Health
Is suicide contagious? Mental health experts warn of very real risk
This story discusses suicide. If you or someone you know is having thoughts of suicide, please contact the Suicide & Crisis Lifeline at 988 or 1-800-273-TALK (8255).
Suicide is a leading cause of death in the U.S., with more than 49,000 people taking their own lives in 2022, according to the Centers for Disease Control and Prevention (CDC).
Although most suicides stem from mental health disorders, statistics show that the behavior can sometimes be “contagious,” leading to “suicide clusters.”
Suicide clusters are defined as “a group of suicides or suicide attempts that occur closer together in time, space or both than would normally be expected in a community,” the CDC states.
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Dr. Caroline Fenkel, a licensed clinical social worker in Pennsylvania, who is an expert in suicide prevention, confirmed that the act can have a contagion effect — particularly among young people.
Although most suicides stem from mental health disorders, statistics show that the behavior can sometimes be “contagious,” leading to “suicide clusters.” (iStock)
“When individuals hear about a suicide, especially someone close to their age or in their community, it can feel more accessible as an option in moments of distress,” she told Fox News Digital.
“The more the details are shared, especially in sensational ways, the greater the risk.”
Up to 5% of youth suicides can be attributed to contagion, according to Jennifer Kelman, a licensed clinical care social worker in Florida who works with JustAnswer, an expert help on-demand platform.
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“It doesn’t necessarily increase for everyone in that community, but rather for those who are struggling as well — with depression, anxiety and other feelings that may be overwhelming,” she told Fox News Digital.
5 possible reasons for suicide contagion
Dr. Deborah Gilman, owner and chief licensed psychologist at Fox Chapel Psychological Services in Pennsylvania, shared the following four factors that could contribute to suicide clusters.
1. Normalization
When people hear about suicides, it can normalize the idea of using it as a way to deal with problems, according to Gilman.
Experts encourage people to talk openly and compassionately about mental health to help reduce the stigma. (iStock)
“People often look to others for cues on how to behave,” she told Fox News Digital.
“If they see that many others are choosing suicide, they may believe that it is the socially acceptable or ‘correct’ thing to do.”
2. Copying or modeling
“Some individuals may feel a sense of connection or empathy with the person who died and may imitate their actions,” Gilman said.
“In close-knit communities, schools or social groups, the suicide of one member can lead to others in the same environment feeling similar distress or engaging in similar behaviors.”
“The more the details are shared, especially in sensational ways, the greater the risk.”
Some individuals may imitate the behavior of someone who has died by suicide, especially if they are already struggling with their own mental health, she said.
“This can be due to a sense of hopelessness or a desire to escape their own pain.”
3. Social proof
People may believe that if others are choosing suicide, it must be a valid option for them as well, according to Gilman.
“From social learning theory, if the observed behavior — in this case, suicide — is seen as a positive outcome or a solution to problems, it may be reinforced and more likely to be imitated.”
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This risk can escalate when a celebrity or widely admired person dies by suicide, she added, as it can have a disproportionate impact on those who look up to that individual.
4. Vulnerability
“Individuals who are already struggling with mental health issues — especially depression and anxiety — may be more likely to experience suicidal thoughts or behaviors,” Gilman warned.
Those experiencing difficult life circumstances — such as job loss, divorce or financial struggles — may be more susceptible, she added.
“Pulling away from friends, family or support groups can indicate that the survivor is struggling more than they can manage on their own,” a mental health expert warned. (iStock)
5. Recency bias
“People tend to overestimate the likelihood of events that are easily recalled,” Gilman said.
“If a recent suicide has been widely publicized, it may make the idea of suicide more accessible and salient in people’s minds.”
6 warning signs among survivors
For those impacted by suicide, experts agreed that it’s important to watch for signs of deep distress, including the following.
1. Increased suicidal thoughts
“Experiencing recurring or intensifying thoughts of suicide is a critical warning sign that immediate professional help is necessary,” Gilman advised.
“For instance, the survivor may start having more frequent thoughts about ending their own life or making plans for it.”
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They may also express feelings of being overwhelmed to the point where they believe suicide is the only option, she said.
2. Feelings of being a burden
People saying they feel like a burden is a “major red flag,” according to Thomas Banta, a clinical mental health counselor in Jeffersonville, Indiana.
“Many people who try to end their lives feel they are doing the people around them a favor,” he told Fox News Digital.
“When we hear that type of language, intervention is essential.”
3. Inability to cope with daily life
“Difficulty managing daily responsibilities or activities can indicate that the emotional burden is too great to handle without professional support,” Gilman said.
“It’s crucial to highlight help and hope, encouraging those who are struggling to seek support,” a mental health expert said. (iStock)
The survivor may struggle to maintain a job, manage household duties or care for themselves due to their emotional state.
4. Risky behaviors
Engaging in unsafe or self-harming actions is a serious sign that mental health treatment is needed, experts agree.
“For example, the survivor may start harming themselves physically, such as cutting or burning, as a means of dealing with their emotional pain,” said Gilman.
“Many people who try to end their lives feel they are doing the people around them a favor.”
“Or they may engage in dangerous activities, like reckless driving, promiscuous sex or substance abuse, which puts their health and safety at risk.”
5. Severe mood or behavior changes
Significant changes in behavior or mood that affect a survivor’s ability to function in everyday life can be a sign that they need help, according to Gilman.
This might involve the survivor becoming unusually aggressive, withdrawn or apathetic, or displaying behavior that is significantly different from their “normal” demeanor.
Participating in unsafe or self-harming actions is a serious sign that mental health treatment is needed, experts agree. (iStock)
6. Withdrawal from support systems
“Pulling away from friends, family or support groups can indicate that the survivor is struggling more than they can manage on their own,” Gilman warned.
The person might avoid social interactions, decline invitations or isolate themselves from people who usually offer support.
The signs aren’t always obvious, however, Banta noted.
“We also see the opposite end of the spectrum, where somebody will make a plan, and their mood lifts because they feel like they have found an escape,” he said.
Preventing contagion after a suicide
Experts offered the following tips to help reduce the risk of “clusters” following a suicide.
1. Use careful communication
“It’s important to be cautious about how we discuss suicide publicly,” Fenkel said.
“Reaching out for support is a sign of strength, not weakness.”
The best way to prevent contagion is through responsible communication, she advised.
“This includes limiting the specifics around the method of suicide and focusing on the impact of the loss,” she said.
2. Offer support
Offering access to crisis resources can help vulnerable individuals feel connected and supported, Fenkel said.
The best way to prevent contagion is through responsible communication, an expert advised. “This includes limiting the specifics around the method of suicide and focusing on the impact of the loss.” (iStock)
“It’s crucial to highlight help and hope, encouraging those who are struggling to seek support,” she said, noting that many schools and communities provide mental health services to help those who are grieving.
Banta agreed, noting that intervention and higher levels of care can stabilize people and help them develop a robust support system.
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“In terms of public health communication, we must let people know that treatment works and that there is effective help out there,” he said.
3. Stop the stigma
“Stigma can lead to feelings of isolation and loneliness, which can contribute to suicidal ideation,” Gilman warned.
When people feel comfortable discussing their mental health concerns without fear of judgment, they are more likely to seek help from professionals, she noted.
“I have worked with many people who felt hopeless and that their lives would never improve, but then they did,” a therapist told Fox News Digital. (iStock)
Fenkel agreed, encouraging people to talk openly and compassionately about mental health.
“Anyone experiencing thoughts of suicide should know that there is help available, and reaching out for support is a sign of strength, not weakness,” she said.
Suicide is a “fleeting state of mind,” Banta pointed out.
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“I have worked with many people who felt hopeless and that their lives would never improve, but then they did,” he said.
“So if you are struggling and reading this, there is help. Don’t give up.”
Over the two and a half years following the 2022 rollout of the 988 national suicide prevention hotline, the rate of suicides among young people in the United States dropped 11 percent below projections, decreasing most sharply in states with a higher volume of answered 988 calls, a new study has found.
The findings, published today as a research letter in JAMA, compared suicide deaths from July 2022 to December 2024 with sophisticated mathematical projections that were based on historical trends. This yielded good news, with 4,372 fewer suicides of adolescents and young adults, ages 15 to 34, than had been projected.
To ensure that the decline was related to the use of the hotline, researchers at Harvard Medical School teased out the trends in states with high and low usage of the hotline. The findings were striking: The 10 states with the largest increases in 988 calls experienced an 18.2 percent reduction in observed suicides compared with expected suicides; in the 10 states with the lowest uptake, the reduction was smaller, 10.6 percent.
The results suggest that the government’s investment in the 988 rollout has translated into “a measurable reduction of deaths,” said Dr. Vishal Patel, a resident physician at Brigham and Women’s Hospital and one of the authors of the study.
“What our study has added,” he said, “is evidence for the deeper benefit of the program, and that is, that at the population level, among young people at least, suicide mortality is lower than it would have been without the program.”
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Are you concerned for your teen? If you worry that your teen might be experiencing depression or suicidal thoughts, there are a few things you can do to help. Dr. Christine Moutier, the chief medical officer of the American Foundation for Suicide Prevention, suggests these steps:
He added, “The implication of that is that sustained funding for this program matters.”
The United States rolled out the three-digit hotline with bipartisan support in July 2022, replacing a 10-digit hotline number, and augmented it with a $1.5 billion investment in crisis center capacity. Since its inception, the service has fielded more than 25 million contacts, according to the Department of Health and Human Services. The agency has asked Congress for $534.6 million to fund the program for 2027.
Last summer, the Trump administration terminated one element of the hotline, the Press 3 option for L.G.B.T.Q.+ callers. The Substance Abuse and Mental Health Services Administration said that the Press 3 option was being discontinued because it had exhausted its funding from Congress and that the hotline would “focus on serving all help seekers.”
But advocacy groups and policymakers protested the decision, and in testimony before the Senate on Tuesday, the health secretary, Robert F. Kennedy Jr., said his agency was planning to restore the Press 3 option.
Dr. Patel said his group had become curious about measuring the program’s effectiveness after Press 3 was eliminated. While call volume and satisfaction surveys suggested that 988 was succeeding, he said, the harder question was, “Did the creation of this 988 program, the transition from the old hotline to this hotline, actually move the needle on suicide mortality?”
Experts said it was difficult to tease out the beneficial effect of 988 from other things that changed in 2022, the year that the new hotline was created. Around that time, suicide prevention programs were being introduced in schools, in faith communities and on social media, but more important, the pandemic was ending.
“We were finally out of this crazy time, and there was a sense of optimism and hope,” said Jonathan B. Singer, a professor of social work at Loyola University Chicago and a co-author of “Suicide in Schools.” He called the downward trend in youth suicides “encouraging, but it is tempered by the fact that we don’t have a good explanation as to why.”
The authors acknowledged that their findings could not account for the influence of social and economic changes, changes in mental health services or public awareness about services.
But they did make comparisons to exclude other possible explanations. The authors looked for similar effects among American adults over 65, who are less likely to use the hotline. In that group, there was a reduction in suicides that exceeded expectations, but it was smaller, at just 4.5 percent.
To ensure the decline in suicides did not reflect a general improvement in young-adult mortality, the researchers tracked cancer deaths, and found there was no change. They also looked at the rates of suicide among young people in England, where no change had been made to the national crisis line in that time period; they found no reduction in youth suicides there.
Hannah Wesolowski, chief advocacy officer for the National Alliance on Mental Illness, said she was persuaded that the hotline had contributed to the improvement in suicide rates, in part because it did not appear among English youths or in older Americans.
“To me, that really helps hone in that this might really be the differentiator,” she said. “We are seeing potentially a pretty significant decline in suicides among young people. For public policy, this is strong evidence to double down on that we are doing.”
Emily Hilliard, a senior press secretary at the Department of Health and Human Services, said H.H.S. and SAMHSA are “committed to ensuring that all Americans have access” the 988 line, which she said “clearly provides lifesaving support, helping millions of people every year.”
If you are having thoughts of suicide, call or text 988 to reach the 988 Suicide and Crisis Lifeline or go to SpeakingOfSuicide.com/resources for a list of additional resources.
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A highly contagious digestive virus is surging across the U.S., experts warn.
Rotavirus, a double-stranded RNA virus, causes acute gastroenteritis — inflammation of the stomach and intestines — which can lead to severe diarrhea, vomiting, fever and stomach pain.
The virus primarily affects infants and young children, but there have also been outbreaks in elderly populations, such as nursing homes.
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Data from the Centers for Disease Control and Prevention shows that in the week ending April 4, out of 2,329 rotavirus tests, 7.3% were positive for the infection. Last year’s highest infection rate was 6.77% as of the week ending April 19.
Rotavirus, a double-stranded RNA virus, causes acute gastroenteritis — inflammation of the stomach and intestines — which can lead to severe diarrhea, vomiting, fever and stomach pain. (iStock)
“We’re seeing a lot of rotavirus in the wastewater right now,” Dr. Marc Siegel, Fox News senior medical analyst, confirmed to Fox News Digital. “Testing for rotavirus is way down, but the percentage of positive tests is up.”
While the virus typically peaks in the spring, it is not currently slowing down, he noted.
Why cases may be rising
Patricia Pinto-Garcia, M.D., a medical editor at GoodRx who is based in California, said there are several possible reasons for the rotavirus spike.
“Vaccine rates are down overall among young children, as they decreased during COVID,” she told Fox News Digital. “This means there’s a growing number of infants and young children who are vulnerable to infection.”
The rotavirus vaccine series must be completed by the time a child is 8 months old, she noted.
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As a result of the declining vaccinations, herd immunity isn’t protecting vulnerable children, according to Pinto-Garcia. “Children who haven’t finished the vaccine series yet, are too young to get vaccinated, or can’t get the vaccine due to medical illness are more likely to get exposed to the illness because other children aren’t vaccinated,” she said.
Siegel noted that before the vaccine became available, rotavirus resulted in 55,000 to 70,000 in the U.S. per year.
“Vaccine rates are down overall among young children, as they decreased during COVID,” a doctor told Fox News Digital. “This means there’s a growing number of infants and young children who are vulnerable to infection.” (iStock)
“I am concerned that the vaccination rate has been declining over the past seven years and is continuing to decline in the current climate of vaccine skepticism,” he said.
Surveillance methods are also much better than they used to be, Pinto-Garcia noted, which means public health experts are able to pick up and track cases better than ever before.
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“But we see that rotavirus-related healthcare visits are also up, so improved detection is not the only reason we are seeing this spike,” she said.
The COVID pandemic also disrupted the pattern of infections, according to Pinto-Garcia, so it’s “tricky” to compare the current levels against older cycles.
“It’s possible that what we are seeing is still some post-pandemic rebound, but it’s unlikely that this year’s pattern is fully explained by just this factor,” she added.
Transmission and risk
Dr. Zachary Hoy, a pediatric infectious disease specialist at Pediatrix Medical Group based in Nashville, Tennessee, often sees young patients with rotavirus.
“Rotavirus is spread via the fecal-oral route, meaning that a person comes into contact with virus droplets from contact with other children or adults, or from contact with objects such as toys that have been contaminated with the virus from someone who is sick,” he told Fox News Digital. “This can lead to outbreaks, especially at schools where many young children share the same toys.”
“It’s possible that what we are seeing is still some post-pandemic rebound, but it’s unlikely that this year’s pattern is fully explained by just this factor.”
Rotavirus is associated with many dehydration cases in the hospital due to the degree of diarrhea, according to Hoy.
In some severe cases, the virus can lead to seizures due to electrolyte imbalances from dehydration and loss of electrolytes in the stool.
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“Younger children do not have the reserves that older children and adults have, so they can become more dehydrated quicker and develop more severe electrolyte imbalances, leading to more severe infections,” Hoy said.
“Patients with problems with their immune systems or on medications that can decrease their immune systems can have more severe and prolonged infections, too.”
Treatment and care
Because rotavirus is a viral infection, antibiotics are not effective against it. There is no specific antiviral treatment for the condition, with doctors typically recommending supportive care.
“The mainstay of treatment is hospitalization for rehydration via intravenous (IV) fluids,” Hoy told Fox News Digital. “Sometimes it can take up to two to three days of IV fluids to help get patients rehydrated.”
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Blood draws are often necessary to evaluate patients’ electrolyte levels, such as sodium, potassium, calcium and magnesium, according to the doctor.
“If these electrolyte levels are significantly low, sometimes patients need special IV solutions or individual electrolyte medications,” he added.
“The mainstay of treatment is hospitalization for rehydration via intravenous (IV) fluids,” a doctor told Fox News Digital. (iStock)
Dr. Daniel Park, medical director of the Pediatric Emergency Department at UNC Health in Chapel Hill, North Carolina, noted that most children recover with supportive care, but parents should seek medical attention if a child shows signs of dehydration. Those include decreased urination, lethargy or inability to keep fluids down.
“While rare, rotavirus can be life-threatening in vulnerable populations, especially very young infants or children with underlying medical conditions,” Park told Fox News Digital.
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Prevention strategies
Given the lack of antiviral medications for rotavirus, doctors emphasize the importance of prevention, primarily the vaccine.
There are two rotavirus vaccines – Rotateq (a three-dose series) and Rotarix (a two-dose series). They are given starting at age 2 months as oral drops, not injections, according to Hoy.
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“It’s important to get the rotavirus vaccines on schedule, because these younger infants are at greatest risk if they get rotavirus,” he advised.
Other recommended prevention methods include handwashing with soap and water.
Every day we’re faced with a zillion small choices: Go to sleep early, or watch one more episode of that Netflix drama. Call an old friend to catch up, or cruise social media. Of course, no single action will guarantee a long, healthy life or doom you to an early grave. But those little daily decisions do add up, and over the long term they can make a difference when it comes to both your longevity and your health span, the amount of life spent in relatively good health.
Scroll through this theoretical “day in the life” and select the option that best fits your typical day. Not every situation will apply perfectly, but think about which choice you’d be most likely to make. This isn’t a formal scientific assessment. The goal here isn’t to assign you a “good” or “bad” score, but to help you understand the central factors that shape the way we age and how long we live.
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