Pamela Sagness Executive Director, Behavioral Health at HHS | North Dakota Department of Health and Human Services
Pamela Sagness Executive Director, Behavioral Health at HHS | North Dakota Department of Health and Human Services
North Dakota Health and Human Services (HHS) is taking part in Suicide Prevention Month this September, aiming to raise awareness about suicide, reduce stigma, and strengthen support for those facing behavioral health challenges across the state.
“Increasing connection, teaching life skills and fostering hope can strengthen communities and reduce the risk of suicide,” said Melissa Markegard, HHS suicide prevention administrator. “When people feel valued, supported and less alone, it can make a difference in their overall well-being.”
To help prevent suicide, HHS encourages individuals to engage in open conversations with those around them and listen without judgment. The department also urges sharing resources such as the 988 Suicide & Crisis Lifeline, which provides 24/7 support through calls, texts, or online chat at https://988lifeline.org/. Promoting supportive environments within families, schools, workplaces, and communities is another recommended step. Additional prevention resources and educational materials are available on the HHS website.
Support services for mental health are accessible throughout North Dakota. Residents can contact the 988 Suicide & Crisis Lifeline at any time or seek assistance from Regional Behavioral Health Clinics located statewide. More information about available behavioral health services for various groups—including youth, veterans, and tribal communities—can be found at https://www.hhs.nd.gov/behavioral-health/find-services.
For those interested in learning more about suicide prevention strategies or training opportunities across the state, details are provided at https://www.hhs.nd.gov/behavioral-health/prevention/suicide/suicide-prevention-trainings.
The use of the 988 Lifeline has increased significantly. In the first half of 2025 alone, there were 7,305 contacts—calls, texts or chats—a rise of 26% compared to last year’s figures for the same period. Since its launch in 2022, these contacts have grown steadily; if monthly trends continue through this year, a projected increase of up to 150% is expected by year’s end. Most interactions with the lifeline are resolved by providing support or resource information over the phone; only about one percent require involvement from emergency services.
In North Dakota last year, suicide was responsible for 148 deaths. HHS continues to work with partners to expand access to support through initiatives like school-based behavioral health programs and peer support networks.
“Help is always available,” HHS reminds residents seeking assistance or information.