** Call the National Suicide Prevention Lifeline at 1-800-SUICIDE  if you or someone you know is at risk of suicide. **

Suicidal ideation includes any thoughts of potentially fatal self-harm, whether they are fleeting or well-formulated, and applies in the absence of actual suicide. While many people have faced suicidal ideation without having committed the act, many have in fact made attempts and some have succeeded.

People who face suicidal ideation often have many other psychological symptoms that lead them to this condition, including panic attacks, insomnia, anxiety, hopelessness and depression. However, not all people with mental or medical issues consider suicide, but all suicidal ideation incidents should receive urgent attention.  Someone who experiences suicidal ideation may threaten to hurt or kill him or herself, make attempts to find ways to commit suicide; write or talk about their own death; seek revenge, feel unhappy or trapped, and engage in risky behaviors.

People with mood disorders, such as schizophrenia and bipolar disorder are at a higher risk for suicidal ideation, as are people with cancer and AIDS.

It is important for people with suicidal ideation to seek urgent help from an experienced counsellor or therapist. Psychotherapy has been found to be effective in helping people deal with issues of hopelessness. A professional counsellor will explore the circumstances that led to the suicidal ideation and help to restore hope to the client. It will help to resolve underlying causes of suicidal ideation and find coping strategies to curb impulses that lead to self-harm. Therapy will also help the client to reframe his or her perceptions and worldview.

If you are looking for a counsellor or psychologist who offers counselling approaches to address your suicidal ideation issues, you may want to search the directory to find a professional whose approach will suit you best.

Family members are affected by substance use and other addictions. There is a tremendous amount both in the news and in public discourse about what family/friends can do for people affected by addictions. Sometimes it's cast as simply attending Al Anon for example.  There are many professionals who are trained in Community Reinforcement and Family Training (CRAFT) who may be able to help you help yourself and the addict in compassionate and productive ways.

Note: The Community Reinforcement and Family Training (CRAFT Model) was developed by Drs. Robert J. Meyers and Jane Ellen Smith at the University of New Mexico. 

If you need a counsellor or psychologist to help you, as a friend or a family member, with addiction of another you may find someone here.