About suicide

Source: American Foundation for Suicide Prevention

There’s no single cause for suicide. Suicide most often occurs when stressors and health issues converge to create an experience of hopelessness and despair. Depression is the most common condition associated with suicide, and it is often undiagnosed or untreated. Conditions like depression, anxiety and substance problems, especially when unaddressed, increase risk for suicide. Yet it’s important to note that most people who actively manage their mental health conditions go on to engage in life.

Warning signs for suicide

Source: National Suicide Prevention Lifeline

Some warning signs may help you determine if a loved one is at risk for suicide, especially if the behavior is new, has increased, or seems related to a painful event, loss, or change. If you or someone you know exhibits any of these, seek help by contacting one of the resources listed below. 

  • Talking about wanting to die or to kill themselves

  • Looking for a way to kill themselves, like searching online or buying a gun

  • Talking about feeling hopeless or having no reason to live

  • Talking about feeling trapped or in unbearable pain

  • Talking about being a burden to others

  • Increasing the use of alcohol or drugs

  • Acting anxious or agitated; behaving recklessly

  • Sleeping too little or too much

  • Withdrawing or isolating themselves

  • Showing rage or talking about seeking revenge

  • Extreme mood swings

How to help

Source: National Institute of Mental Health

  1. ASK: “Are you thinking about killing yourself?” It’s not an easy question, but studies show that asking at-risk individuals if they are suicidal does not increase suicides or suicidal thoughts.

  2. KEEP THEM SAFE: Reducing a suicidal person’s access to highly lethal items or places is an important part of suicide prevention. While this is not always easy, asking if the at-risk person has a plan and removing or disabling the lethal means can make a difference.

  3. BE THERE: Listen carefully and learn what the individual is thinking and feeling. Research suggests acknowledging and talking about suicide may reduce rather than increase suicidal thoughts.

  4. HELP THEM CONNECT: Save the National Suicide Prevention Lifeline’s (1-800-273-TALK (8255)) and the Crisis Text Line’s number (741741) in your phone, so it’s there when you need it. You can also help make a connection with a trusted individual like a family member, friend, spiritual adviser, or mental health professional.

  5. STAY CONNECTED: Staying in touch after a crisis or after being discharged from care can make a difference. Studies have shown the number of suicide deaths goes down when someone follows up with the at-risk person.

Additional Sources of Support

If you are feeling suicidal, are worried about a friend or relative who is showing warning signs of suicide, or are looking for additional sources of support please contact us or reach out to one of the resources below.


Located in Rosebud?

24/7 and Emergency Resources

Dispatch: 605-856-6528 or 911

Indian Health Service Rosebud: (605)747-2231

South Dakota Suicide Prevention: 1.800.273.8255

Behavioral Health Resources

RST Alcohol Treatment Program: (605)747-2342

RST Meth Program: (605) 747-2320

RST Youth Homeless Shelter  (605) 856-2537, cell: (605) 319-6681

Southern Plains Behavioral Health Services: (605) 856-4631

Youth Resources

Tiwahe Glu Kini Pi: (605)-856-8163

Tokala Inajinyo Youth Leadership/Mentoring Program: 
(605) 856-2587, cell: (605) 515-9633

Social Services

Community Health Representatives: (605)747-2316

Maternal and Child Health: (605) 747-2990

Sicangu Child & Family Services: (605)856-4855

Sicangu Oyate Tipi Homeless Shelter: (605)747-2096 

Social Services: (605)747-2401

Veteran's Affairs: (605)747-2593

White Buffalo Calf Woman Society: (605)856-2317

WIC: (605)747-2617

National Resources

National Suicide Prevention Helpline

Call or Text 988

Online chat: here

Text: Text HOME to 741741

Trevor Project  for LGBTQ youth

Call: 1-866-488-7386 

Online chat: here

Text: Text START to 678678

Veteran Crisis Line

Call: 1-800-273-8255 (press 1)

Online chat: here

Text: Text a message to 838255

website: mentalhealth.va.gov

Drug Rehabilitation Resources