SZN. 3 Ep. 29/ Helping Someone Through Suicidal Thoughts: Signs, Support, and When to Call for Help

Alexandria Gohla, MSW, LCSW, Ed.S, C-DBT, RYT-200
Owner/Clinical Therapist

Alexandria Gohla, known as Alex, is a compassionate Licensed Clinical Social Worker specializing in pregnancy and perinatal mental health. With a focus on supporting adults and adolescents through trauma, anxiety, depression, and maternal mental health challenges, Alex brings a wealth of experience to her practice. She integrates various therapeutic approaches, including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), trauma-informed yoga therapy, and mindfulness practices, to empower her clients and promote healing.

Alex holds a Bachelor of Arts in Sociology from Illinois Wesleyan University, a Master of Social Work from Loyola University Chicago, and an Educational Specialist degree in Leadership and Supervision from National Lewis University. She also holds certifications in Dialectical Behavior Therapy (C-DBT) and is a Registered Yoga Teacher (RYT-200).

Her practice, Bluebird Counseling Services, reflects her belief in creating a safe, person-centered, and collaborative space for clients. Inspired by Native American legends of the bluebird, symbolizing hope, love, and renewal, Alex fosters an environment of growth and positivity.

In addition to her work as a therapist, Alex enjoys triathlons, yoga, and spending time with her family and dogs. She is also working towards a trauma yoga therapy certification. Alex’s approachable and authentic style makes her a trusted guide for those navigating the complexities of pregnancy and perinatal mental health.

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Helping Someone Through Suicidal Thoughts: Signs, Support, and When to Call for Help

By: Alexandria Gohla, MSW, LCSW, Ed.S

Watching someone you care about struggle with suicidal thoughts can be overwhelming and frightening. While it’s normal to feel unsure of what to say or do, your presence, listening, and guidance can be lifesaving. Start with empathy: listen without judgment, validate their feelings, and reassure them that they are not alone. Simple statements like, “I’m here with you, and I care about you,” can make a big difference. Avoid minimizing their feelings or offering quick fixes—sometimes what they need most is to feel heard.

Signs and Symptoms to Look Out For
Suicidal thoughts don’t always look dramatic or obvious. Some warning signs may be subtle but important:

• Verbal cues: Statements like “I wish I wasn’t here,” “I can’t go on,” or “People would be better off without me”

• Behavioral changes: Withdrawing from friends, family, and activities they once enjoyed; giving away possessions; or suddenly making preparations like writing a will

• Mood shifts: Intense sadness, irritability, hopelessness, or extreme anxiety

• Changes in sleep or appetite: Sleeping too much or too little, sudden loss of appetite or overeating

• Risk-taking or self-harm: Engaging in reckless behavior, self-injury, or substance abuse

• Declining functioning: Drop in grades, work performance, or trouble with daily tasks

These signs don’t guarantee someone is suicidal, but they indicate that extra attention and support are needed.

When to Get Concerned and Seek Immediate Help
Call for professional help right away if someone:

• Talks about having a plan to harm themselves

• Has access to means to act on that plan (pills, firearms, knives, etc.)

• Exhibits extreme hopelessness or agitation

• Shows sudden withdrawal from life or social connections

• Displays confusion or distress about identity or self-worth that impacts daily functioning

In these situations, call 911 immediately or contact a crisis line. Even if you are unsure of the risk, connecting with trained professionals ensures safety and guidance.

How to Support Someone Safely

1. Be present and listen – Sometimes just sitting and offering a nonjudgmental ear is enough.

2. Encourage professional help – Offer to help make appointments or accompany them.

3. Check in consistently – Regular contact reminds them they are not alone.

4. Create a safe environment – Remove or secure items that could be used for self-harm.

5. Care for yourself – Supporting someone in crisis can be emotionally taxing; reach out to your own support network.

Resources for Immediate and Ongoing Support

• 988 Suicide & Crisis Lifeline (U.S.) – Dial 988 or text HELLO to 741741

• Crisis Text Line – Text HELLO to 741741

• National Alliance on Mental Illness (NAMI) Helpline – 1-800-950-NAMI (6264)

• The Trevor Project – Support for LGBTQ+ youth: 1-866-488-7386 or text START to 678678

• Veterans Crisis Line – 1-800-273-8255, press 1, or text 838255

• Local emergency services – Call 911 if someone is in immediate danger

Supporting someone through suicidal thoughts isn’t about having all the answers—it’s about being present, noticing the warning signs, and taking action when safety is at risk. Your empathy, attention, and guidance can literally save a life.

szn. 3

Ep. 29/

Helping Someone Through Suicidal Thoughts: Signs, Support, and When to Call for Help