Montana has one of the highest suicide rates in the nation. As a psychiatrist and Medical Director at AWARE, I see every day how this crisis touches families, communities, and entire generations. There are unique factors that make suicide especially pressing here: our vast geography, the isolation that many Montanans experience, limited access to behavioral health resources, and a high rate of firearm ownership. These challenges are compounded by stigma around seeking mental health support, and by the serious disparities faced by our First Nations communities, who are disproportionately affected by suicide.
Suicide is not inevitable. Research shows that there are clear warning signs and risk factors we can watch for. Loved ones may notice changes such as withdrawal from friends or community, expressions of hopelessness, increased substance use, reckless behavior, or talk of being a burden. It is especially important to take seriously any mention of wanting to die or seeking access to lethal means. Evidence-based strategies, such as reducing access to firearms and medications during times of crisis, fostering strong connections to family and community, and ensuring timely access to therapy and psychiatric care, are proven to save lives.
If you or someone you love is struggling, please reach out. Call 988 to connect with the Suicide & Crisis Lifeline. You can also explore these resources for support and education:
At AWARE, we are committed to meeting Montanans where they are, whether in small towns, tribal communities, or larger cities. We provide compassionate, comprehensive psychiatric and counseling services for people of all ages. Our mission is to support people in building stronger connections, improving mental health, and finding hope even in the darkest moments. Learn more at www.aware-inc.org.
Suicide prevention is not just about responding in a crisis; it is about building a Montana where every person feels valued, supported, and connected. This Suicide Prevention Month, let us come together to talk openly about mental health, reduce stigma, and strengthen the safety nets that protect lives. Events like the NAMI Walks Montana on September 21 give us the chance to walk side by side and show that no one has to face this journey alone. We’ll be at multiple awareness walks this season, offering resources, encouragement, and a reminder that support is always available.
Together, we can make a difference. Be kind to your mind.
Leave a Reply