck.
HHS has introduced a Suicide Fatality Review Commission alongside a dashboard providing real-time data on state suicide trends. These tools aim to aid behavioral health leaders in supporting individuals in crisis effectively.
This holiday season encourages North Dakotans to proactively recognize warning signs and take action so no one feels alone or hopeless.
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