Suicide Risk Factor Assessment

How many Suicide Risk Indicators does your family have?


I thought this would be easier, but . . .

I don't want to talk about it.

I didn't want to talk about it in 1995 . . .

I don't want to talk about it now.

But I must.

I must be willing to break the silence and have “The Talk” with you about suicide because the silence is killing us.

3,000 a day.

3,000 a day – that's the number of teens who attempt to take their own lives every day.

That's just teens

Just in the US and

Just the ones who don't die

The number goes up if you add in the ones who die.

According to the World Health Organization, the number of deaths by suicide worldwide, was close to 800,000 in 2019 alone.

That's one every 40 seconds.

Suicide is the leading cause of violent death in the world.

According to Our World In Data, suicide deaths outnumber those caused by

- Homicide – 400,000

- Terrorism – 26,445

- War – 129,720

Combined 556,165 *.

Suicide, especially teen suicide, is a growing epidemic.

The numbers are going up.

According to the Center for Disease Control, 25% of American young adults are struggling with suicidal thoughts. That’s double what it was in 2019 .

None of this was on my mind in June of 1995.

In June 1995 we were a stable, middle-class American family.

It was the start of summer vacation and I was busy helping my 3 daughters get ready for their summer trip to visit their dad and his family, one state away.

That meant . . . SHOPPING!

My middle daughter Stephanie was 14 years old.

She was in between her sisters, in between schools, and in between clothing sizes.

The shopping was an adventure.

Outfit after outfit, store after store, nothing fit her.

At the end of the day, we came home with nothing . . . except an attitude.

Stephanie headed straight upstairs to the bathroom, and I collapsed on the sofa, grateful to be off my feet.

Peace & Quiet.

Then, “Mom, I think I need help . . ..”

My eyes were drawn to Stephanie’s left arm.

Blood was dripping down her fingers onto the wood floor.

The emotional part of my brain started screaming in terror at the sight of my bleeding, obviously suicidal, child. The rational part of my brain started flipping through the files in my head, looking the date of her last tetanus shot . . .

I wrapped her in my arms and assessed the wounds. They were not life-threatening.

Have you ever felt panicy and calm at the same time?

We applied bandages and made a plan to visit the teen mental health facility the next day.

Our tears finally stopped. Our mutual “I’m sorrys” were shared.

Stephanie fell asleep.

I couldn’t risk being away from her, so we slept in the living room. Between us was a hand-written note. Her promise not to harm herself again while I slept.

Yeah, right, like I was going to close my eyes that night?

All night, I stared into the darkness and listened to her breathe, grateful she was still alive.

My thoughts whirled: “what just happened?” to “how did this happen?”, to “who’s to blame?” “It had to be somebody’s fault, right???”

What followed . . . years of counseling, therapy, medications, hospitalizations, interventions, and 13, yes – 13 more attempts.

As long as Stephanie was getting professional help, I could sell myself on the idea that we didn’t need to talk about it.

Would you want to talk about it? Would you want to know what could cause your child so much mental and emotional pain that they thought dying was better than living?

I didn't want to know.

I didn’t want to know what could cause my daughter so much pain that suicide seemed like a good idea.

But I had to learn . . .

Beyond Mental Health – “The Suicide Risk Factor Assessment.”

(If someone is dealing with a mental health diagnosis, seek professional help. Take the Assessment, but don’t let it fool you . . . you CAN’T TELL BY LOOKING, not even in a medical file . . . )

SECTION 1: What's Visible to the World:

For each question, give 1 point for each person in your family/tribe for which it’s true.

If it’s the teen, give 2 points. Clear? Please proceed.

You or your family might be at risk for suicide if someone in your family has something that makes them “different.”:

_____ A disability

_____ An accent

_____ A scar

_____ A dress code

_____ An attitude

_____ Something not listed

Total this section here: _____

SECTION 2: What’s Invisible to the World:

For each question, give 3 points for each person in your family/tribe for which it’s true.

If it’s the teen, give 6 points. Clear? Please proceed.


You or your family might be at risk for suicide if someone in your family:

_____ has a major illness, (double the points if it’s invisible)

_____ is dealing with chronic pain, (double the points if it’s invisible)

Total this section here: _____

SECTION 3: The Money-Suicide Connection:

For each question, give 1 point for each person in your family/tribe for which it’s true.

If it’s the teen, give 2 points. Clear? Please proceed.


You or your family might be at risk for suicide if someone in your family has:

_____ financial struggles lasting more than 1 year, double it if longer than 3 years

_____ a sudden decrease in income of 20% or more, double it if > 50%

_____ a sudden decrease in savings of 20% or more, double it if > 50%

_____ a sudden increase in income of 20% or more, double it if > 50%

_____ a sudden increase in savings of 20% or more, double it if > 50%

_____ taken a job they are overqualified for, double it if it’s at minimum wage

Total this section here: _____

SECTION 4: The Addiction-Suicide Connection:

For each question, give 1 point for each person in your family/tribe for which it’s true.

If it’s the teen, give 2 points. Clear? Please proceed.

You or your family might be at risk for suicide if someone in your family has an addiction, of any kind:

_____ Drugs – prescription

_____ Drugs – street

_____ Alcohol

_____ Work

_____ Being Right

_____ Problem-Solving

_____ Sex

_____ TV/Screens

_____ Games/Gaming

_____ Gambling

_____ People Pleasing

_____ Being Wrong

Total this section here: _____

SECTION 5: The Bully-Suicide Connection:

For each question, give 3 point for each person in your family/tribe for which it’s true.

If it’s the teen, give 6 points. Clear? Please proceed.

You or your family might be at risk for suicide if someone in your family:

_____ has been bullied

_____ is being bullied

_____ has been abused

_____ is being abused

This includes being pressured to perform in areas you are not gifted in . . .

You can go back and change your numbers if you need to.

Total this section here: _____

SECTION 5: The Final Questions:

For each question, give 3 point for each person in your family/tribe for which it’s true.

If it’s the teen, give 6 points. Clear? Please proceed.

You or your family might be at risk for suicide if someone in your family:

_____ knows someone who's tried to die by suicide

_____ knows someone who's died by suicide

_____ has tried to die by suicide

_____ has died by suicide

Total this section here: _____

Here’s how to avoid knowing if your family is at risk.


Stay busy.

I know because I stayed busy.

I stayed busy, simply surviving, simply living one day and then the next.

And I thanked God every day for my daughter getting professional help so that I could stay busy and avoid “The Talk.”

Now I know, it's the conversations we avoid that truly matter.

But I didn't know that then and for years afterward we had an unspoken agreement to let the past be the past.

And then Stephanie broke the silence, she opened the door to the closet where I had kept her suicide attempts and shone a bright light on what had grown in the years of silent darkness.

I wasn't ready, and if it had happened any way other than the way that it happened, I suspect that I would’ve found a way to avoid it.

I hadn’t yet learned that it’s the conversations we avoid that truly matter.

The morning of her talk is sunny and already hot. The hotel is on the outskirts of Sarasota, FL. I walk into the conference room and greet the 12 speakers I’ve trained to deliver “Messages That Matter.”

The videographer sets up, the mic and projector work, and the audience take their seats. Stephanie is nervous and excited - you know that state you get in right before you give a talk. She looks amazing in her dark blouse and flowery skirt with her hair pulled back in combs. I’m super proud of my daughter. She’s first on the speaker’s roster. The lights dim.

Jackie: “Everyone, please help me welcome Stephanie Ashton.” Stephanie walks confidently to the front of the room and shakes my hand.

She opens with “3,000 teens attempt to take their own lives every day in the US.”

In the back of the room . . . I’m stunned, twice – first because I have no idea the number is that high and second because I have no idea her topic is suicide. Stephanie continues:

Stephanie: “When I was 14, at the end of a bad day of shopping, I stood in my bathroom. The pain of not fitting into any clothes was just more proof that I didn’t fit in anywhere. That pain was more than I could bear. I took a razor and cut into my left arm, trying to end the pain . . . and my life.”

I’m in disbelief at Stephanie’s big reveal. The blood drains from my face as Stephanie talks:

Stephanie: “It wasn't my only attempt. There were others. Outside of professional help, I've never really talked about it, not even with mom. Mom and I talked around it, but not about it. Too awkward. Too easy to avoid. Too painful.

Mom and I had other talks. We had ‘The Talk’ about sex. We had ‘The Talk’ about drugs. We had ‘The Talk’ about alcohol. Then I went to college, on a dry campus - that means that the kegs were hidden in the showers in the girl’s dorm.

Mom and I had ‘The Talk’ about alcohol more than once.

But we never really had ‘The Talk’ about suicide. [pause ]

I still struggle with suicidal thoughts.”

In the back of the room, my heart sinks. I go from pale to bone cold . . .

For the first time, I realize the struggles Stephanie faced alone because I didn’t have the courage to break the silence and have “The Talk About Suicide.”

Have you, ever, been hijacked by a bad memory?

Only my 30 years of stress management training keeps me from crawling into a corner and bawling.

Stephanie winds up her talk with:

Stephanie: “On my suicide-avoidant journey, I’ve learned tons of coping skills. Now, I want to help teens learn these skills before they need them. Yes, BEFORE they need them.”

There’s not a dry eye in the room, including mine.

The audience gives her a standing ovation. Some rush up to hug her and thank her for being so willing, so vulnerable, so brave.

I’m frozen in the back of the room, torn between pride for her bravery and guilt and shame for my cowardice.

Then it hit me . . . 3,000 teens attempt to end their lives every day.

This means every day 6,000 parents start to live the guilt-nightmare.

This means every day over 20,000 grandparents, aunts, uncles, brothers, and sisters start to live the guilt-nightmare.

This means every day 100s of 1,000s of classmates, teachers, boyfriends, girlfriends, and neighbors start to live the guilt-nightmare that I’d lived.

All, probably just as blind-sided by it as I had been.

Then I wondered, what if Stephanie was right?

What if the key to stopping teen suicide could be as simple as having “The Talk About Suicide” BEFORE it’s needed.

Before your teen struggles with suicidal thoughts.

This is the link that’s been missing! Something so simple and obvious that professionals have tripped over it. Simple and obvious, like putting wheels on luggage or putting ketchup in squeezable bottles. Simple and obvious.

After the event, Stephanie and I decide to work together.

Who knew that was possible?

Together with her sisters, we co-founded the Teen Suicide Prevention Society.

Our research taught us that teen suicide prevention is not about intervention, it’s not about “at-risk” anyone, and it’s NOT about looking for signs. Parents won’t see the signs, even if there are some. It’s not your fault. Our brains naturally filter out what we don’t believe is there.

That’s why we say: Pre-vention means having “The Talk About Suicide,” BEFORE you think they need it.

We started teaching – moms, dads, grandparents, aunts, uncles, teachers, and friends – how to have “The Talk About Suicide.”

“The Talk About Suicide” is a planned, science-based talk. It has a short, simple script based on how the teen brain really works. A script designed to save you from the guilt nightmare. A script that tells you when intervention is needed. A script that builds emotional resiliency, in both the teen and you.

Here’s our 4-Step Script for having “The Talk About Suicide:”

Step 1: Invite your teen to talk one-on-one and ask: “Have you heard about the rise in teen suicides?”

Step 2: Ask your teen: “Do you have a friend who’s tried or died?”

Step 3: Ask your teen: “Have you ever thought of leaving that way?”

Step 4: Ask your teen: “What are your reasons for staying?” “Why stay?”

Ask: “What else?”

Keep them talking about their reasons for staying.

If your teen has thoughts of leaving and does not have any reasons for staying . . . STAY WITH THEM and call 911.

Oh, they’ll hate you for it . . .

AND you might save their life.

Our students share their stories with us.

Like Raphael who works with underprivileged teenage girls. He’s shared 16 stories of lives that “The Talk About Suicide” has saved, so far.

Tammy had “The Talk About Suicide” with her troubled son. They cried together. He accepted professional help.

Now, it’s your turn.

Step UP.

Break the silence.

Have "The Talk."

Don’t let anything stop you from asking them to talk.

Here’s how to get the conversation started:

First, be willing to stop being busy.

Then be willing to invest time talking about what they’re interested in.

Break the ice – ask:

“What’s Up?”,

“What’s NEWS?” or

“What’s the best thing that’s happened to you so far today?”

Simply start and simply listen.

Then use the 4-step script above.

I know I got really lucky, my daughter survived.

I also know that you can’t tell who’s at risk by looking . . . so PLEASE stop trying to guess!

Please be willing to break the silence and have “The Talk About Suicide.”

Please be their Advocate for Living.

Everyone deserves an Advocate for Living.

One person who believes in you more than you believe in yourself

SCORING: How to Calculate Your Suicide Risk Factor

Section 1: What’s Visible to the World = A higher risk for bullying

My family score is _____ out of a possible 12

Section 2: What’s Invisible to the World = The struggles others don’t understand

My family score is _____ out of a possible 12

Section 3: The Money-Suicide Connection = The problem is “money-shame”

My family score is _____ out of a possible 12

Section 4: The Addiction-Suicide Connection = The problem is “impulsivity”

My family score is _____ out of a possible 24

Section 5: The Bully-Suicide Connection = The problem is “leaky boundaries”/“poor planning”

My family score is _____ out of a possible 24

Section 6: The Final Questions = The problem is contagiousness

My family score is _____ out of a possible 24

My Family Suicide Risk Indicator Factor is: _____ out of 108

You can see the problem:


Most families have more than one of these risk factors. Many have of scores of 50 and higher.

The truth about suicide risk . . . if you have a score of 1 or higher, you are at risk . . . and not talking about it could be making it worse.

According to the Center for Disease Control, not talking about suicide is, in and of itself, a risk factor.

The good news, there are many ways to talk about it. Join the FB Group for the Teen Suicide Prevention Society.

You can talk about all your reasons for staying . . . you can share your answers to “what keeps you here?”

You might like the “Know, Like, & Trust Factor Assessment” which helps you discover what’s so good about you, your life, and even more reasons for staying.

Visit and share www.TheSuicidePreventionSociety.com for more free resources.

If you or someone you know is actively struggling with suicidal thoughts, call 911 now, or to speak with a suicide intervention specialist, call the National Hotline at 988.

(1-800-273-8255)

The Teen Suicide Prevention Society/The Suicide Prevention Society (TSPS) is dedicated to providing pure prevention tools that empower individuals before a crisis arises.

All TSPS resources are now fully open-source and freely accessible to the public.

We believe suicide prevention should start before you think it's needed.

Our continued mission is to offer life-saving education and tools at no cost, with the goal of making proactive prevention accessible to everyone, everywhere.

For more information, visit https://TeenSuicidePreventionSociety.com

© 2025 Success Journey Academy

All rights reserved

Success Journey Academy is a d/b/a of Stress Management Services LLC.

Sarasota, FL 34235 United States