1. Measure them.
    Are they fleeting, or are they persistent? Is it a spontaneous thing, where you wouldn't mind getting into an accident on purpose, or is it planned (you know, writing a note, arranging who gets what, etc.)? Have you taken action towards harming yourself?
  2. Weigh your risk.
    How likely are you to commit acts of self harm or any form of reckless self-endangerment? You can scale it from 1-10 if you need to. This one is pretty hard, because with the right amount of suicide ideation, or in a certain state of depersonalization or something of the sort, you could be an extreme risk to yourself and not even really feel it. My rule of thumb is if you feel numb, tell someone .
  3. Identify the cause.
    Did something happen to make you feel exceptionally helpless? Are you going through a particular state in your mental illness? Are you actually pretty fine, other than the fact that you really feel the need to die? Is it your meds? Figure out all the things that weigh into your suicide ideation. Maybe it's all the good. Or the bad. Or nothing at all.
  4. Talk to yourself/write/find a way to communicate your suicide ideation in your personal safe space
    Address that you need help. You can acknowledge your concerns, organize your thoughts better (which helps center people if they're dealing with any type of dissociation), and manage any stressors. This can be a form of self-soothing, and prepare you for taking the next step.
  5. Talk to someone else
    Preferably a professional. If you're not in a financial place to talk to a physician, seek out pro-Bono/sliding scale services. They ask you "how suicidal" you're feeling, sometimes. Answer honestly. They want to take care of you, and you have to help them help you.
  6. Resources
    Suicide hotline 1(800)273-8255 ; Crisis Chat crisischat.org, Crisis Text you text START to the number 741-741 ; for those who need counseling probonocounseling.org
  7. Tips:
  8. Stay away from people who are quick to berate you for your suicidal behavior and who call you "selfish"
    And if you're one of those people, realize that condemning someone for an illness does not solve anything. Selfishness is complex. Think about how YOU'RE affecting others.
  9. If you feel like your suicide ideation is urgent, or if you're about to attempt suicide, please skip right to talking to someone.
    Your life is more important than a step-by-step routine. If you need help now, get help now.
  10. If you need help bringing yourself back to the present before talking to someone, try to describe things around you or tell a story in great detail.
    This helps involve your senses, and can bring you back from depersonalization/dissociation or something of the sort.
  11. Make sure you're not deprived of your basics
    Have you eaten? Have you had water? Have you been up and outside? When was the last time you talked to someone? When was the last time you've have personal contact (physical or just the presence of another person)? If you take note of those regularly, it really helps.
  12. Understand that people love you and you matter to others, but do not let guilt become a motivating factor for your health.
    Getting better because others make you feel bad will not lead to a full healing, and may put you in a state of relapse. Get better for yourself and your future, even if you don't care about either right now.