Flow Neuroscience
Sept. 10, 2025
Today, on World Suicide Prevention Day, we are called to do more than just remember; we are challenged to act. The triennial theme for 2024-2026, “Changing the Narrative on Suicide,” is a powerful summons to transform how we think, talk, and respond to one of the most significant public health challenges of our time. As a doctor, I see the human stories behind the statistics, and the profound need for this shift—a move away from silence and stigma towards empathy, understanding, and proactive support.
The reality we face
The statistics are a stark reminder of why this conversation is so urgent. According to the latest data from the World Health Organization (WHO), suicide accounts for more than one in every 100 deaths globally, with an estimated 727,000 people dying by suicide in 2021. Each number represents a life cut short, a family forever changed, and a community grappling with an immeasurable loss.
These are not distant tragedies; they are happening in our communities. A vast majority of those who die by suicide—around 80%—have been in contact with a primary care team in the year before their death. This is not a point of blame, but a beacon of opportunity. It shows us that in moments of deep distress, people are reaching out.
Myths to leave behind—and what we now know
To truly change the narrative, we must confront the myths that create silence and fear.
Myth: Talking about suicide puts the idea in someone’s head.
Fact: This is the most damaging myth of all. Asking someone directly and kindly if they are thinking about suicide does not increase risk. The evidence is clear: it can reduce distress and is often the first step to safety.
Myth: Suicide is always about a diagnosed mental illness.
Fact: While mental ill-health is a major risk factor, many who die by suicide do not have a diagnosed condition. Life events—like a relationship breakdown, financial stress, or physical illness—can converge with overwhelming feelings of shame or entrapment, sometimes very rapidly.
Safety planning: a simple tool that saves lives
When you’re in a crisis, thinking clearly can feel impossible. This is why one of the most helpful tools we have is a Safety Plan. This isn't a complex medical document; it's a simple, personal guide that you can create to help you get through tough moments. It identifies your personal warning signs, lists coping strategies, and names trusted people and professionals you can call.
This simple tool has a powerful impact. A landmark review in the British Journal of Psychiatry found that safety planning can reduce subsequent suicidal behaviours by an incredible 43%. It is a tangible, empowering tool that reminds a person of their own strength and reasons for living, even when they feel hopeless.
How we can all help change the narrative
This is not a conversation reserved for doctors' offices. Each of us has a role to play in creating a world where people feel safe enough to ask for help.
- Ask, don’t avoid. If you are worried about someone, ask directly: “Sometimes when people are going through what you are, they have thoughts about ending their life. Has that been happening for you?” Asking shows you care and opens a path to help.
- Listen more than you speak. You don’t need to have the solutions. The simple act of staying present and listening without judgment can be a powerful anchor for someone in a storm.
- Know where to turn. Be ready to connect someone with professional help. Having the helpline numbers below saved in your phone can make all the difference in a critical moment.
- Follow up. A simple message tomorrow—and next week—shows that you are still there and can be a vital lifeline.
A final message of hope
Suicide is not inevitable. It is preventable. Changing the narrative begins with a fundamental belief: that every life has value, that suffering is not permanent, and that connection is our most powerful antidote to despair.
This World Suicide Prevention Day, let’s commit to being part of this change. Let’s move from silence to conversation, from stigma to support, and from isolation to connection. Because changing the narrative isn't just about words—it's about saving lives.
If you're struggling with suicidal thoughts, please reach out for help. You are not alone, and support is available.
Dr Kultar Singh Garcha
NHS GP and Global Medical Director
Practical resources and helplines
- Make a Safety Plan: Visit StayingSafe.net for NHS-supported digital and printable plans.
- Read a simple guide: The Royal College of Psychiatrists' "Feeling Overwhelmed" leaflet is a plain-language guide to safety planning.
- Suicide awareness training: https://www.zerosuicidealliance.com/suicide-awareness-training
- UK Helplines:
- Samaritans: 116 123 (free, 24/7)
- Shout: Text SHOUT to 85258 (free, 24/7 text support)
- CALM (Campaign Against Living Miserably): 0800 58 58 58 (5pm–midnight) and webchat.
- PAPYRUS HOPELINE247 (for under 35s): 0800 068 4141 or text 88247.
Sources
World Health Organization (2025).
Nuij, C., et al., British Journal of Psychiatry (2021). Safety planning-type interventions for suicide prevention: meta-analysis.
NHS England (2025). Staying safe from suicide: Best practice guidance. This document outlines the shift in clinical practice away from risk scoring towards collaborative safety planning.