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Women's Suicide Prevention Hub

Worldwide, more than 250,000 women end their own lives every year.

Between 2012 and 2022, there was a 32% rise in women's suicides in the UK (ONS data). Most of these deaths are preventable with timely intervention.

This World Suicide Prevention Day, we want to empower people to understand more about women’s suicide, to encourage them to speak out and know they are not alone.

When we refer to women, we mean anyone who self-identifies as a woman.

Two women in sports gear, one wearing a hair covering, walk together smiling and looking at the camera

Suicide rates in women are rising. Between 2012 and 2022 ONS data recorded a 32% rise in women and young girls suicides. Women are also twice as likely to attempt suicide than men.

This is a subject that can often be overlooked.

We are dedicated to empowering women and their loved ones to overcome the stigma and find the help they need to thrive.

Suicide is very complex and can often be a culmination of risk factors that have built up over time. This page addresses some of the biggest suicide risk factors for women. This list is not comprehensive, as women can also be affected by issues related to finances, relationships and isolation, bullying and stress at work, among other factors. If you are having suicidal thoughts and need help now, please use the links below.

This page has been reviewed by our Lived Experience Groups. 

Emergency services

If you or someone you know is experiencing a life-threatening crisis: 

Download our NHS recommended app if you are struggling with suicidal thoughts or concerned about someone. There are over 800 resources to help you stay safe for now. 

Samaritans

Contact the Samaritans if you feel you are in a crisis:

Contact your GP

Speak to your GP if you have mental or physical health concerns: 

Shout

If you prefer to talk to someone over text message, Shout offer confidential support 24/7.

brighton womens centre bwc logo

Brighton Women’s Centre is a Sussex-wide resource for women in all stages of life who need help and support:

Inclusivity statement

This resource is for anyone who identifies as a woman. 

We are committed to recognising and validating everyone’s gender identity. When we use the term ‘woman’ below, we include any self-identifying woman or non-binary person who feels this guidance is relevant for them. 

The Women’s Suicide Prevention Hub includes many statistics focused on women, however, it is not intended to exclude anyone who may be experiencing the issues covered.

We know that there can be underrepresentation of gender fluid and non-binary people in statistics and reporting. If you recognise a resource that may be useful for yourself, someone you know or a client or patient, we encourage you to reach out for help.

The links below will take you to non-gender specific guidance.

Read the blog

Our CEO, Rachael Swann, has written about our approach to suicide prevention for women, what we currently know and how we can work together on effective support and services for women in need. 

Read more…

Mental health care tips

Several factors can negatively affect women’s mental health, many of which are directly related to experiences unique to women. The more open we are about mental health struggles, taking care of ourselves and looking out for each other, the easier it is to identify and help people in need.

Please note that these do not supersede the need for professional support such as talking to a doctor, therapist or counsellor if you continue to struggle.

  1. Positive affirmations. Remind yourself out loud that you are enough and accept and love who you are.
    You could try: Smiling and greeting yourself positively in the mirror every morning.
  2. Mindfulness. Try to be mindful of what is good in your life, however small, by focusing on the present moment and your thoughts and feelings.
    You could try: Sitting down for a moment and taking in the space around you. Focus on the colours and textures of furniture, walls, decor or art in the space you are in. Think about how you are feeling in the moment. 
  3. Help someone. Do something kind. It is hard to feel worthless if you have a purpose and helping someone will make you feel good.
    You could try: Offering to do a shop for an elderly neighbour or volunteering for a charity for a few hours a week.
  4. Make connections. Building relationships with families, friends or colleagues is so important for your mental health.
    You could try: Saying yes to the next invitation you have, whether lunch with colleagues, a coffee with friends, or a call with family.
  5. Get moving. Moving matters for your mind. Being physically active is a quick and easy way to boost your mood and supports the health and functioning of your brain.
    You could try: Taking a walk and trying to go a little further every day, or doing a new sport or class you’ve always wanted to try.
  6. Learn something new. This can strengthen your brain and increase interest in life.
    You could try: Looking at local groups or colleges for free workshops, seminars, night classes or courses.
  7. Do something for you. Self-care is essential, especially if you often find yourself dedicating a lot of time to family, work or chores. Doing something just for yourself can make a huge difference to your wellbeing.
    You could try: Filling up your flask and travelling to a peaceful place like a beach or field where you can sit down, enjoy the peace and watch the clouds.
  8. Gratitude. You can write down things that make you joyful or grateful in a journal.
    You could try: Buying a small notebook or finding a journalling app and writing down daily five things you are grateful for.
  9. Review your nutrition. Research shows that a healthy diet can improve your mental health, such as having more whole grains, fruits, vegetables and protein in each meal. The different foods provide the vitamins, nutrients and minerals your brain and body need to stay well.
    You could try: Having Greek yoghurt and fruit topped with seeds for breakfast.
  10. Improve your sleep. There are close links with mental health and good sleep. There is a lot of advice and apps on how to improve your sleep.
    You could try: Switching off screens (phone, laptop and TV) an hour before bed, spraying some relaxing essential oils like lavender on your pillow and listening to some relaxing music.
  1. Ask how they are. Listen when they tell you and don’t try to problem-solve unless they ask directly. Sometimes people just need to let off steam. Validate the emotions they are feeling and allow them to experience them without embarrassment or guilt.
  2. Educate yourself. Be aware of what NOT to do and say. Don’t be dismissive and suggest it is hormones, assume she is being dramatic or on her period. It is easy to downplay the amount of unpaid labour women tend to do with house and childcare, as well as managing careers or caring for others. The more you understand, the better you will be able to help and suggest safe, respectful ways to support her.
  3. Improve your knowledge about suicide risk factors and signs. Read up what the issues and risk factors for women are around suicide. Appreciating what they are going through and knowing what resources are available for support and intervention will make a difference. Your ability to spot signs and understand these risks and get help in the most appropriate and effective way.
  4. Understand the load. Many women juggle a lot, both mentally and physically. Small actions of help and kindness can help ease things. Take the initiative and help do something practical, like offering to walk the dog or take the kids after school.
  5. Encourage exercise. This will help with their mental health. Ask if they would join you for a daily walk or join a local group like netball or football.
  6. Be there. You may find the person you are trying to help is not ready to seek help or open up. Let her know that you are there for her if she needs to talk, wants help with finding healthcare or needs something practical. Many women feel the pressure to look to everyone they are perfect. Knowing you are there when the time is right can help people feel like they are less alone.
  7. Clear some space. Helping someone declutter and tidy their home, car, garden or any other area where they spend time helps mental clarity. Even if you go through a wardrobe together or just clear the kitchen, it will be appreciated.
  8. Be proactive. Find a time and space to talk with no distractions. If you think something might be wrong, ask now rather than in a month when things may be worse. If you know she’s been putting something off, suggest tackling it together, but don’t push them into decisions or actions.
  9. Listen to others. It can be isolating to feel like you are responsible for caring for someone who is struggling. You can learn more about mental illness by meeting and talking to other people. Carers groups and services can be helpful to give and receive emotional and practical support. There may be others going through something like you.
  10. Look after yourself. The best advice comes from someone who knows how to look after themselves too and won’t accidentally encourage unhealthy coping mechanisms – get to know yourself, find support groups. Most importantly, know your limits and be prepared to signpost to organisations that can help.

Warning signs

If someone is thinking about suicide, they are likely to show one or more warning signs through their words, mood or behaviour.

These signs are particularly concerning if they are related to a painful event, loss or change. Remember, you may not know if a painful event has happened, as women are less likely to talk about situations of abuse, violence and perinatal or menopause issues.

Some of these signs might just be part of a woman’s experience, but it is best to be alert and attentive.

Here are some potential warning signs that a woman may be considering suicide:

  • Depression
  • Anxiety
  • Loss of interest in things
  • Frequent irritability
  • Relief or sudden elation, extreme happiness
  • Feelings of humiliation and/or shame
  • Outbursts of agitation and/or anger
  • Unexplained crying
  • Self-loathing or self-hatred
  • Killing themselves
  • Feeling hopeless
  • Being a ‘bad parent’, ‘bad partner/wife’ or ‘not good enough’
  • No one cares
  • Having nobody or nothing to love
  • Having no reason to live
  • Being a burden or bothering others
  • Feeling trapped
  • Hating their life
  • Feeling a failure
  • Unbearable pain
  • Wanting the pain or exhaustion to end
  • Things would be better when they are gone/dead
  • Problems will be over soon
  • Lack of interest in the future
  • Previous suicide attempts
  • Inability or reluctance to do usual activities like self-care, seeing friends and family
  • Preoccupation with death in art, poetry, social media, TV, etc.
  • Self-destructive, impulsive or reckless behaviour
  • Apathy about appearance or health
  • Increased or intense use of alcohol or drugs
  • Looking for a way to end their lives, such as searching online for methods
  • Dwindling performance at work
  • Withdrawing from activities
  • Isolating from family and friends, or engaging with different friendship groups who encourage and partake in reckless, illegal or dangerous behaviour
  • Sleeping too much or too little
  • Visiting or calling people to say goodbye
  • Giving away prized possessions
  • Making a will or final arrangements
  • Saying good-bye to family and friends
  • Writing letters and asking them not to be opened
  • Aggression and/or rage
  • Extreme fatigue

How can I support your work and help women at risk?

By donating, sponsoring, or fundraising for us, you can help save lives. We are careful with your money, with around 85p of every £1 going straight into our life-saving work. 

You can make a difference. By supporting us, you will be giving more people the tools to identify warning signs, talk to others about suicide risk factors and issues affecting women, and signpost lifesaving resources to help reduce the number of lives lost to suicide each year. 

Our training courses are designed to equip you with the tools and knowledge needed to safely and effectively help people at risk of suicide. Please visit each course page to find out more. 

Suicide, Domestic Violence and Abuse courses

These training options cover different levels and with attention to different parties. Each course page gives more detail on who the training is appropriate for. 

Suicide Prevention in the Context of Domestic Abuse – Foundation

Suicide Prevention in the Context of Domestic Abuse – Intermediate

Suicide Prevention in the Context of Domestic Abuse – Advanced

Suicide Prevention in the Context of Domestic abuse – Perpetrators

ASIST

This two-day workshop provides participants with practical skills and knowledge to effectively recognise those who may be at risk of suicide and conduct a suicide intervention. Through highly engaging skills practice, attendees learn how to assess risk, engage in open conversations, and develop safety plans to support individuals experiencing suicidal ideation. 

Find out more

Caring Connections

This expansive workshop focuses on equipping participants with the knowledge and skills to identify and effectively support those at risk of suicide within a trauma-informed framework.

Find out more

Real Talk 

This interactive workshop equips learners with the necessary skills to recognise and support those at risk of suicide. Our trainers provide essential frameworks for life-saving conversations and suicide safety planning, and facilitate skills practice. 

Find out more

Suicide First Aid: Understanding Suicide Intervention

This in-depth one day course teaches the necessary skills and knowledge to recognise individuals showing signs of suicidal ideation. Through interactive learning and practical exercises, attendees learn how to competently intervene and implement suicide-safety measures as a form of first aid intervention. 

Find out more

We offer bespoke training tailored to your industry or service.

If you work in women’s services in any capacity and are interested in how you can help support your staff and prevent suicides, please get in touch with our Training Team.

By donating, sponsoring, or fundraising for us, you can help save lives. We are careful with your money, with around 85p of every £1 going straight into our life-saving work. 

You can make a difference. By supporting us, you will be giving more people the tools to identify warning signs, talk to others about suicide risk factors and issues affecting women, and signpost lifesaving resources to help reduce the number of lives lost to suicide each year. 

Our training courses are designed to equip you with the tools and knowledge needed to safely and effectively help people at risk of suicide. Please visit each course page to find out more. 

Suicide Risk with Domestic Violence and Abuse

This insightful training session is designed to equip professionals and volunteers with the knowledge and basic skills needed to support people at increased risk of domestic abuse and suicidality. 

Find out more

ASIST

This two-day workshop provides participants with practical skills and knowledge to effectively recognise those who may be at risk of suicide and conduct a suicide intervention. Through highly engaging skills practice, attendees learn how to assess risk, engage in open conversations, and develop safety plans to support individuals experiencing suicidal ideation. 

Find out more

Caring Connections

This expansive workshop focuses on equipping participants with the knowledge and skills to identify and effectively support those at risk of suicide within a trauma-informed framework.

Find out more

Real Talk 

This interactive workshop equips learners with the necessary skills to recognise and support those at risk of suicide. Our trainers provide essential frameworks for life-saving conversations and suicide safety planning, and facilitate skills practice. 

Find out more

Suicide First Aid: Understanding Suicide Intervention

This in-depth one day course teaches the necessary skills and knowledge to recognise individuals showing signs of suicidal ideation. Through interactive learning and practical exercises, attendees will learn how to competently intervene and implement suicide-safety measures as a form of first aid intervention. 

Find out more

We offer bespoke training tailored to your industry or service.

If you work in women’s services in any capacity and are interested in how you can help support your staff and prevent suicides, please get in touch with our Training Team.

Menopause and perimenopause

Menopause refers to the time when periods stop, and natural pregnancy is no longer possible. The time shortly before menopause starts is known as perimenopause. This is the point at which the body starts to gradually produce fewer eggs and hormones. 

Oprah Winfrey - Media mogul

Oprah is on a mission to normalise menopause. She thought she was dying when she struggled with symptoms such as heart palpitations and brain fog. She struggled with her mental health during menopause, and believes that if she wasn’t put on oestrogen, she would’ve become depressed. She advocates managing menopause by focusing on a healthy lifestyle.

Real stories

Davina and Dr Louise Newson, menopause expert, talk about menopause symptoms. Davina opens up about her experience of early menopause, how going on the HRT drug saved her life and how she wants to help raise awareness. 

Credit: Loose Women, YouTube

Symptoms of menopause

Click to expand

  • Feeling forgetful
  • Extreme fatigue
  • Headaches
  • Hot or cold flushes
  • Insomnia and night sweats
  • Lack of libido
  • Thinning hair
  • Breast soreness
  • Joint pain
  • Gum soreness
  • Moodiness
  • Irritability
  • Anger
  • Loss of confidence and self-esteem
  • Depression
  • Anxiety, feeling tearful
  • Suicidal thoughts

Need help?

Going through the stages of perimenopause and menopause itself can be difficult. The brain changes during menopause, as the hormones oestrogen and testosterone start to decline. One in ten perimenopausal women struggle with suicidal thoughts, and 90% of menopausal women experience some kind of mental health issue.

It is really important to open up about what you are experiencing and ask for support, either from your partner, friends, your GP or employer. If you feel like the response from a healthcare professional isn’t right, ask to talk to a different person or a specialist, or take a friend to help you advocate for yourself. You are not alone.

Download our NHS recommended app if you are struggling with suicidal thoughts or concerned about someone. There are over 800 resources to help you stay safe for now. 

Women's Health Concern

This branch of The British Menopause Society has lots of information about who to go to for help and how to identify and address difficult symptoms: 

Contact your GP

Speak to your GP or health care professional to discuss together what tests, treatment and support are right for you: 

Samaritans

Contact the Samaritans if you feel you are in a crisis:

British Nutrition Foundation

The British Nutrition Foundation have specialised guidance on how different foods and changes in diet can help:

Support groups

Join a local or national support group. You can find groups on Facebook that offer community and support and may also run local in-person events. 

Your GP or healthcare provider may have recommendations. 

Oestrogen can impact every part of a woman psychologically and physically, but these symptoms can be often missed or misdiagnosed. It is estimated that women can visit their GPs up to ten times in a year before being treated within twelve months. One in ten women will have to leave work because of the stress and strain of menopause.

The National Institute for Health and Care Excellence has now recognised the correlation between depression and menopause. There is a high rate of suicide for women aged from 45-54 in the UK and women in perimenopause are seven times more likely to experience suicidal ideation.

If you are concerned about someone, do encourage them to talk to a healthcare professional and to go back or find someone else if they feel the treatment is not right.

Partners

If you are supporting your partner with perimenopause and menopause, the University of Oxford have compiled a guide: 

Healthcare professionals

British Menopause Society resources: Tools for clinicians

National Institute for Health and Care Excellence (NICE): Menopause diagnosis and management

Employers

It is important to know how to support your staff going through menopause, and what is required of you by law:

Domestic violence and abuse (DVA)

In partnership with Advance

Domestic violence or abuse can be defined as a pattern of behaviour in any relationship used to gain or maintain power and control through physical, sexual, emotional, economic or psychological actions. 

Domestic abuse can happen to anyone, regardless of age, background, gender identity, sex, religion, sexual orientation or ethnicity. It is a criminal offence in the UK, but 49 countries across the world have no specific laws against domestic violence.

Liz Mack, CEO of Advance, says:

“Improvements in data and recording now show the awful reality of the prevalence of women’s deaths due to suicide, as a direct result of domestic abuse. Domestic Abuse has long lasting, and often devastating effects on mental health, both for the women experiencing it, and their children.

Women and families need access to community support services in safe, gender informed spaces to address their needs, alongside access to counselling to address their experiences of trauma and abuse. Recovery is a personal journey, where support needs to be available for as long as it is needed, and not restricted to a crisis intervention.”

Mel B - Singer (Spice Girls) and author

Mel was in a ten-year abusive marriage; it left her with low self-esteem and feeling suicidal. She thought she was all alone and didn’t think anyone would be able to understand her situation, but then she met other survivors with similar experiences.

The abuse began with her partner covertly forcing her to wear certain things that he wanted her to wear. It reached a point where Mel didn’t even know what colours she liked any more, because those choices were taken away from her. She is now in a happy and healthy relationship and is an ambassador for Women’s Aid.

Stories of hope - Wendy

“I felt I was trapped, I had a 2 year old daughter and knew we had to escape or we’d both be dead. I was subjected to almost every form of abuse and, at one point, I felt suicide was my only way out.

My final straw came when I woke up in the night to see him getting into my daughters cot – I knew we had to escape. I spoke to my parents and told them of my situation and without hesitation, they told me we could go to theirs. I confided in one friend and they helped me, there is always someone who will help in this situation. With coercive control, you will be made to think nobody will care or believe you – that is wrong, there is always someone there for you. Nobody has the right to make another feel this way.

You are enough and you deserve to live a happy life.”

Surviving domestic abuse

Leslie Morgan Steiner is a survivor of domestic violence. In this video, she talks to Unfiltered Stories about how she found herself stuck in an abusive relationship and how she found the strength to get herself out. 

Credit: Unfiltered Stories, YouTube

Examples of DVA

  • Coercive control (a pattern of intimidation, degradation, threats of physical or sexual violence)
  • Isolation from friends and family
  • Psychological and/or emotional abuse (name calling, blaming, gaslighting)
  • Physical or sexual abuse
  • Tech abuse (checking or controlling your devices, sending threatening texts)
  • Financial or economic abuse (controlling your bank account, credit card or shopping decisions)
  • Harassment and stalking

Need help?

If someone is or was controlling your behaviour in any way, it is, or was, abuse. This is a traumatic experience. Remember, this is not your fault, and it is a crime in the UK. Your abuser may have created an environment of fear for you, your children, or your family members. They may have cut off access to money, destroyed connections with people who care about you, and said or done things that reduced your confidence and self-esteem. All these actions are abusive. It’s important to remember that good, healthy relationships make you feel safe, accepted, happy, supported and cared for.

There is no shame in what you have been through, and you are not alone. The Centre for Domestic Violence states that one in five adults experience domestic abuse in their lifetime. It is important to reach out and get support – it is estimated that 30 women a week attempt suicide because they feel hopeless and feel like they have no options, and the situation is unbearable. Please remember there is a way out and there is help available.

Download our NHS recommended app if you are struggling with suicidal thoughts or concerned about someone. There are over 800 resources to help you stay safe for now. 

Advance offer a range of different online, phone and text services. They can also help with explaining legal rights, social care, helping you get safer housing and supporting you through court

Women's Aid Live Chat

A confidential live chat to explore safe options if you are experiencing or are worried about abuse. Available 8am-6pm weekdays and 10am-6pm weekends: 

National Domestic Abuse Helpline (UK)

A free, 24-hour helpline and online chat (chat available Mon-Fri, 10am-10pm) for people experiencing domestic abuse: 

The Bright Sky app

App and website with practical support and information about domestic abuse. It is designed for anyone experiencing domestic abuse, or anyone who is worried about a friend, family member, or colleague: 

Last year 2.1 million people aged 16 and over were victims of DVA (1.4 million women and 751,000 men). It is estimated that every day almost 30 women attempt suicide because of experiencing domestic abuse and every week three women take their own lives (National Centre for Domestic Violence).

Signs someone may be experiencing domestic abuse include unexplained bruises, withdrawal, lack of access to money or tech and defending, or avoiding discussions about, their partner. If you notice these signs in someone, it is important to approach the topic directly and compassionately and signpost to appropriate help. Be careful to act in ways that keep them safe.

Professional toolkit

The University of Warwick has compiled a guide for people who work with those at risk of or experiencing DVA:

Train with us

This insightful training session is designed to equip professionals and volunteers with the knowledge and basic skills needed to support people at increased risk of domestic abuse and suicidality: 

Service for professionals

Women’s Aid have a service for professionals who may be supporting survivors of domestic abuse: 

Guide for employers

This resource details employers’ responsibilities to staff at risk, and what is required by law:

Recognising the signs

GOV.UK have created a list of things to look for and contact numbers if you are worried about someone:

Perinatal

In partnership with PANDAS, the perinatal mental health charity

The perinatal period starts when a person becomes pregnant and lasts until around one year after they give birth. The hormonal, physical and mental impact of pregnancy can be stressful and difficult for many people. 

Annie Belasco, CEO of PANDAS, says:

“Sadly, we know that the number one cause of death within the first year of maternity is still suicide and we want this to change. Early intervention is critical to support signs and symptoms of poor mental health from conception through to birth and beyond. Whilst many women/men/parents we hear from are dismissed or feel undermined during appointments with medical teams, we know that the NHS are completely over-stretched and under-resourced.

It is critical that, for the future of maternity and parenting, the approach to poor mental health is treated seriously in every case and each parent has access to education and support where they may need this.”

Meghan, Duchess of Sussex

Meghan Markle revealed the depths of despair women can face during pregnancy. Although every woman experiencing suicidal thoughts will have unique reasons for these feelings, pregnancy and birth are common factors. Meghan said she “did not want to be alive anymore” and thought that taking her own life “would have solved everything for everyone.” These are very common suicidal thoughts that can be overcome.

Her willingness to publicly acknowledge her emotional struggles of anguish and loneliness during a vulnerable time has helped raise awareness. Her more recent public appearances and interviews show that she is now living happily with her family, a story that can bring hope to the millions of women who identify with her struggle.

Real stories

In a video with Tommy’s, the pregnancy and baby charity, Stephanie talks about her pre- and post-natal depression (PND). She experienced this with both of her children and, following the birth of her now ten-year old daughter, was diagnosed with PND and treated privately by a psychiatrist with therapy and antidepressants. 

Credit: Tommy’s, YouTube

Mental health difficulties during the perinatal period

  • Apathy and no energy – no interest in anything
  • Lack of appetite
  • Indifference to the baby
  • Withdrawal and becoming isolated from people
  • High anxiety and worry about the birth or being a parent
  • Persistent feelings of low mood, sadness and feeling pesimistic
  • Irritability, frustration, or restlessness
  • Feelings of guilt, worthlessness, or helplessness
  • Thoughts of harming themselves or the baby
  • Loneliness and isolation
  • Thoughts about wanting to end your own life and suicide

Need help?

The expectation if you are pregnant or have recently given birth is that this is a happy time when you ‘glow’ and connect with your baby. For many women, however, it can be a difficult time full of physical, social and emotional changes. You may feel tired, weak and unmotivated due to hormonal changes. You may have had to cope with severe physical changes like morning sickness, feeling faint, and back pain. These can lead to depression, anxiety and even thoughts of suicide.

Twenty-seven percent of women suffer from mental illness during this period. If you have persistent symptoms over two weeks, it is important to talk to your healthcare provider and get the support you need. With proper treatment, most women feel better, and their symptoms improve.

Download our NHS recommended app if you are struggling with suicidal thoughts or concerned about someone. There are over 800 resources to help you stay safe for now. 

pandas logo

PANDAS offer a free helpline number, text service and email service:

  • WhatsApp support 07903 508 334, daily 8am-10pm
  • Visit the website
  • Face to face groups and virtual groups are also available

Contact your GP

Speak to your GP or health care professional to discuss together what tests, treatment and support are right for you: 

pandas logo

PANDAS have created a document to help you talk to your GP about what you might be experiencing:

National Childbirth Trust

NCT offer workshops, courses and local activities across the UK: 

Research shows that thoughts of suicide (suicidal ideation) is highest in pregnant women and that suicide is a leading cause of death during the perinatal period, accounting for up to 20% of maternal deaths in high-income countries (Grigoriadis et al., 2017). Pregnant teenagers are at even higher risk

Perinatal depression is a serious but treatable medical illness, carrying risks for the mother and child. Untreated perinatal depression affects not only health and wellbeing during pregnancy but can also cause premature birth, with low birth weight. Knock-on effects include problems with bonding, sleeping and feeding problems for the baby. In the longer term, children of mothers with perinatal depression are at greater risk for cognitive, emotional, developmental and verbal deficits and impaired social skills (Brand & Brennan, 2009).

If you see symptoms that last longer than two weeks, it is important to get them the support they need. Treatment for perinatal depression usually includes a combination of therapy and medication.

NHS support

Read the NHS online resource about depression during pregnancy:

National Institute of Mental Health

Guidelines on recognising and treating perinatal depression: 

National Institute for Health and Care Excellence

NICE have a guide on recognising, assessing and treating mental health problems around pregnancy:

Joint Strategic Needs Assessment

Public Health England have developed a toolkit for developing and improving practice in mental health care around pregnancy:

Postpartum period

In partnership with Action on Postpartum Psychosis

The postpartum period begins soon after the delivery of the baby and usually lasts six to eight weeks, ending when the body has almost completely returned to its pre-pregnancy state.

Some new parents are vulnerable to a range of perinatal mental illnesses during this period and beyond, two of which are postpartum depression and, less commonly, postpartum psychosis – a serious medical emergency.

Dr Jess Heron, CEO of Action on Postpartum Psychosis, says:

“Before APP existed as a charity, postpartum psychosis (PP) accounted for almost half of all maternal suicides. As APP has grown, so too has national awareness of PP, health professional training, Mother and Baby Unit (MBU) beds, and support services designed to better manage women with PP. The last decade has seen a sharp decline in PP related deaths, and PP became rare in national suicide figures. However, in the post pandemic period, PP deaths are again increasing. We believe this increase has multiple and complex causes and we must do all we can to continue in our mission of awareness-raising and supporting families affected by PP.”

Brooke Shields - Actress

Postpartum depression

When Brooke had her first baby, she didn’t ‘feel at all joyful’ and describes facing feelings of panic, dread and sadness. She was overwhelmed and felt disconnected from her baby. Brooke had suicidal thoughts and said she wanted to ‘disappear’, believing her newborn would be better off without her.

She was ultimately diagnosed with Postpartum Depression (PPD) and treated with medication and therapy. She encourages women to realise these are chemical imbalances, out of your control, and to seek help. Brooke advocates for women not to feel embarrassed or ashamed about their struggles, which have the “nothing to do with” your love or feelings towards your child.

Laura Dockrill – English author and performance poet

Postpartum psychosis

A month after the birth of her son, Laura was on suicide watch in a psychiatric ward, experiencing severe delusions due to postpartum psychosis (PP). PP is a mental illness that affects around one in a thousand new mothers, who can suffer delusions, hallucinations, paranoia and manic moods.

Laura has written a memoir, What Have I Done? about her experience of PP and she challenges the idea that being a parent is always blissful and serene. She also wants people to understand that PP is treatable. 

Stories of hope - Ella

“When I got pregnant unexpectedly with my third child, my husband made it clear that he did not want this baby, and he tried to force me to have an abortion. I refused and he told me that the child would be my responsibility. He kept his word. It was a difficult birth, despite it being at home. He did not support me with the baby and left me to cope with two young children and a newborn baby without any support from him, his family or my family (as my family were all abroad). Soon after, he left the marriage and refused to pay maintenance for the children. I was truly alone.

Quickly, I started suffering from postnatal depression, which started escalating. I went to the GP, who was not very helpful and did not offer any support. I tried to get help several times as I was starting to have suicidal thoughts.

Eventually, I was seen by a locum GP who was simply brilliant. She cancelled her other patients that afternoon and just listened to me. She held me whilst I cried. She arranged a Community Psychiatric Nurse to come and see me at home. She ensured I would come back and see her the following week. She was there for me when I could not see a way forward anymore. The psychiatric nurse came every week for several months. She was able to help me see a future for me and my children. She listened to me, she supported me, she helped me move forward. It taught me not to give up if you ask for help and you don’t get it at first. Keep asking, keep looking, help is out there for you.”

Why we all need to talk about postpartum depression

Based on a personal experience with an extremely severe case of postpartum depression, anxiety and psychosis, Nevada-based nonprofit executive, Auburn Harrison, paints a heartbreaking picture of why our society’s silence on the topic is hurting mothers. 

Credit: TEDx Talks, YouTube

Education on postpartum psychosis

In this educational video from the NHS, Katy talks about her experience with postpartum psychosis and how it affected her day-to-day life and relationships. Watch to find out how healthcare professionals and a bed in a Mother and Baby Unit (MBU) helped her recover. 

Credit: NHS England, YouTube

Signs to look out for

  • Down, upset or tearful
  • High anxiety and worrying about being good enough
  • Low mood, sadness that won’t go away
  • Insomnia
  • Hard to concentrate or make decisions
  • Struggling to care for yourself or your baby
  • Feelings of guilt and shame and feeling worthless
  • Restless, agitated or irritable
  • Isolated and unable to relate to other people
  • No pleasure in life or things you usually enjoy
  • Lost self-confidence or self-esteem
  • Hostility or indifference to your baby and loved ones
  • Suicidal thoughts

Early symptoms of PP include:

  • Not needing to or being unable to sleep
  • Talking more than usual
  • Becoming overly excitable, elated or high

Acute symptoms of PP are similar to that of bipolar disorder and include:

  • Extreme elation or euphoria
  • Rapid mood changes or depressed mood
  • The onset of unusual beliefs
  • Visual and auditory hallucinations
  • Extreme confusion and/or racing thoughts

Need help?

Postpartum Depression

Postpartum depression (PPD) is a mood disorder that many parents (including men and partners) experience after having a baby. It’s a common problem, affecting more than one in every ten women within a year of giving birth and can last for months. If not treated, it can lead to suicidal thoughts. This is different from the ‘Baby Blues’, when the sudden postpartum hormonal and chemical changes can cause a new parent to feel very low for a week or so after birth. The good news is that PPD is treatable and 80% of people affected will make a full recovery. If you have symptoms that go on for more than a couple of weeks, it is important to get the help you need from professionals and to take steps to look after your mental health. 

Postpartum Psychosis

Postpartum psychosis (PP) is a serious mental illness that usually occurs in the hours, days and weeks after having a baby. Some people who get PP have no previous history of mental illness, however, if you have a history of bipolar disorder, you might have a higher risk of experiencing PP. It’s important to note that PP isn’t the same as postpartum depression, however, some women with PP may experience depression and anxiety alongside or following the acute symptoms of PP. It affects around 1,400 women every year in the UK but it is eminently treatable and almost all mums recover fully with the right treatment. PP is a serious medical emergency, and it is very important to get the help you need.

Emergency services

If you or someone you know is experiencing a life-threatening crisis: 

Download our NHS recommended app if you are struggling with suicidal thoughts or concerned about someone. There are over 800 resources to help you stay safe for now. 

Contact your GP

Speak to your GP or health care professional to discuss together what tests, treatment and support are right for you: 

Find resources, peer support, NHS guidance and more on the Action on Postpartum Psychosis help pages:

Parents First UK

A free, online peer support community to share best practice and ideas that work:

National Childbirth Trust

NCT communities help you to combat loneliness, make new friends:

It is important to recognise and treat postpartum depression (PPD) as it severely affects day-to-day functioning and can lead to suicidal ideation. PPD also affects the relationship with the baby. Research shows as many as half of cases of PPD go undiagnosed because of conflict in personal privacy and not wanting to disclose these feelings to close family members (Beck, 2006).

When it comes to postpartum psychosis (PP), urgent medical treatment is always required. Therefore, if a new parent is acting unusually and PP symptoms are present/suspected, speak to your GP as a matter of urgency, call 111 or attend an A&E department. If you are concerned about immediate risk to life call 999.

According to the Maternal Mental Health Alliance, 40% of maternal deaths in the first post-natal year were due to mental ill health. Suicide remains the leading cause of direct maternal death in the first post-natal year. It also finds that many of the women who die have faced multiple disadvantages, including mental health problems, domestic abuse and addiction. Having difficulty conceiving or a traumatic birth are also other risk factors for suicide. If you are concerned about someone, encourage them to talk about how they feel and to contact their healthcare professional or one of the resources on this page as soon as possible. PPD is quite common and there are well-established ways to help treat it.

Action on Postpartum Psychosis have a range of resources for families who are supporting someone with PPD or PP:

Healthcare professionals may find useful studies and information on the Action on Postpartum Psychosis research pages:

For professionals

The Royal College of Psychiatrists have Standards for Community Perinatal Mental Health Services available here:

Help for parents

Family Lives have a video channel dedicated to free parenting advice, courses and ideas: 

Research

The National Institute of Health have published a paper on the identification and treatment of postpartum depression and psychosis: 

Postpartum psychosis

Royal College of Psychiatrists guidance on postpartum psychosis:

Childhood abuse

In partnership with The National Association for People Abused in Childhood (NAPAC)

Childhood abuse is when a child is harmed by an adult or another child. This can take many forms, including physical abuse, sexual abuse, emotional abuse, neglect or organised abuse. It may happen once, or it may occur numerous times over a period of weeks, months, and even years.

We should never forget that the perpetrators of abuse are entirely responsible for that abuse, and that from the point of view of the victim/survivor, if what happened felt like abuse, then you have every right to call it that, and to seek support.

Gabrielle Shaw, Chief Executive of NAPAC, says:

“Opening up for the first time about your trauma can feel overwhelming, but remember, NAPAC is here to support you whenever you are ready. To every survivor grappling with the aftermath of abuse, know this: your voice matters, and you will be heard.

At NAPAC, we believe in the power of empathy and the strength that comes from sharing your experiences. Talking openly about difficult topics like suicide and childhood abuse is crucial because silence allows shame and guilt to flourish.

By breaking the silence, we can confront these feelings and realise that we are never alone. Together, we can create an environment where hope and healing thrive.”

Bella Thorne - Actress and singer

Bella was sexually abused repeatedly by a trusted adult up to age fourteen. She describes feeling disgusting and self-loathing as a result. Speaking about the experience later, she said “I think it was probably one of the reasons I felt so drowned, and I was in such a dark place growing up, and I contemplated suicide”.

She stayed silent for a long time, but her manager encouraged her to talk about it. She encourages other abuse victims to come forward, “stay strong” and “keep fighting until we change the culture we are in”.

Stories of hope - Molly

“For as long as I can remember, home was a place of fear, not comfort. I learned early on to suppress my desires, stay silent, and blend into the background – doing whatever I could to avoid anger or cruelty.

But, at 21, I finally found the courage to leave. It wasn’t sudden; it was the result of years of quiet determination. I walked away from what should have been my sanctuary but had become my prison. Stepping into my new life felt like emerging from a dark tunnel into the light. For the first time, I could breathe freely.

Yet, as the initial relief faded, I realised escaping was only the beginning. The trauma didn’t vanish; it followed me, affecting every part of my life.

Estranging myself from my family brought both relief and loneliness. No one truly understood the fear that lingered. Though I’d escaped, the scars ran deep, affecting my relationships, trust, and self-worth. Anxiety and depression weighed me down, but the same strength that helped me leave keeps me moving forward.

Piece by piece, I’m rebuilding my life. I’ve found hope in the darkest places, and no one can take that from me. I’ve found ways to cope and connect with those who understand. I’ve realised my story is my superpower, and now I share it to help others recognise the signs of abuse.”

What is the ongoing impact of abuse?

  • Post-traumatic stress disorder (PTSD) or Complex post-traumatic stress disorder (C-PTSD)
    • PTSD can be caused by a single traumatic event, whereas C-PTSD is caused by long-lasting repetitive trauma
  • Over-emotional responses and attachment
  • Eating disorders
  • Substance misuse
  • Depression and anxiety
  • Low self-esteem
  • Anger
  • Feelings of guilt and shame
  • Learning disabilities
  • Physical illness
  • Flashbacks and disturbing memories
  • Dissociation
  • Challenges in forming and keeping adult relationships
  • Onset of psychiatric disorders
  • Suicidal ideation (thoughts of suicide)

Need help?

Childhood abuse is extremely traumatic and can be the ultimate betrayal of trust. Even decades later, you may still carry feelings of shame and guilt, but it was not your fault. The process, known as ‘grooming’, means that there is a transfer of responsibility from the abuser to the victim/survivor.

Survivors can grow up believing that we are bad people and that we caused and deserved the abuse. But this is never the case. Something horrible happened to us, we were not complicit, and any blame lies solely with the perpetrator.

NAPAC’s own data shows that on average it takes around 22 years for a survivor to disclose the abuse after it has stopped. And although those experiences stay with us for life, there is hope for life after abuse.

Recovery is hard and rarely linear, but with the right support, it is possible to move forward and to thrive.

Regrettably, if trauma is internalised or ignored, it can lead to lifelong emotional and physical issues. Studies have also found that there is a direct correlation between women who suffer from suicidal ideation and women with a history of childhood abuse, and, as these women age, they are three times more likely to attempt suicide. It is vital that you seek the support you need when you feel ready to talk. Keep going, and know that you are not alone. 

Download our NHS recommended app if you are struggling with suicidal thoughts or concerned about someone. There are over 800 resources to help you stay safe for now. 

Samaritans

Contact the Samaritans if you feel you are in a crisis:

NAPAC offer free, confidential support:

Please note this is not a suicide crisis service

Contact your GP

Speak to your GP or health care professional to discuss together what tests, treatment and support are right for you:

Recovering from childhood trauma

Choosing Therapy have published a collection of tips on recovering from childhood trauma:

Research from the University of Manchester shows that victims of childhood abuse are two and a half more times likely to try and end their life. Those who experienced multiple instances of abuse are five times more likely to attempt suicide. As these victims get older, the risk increases, especially if there is no access to mental health support.

If someone you are concerned about starts to talk to you about their abuse, it is important to believe them and allow them to lead the conversation. Don’t try to rush or interrupt them, give them space to tell you what they want to tell you, and let them know that you are there to support them as they move forward.

National Institute for Health and Care Excellence

NICE guidelines on recognising abuse and neglect in children and young people:

napac logo

NAPAC guidelines on supporting survivors of childhood abuse:

Professional training

Carolyn Spring offers training courses for people working in the field of trauma:

Guidance booklet for friends and family

A booklet from One in Four for parents, friends and families on how best to support survivors to recover and heal from child sexual abuse:

Eating disorders and body image

In partnership with Beat, the UK’s eating disorder charity

Eating disorders are serious mental health conditions and have the highest mortality rate of all mental illnesses. It is important to remember that they are not all about food, but also about feelings. There are several eating disorders, and some of their key symptoms have been explained below: 

Anorexia Nervosa – Trying to keep body weight as low as possible with a distorted image of the body and a fear of gaining weight. People do this by not eating enough food, over exercising, taking laxatives or making themselves sick.

Bulimia Nervosa – When people binge eat, which feels out of control, and then purge their food by vomiting, using laxatives, diuretics, fasting or doing excessive exercise.

Binge Eating Disorder (BED) – Regularly eating a lot of food over a short period of time, feeling out of control until they’re uncomfortably full.

Avoidant restrictive food intake disorder (ARFID) – People with ARFID avoid certain foods or types of food, or restrict their intake in terms of overall amount eaten, or both. It is not related to worries about weight, and may be driven by sensory-based avoidance, low interest in food, a distressing experience with food, or a combination of these.

Orthorexia – This is not an official diagnosis, but is sometimes used to describe unhealthy obsessions with healthy eating where people start implementing restrictive rules around food alongside negative thoughts and feelings of guilt around certain foods.

Other specified feeding or eating disorder (OSFED) – Used to describe a variety of disordered eating behaviours (maladaptive thoughts and behaviours related to food, eating and body image) that do not meet all the diagnostic criteria for a specific eating disorder, like anorexia nervosa or bulimia nervosa.

Pica – A disorder in which people eat non-food items with no nutritional value. Dirt, paper, clay, and flaking paint are the most common non-foods eaten.

Rumination Disorder – This involves people bringing up food that may be partially digested into their mouth, which they may re-chew and re-swallow, or they may spit it out.

Andrew Radford, Chief Executive of Beat, says

“Eating disorders can be devastating mental illnesses, and unfortunately, they can sometimes lead to those affected taking their own lives. Every life lost is a tragedy, but organisations like Grassroots can provide crucial life-saving support for people experiencing suicidal thoughts or for those who are concerned about someone.

We’d urge anyone affected to reach out: either to Beat for eating disorder support, or to organisations like Grassroots Suicide Prevention for where to find help with suicidal thoughts. Being diagnosed with an eating disorder can feel overwhelming, but we know that making a full recovery is possible. Every day we hear from those who have gone on to live full and happy lives, free of their eating disorder – and organisations like Beat and Grassroots Suicide Prevention are here to help you get there too.”

Kerry Washington - Actress

Kerry shared that her relationship with food and her body had become a toxic cycle of self-abuse where she engaged in starvation, binge eating, body obsession and compulsive exercise.

She said she wanted to destroy herself and suffered from suicidal thoughts: “It scared me that I could not want to be here because I was in so much pain. Keeping my behaviour a secret was painful and isolating and there was a lot of guilt and shame.” Kerry used therapy to start the long process of loving herself and learning how to express herself rather than stuffing down her feelings with food. 

Stories of hope - Emily

“For me, anorexia had become a way to shut down from trauma and block out unbearable emotional and mental pain and numbness. I was seeking detachment from my own mind.

Blocking out these feelings with anorexia allowed the pain and darkness to creep in more. I was isolated, trapped and physically weak and broken. Mentally, I saw no way out. Anorexia convinced me I didn’t deserve to be in this world, just like the voices of my traumas. It felt like a slow suicide – but starving, restricting food and becoming too weak to function was the only way I felt safe.

My turning point was being given hope and the opportunity to remove my mask of ‘I’m fine’ and allowing supportive people from Beat and Samaritans to help me find the right treatment. Talking about my thoughts and feelings helped me realise that I was still loved, still worthy and still enough. I realised I wasn’t defined by the voices of anorexia and trauma, that I could offer something to this world and become my own loving best friend. I realised that anorexia was lying to me, and I didn’t have to be ashamed of my story. I can inspire others and be someone else’s survival guide.

Eating disorders may feel like a comfort or a best friend, but they aren’t. You don’t deserve punishment or pain. You offer something beautiful to this world and, despite the darkness, the light will shine again. I am nearly two years past my last suicide attempt and seven years out of inpatient treatment for anorexia. There is hope, even if others give up on you, you should bever give up on yourself.

I have learnt that anorexia never has, and never will, define me. It was never my comfort or release or best friend. Being brave enough to face it head-on and keep living was the scariest, hardest and most courageous decision I ever made.

I am so proud of myself. Life now has its challenges, but it is beautiful. I’m living without anorexia’s grip on me. The best step I ever took was to fight it and keep living, because life does get better with the right understanding, compassion, help and support.

There’s a song from a musical that sums it up for me: ‘Even when the dark comes crashing through, when you need a friend to carry you, when you’re broken on the ground: you will be found. So let the sun come streaming in, ’cause you’ll reach up and you’ll rise again, if you only look around: you will be found’.

The bravest thing I ever did was continue to live when I wanted to die.”

Hidden secrets: Eating disorders

Rayo Cole talks about living with anorexia, bulimia, purging and how she manages life on a day-to-day basis. She shares her experience of having an eating disorder in an ethnic group where eating disorders are taboo and talking about such issues is shameful. 

Credit: TEDx Talks, YouTube

Some of the signs of an eating disorder

  • Spending a lot of time thinking about food
  • Feeling shame, anxiety and/or guilt about eating
  • Secretive eating
  • Feeling out of control around food
  • Being self-critical about body image
  • Avoiding or restricting food, including events where it may be present
  • Pretending to have eaten
  • Taking a long time over mealtimes
  • Engaging in compensatory behaviours after eating
  • Difficulty concentrating
  • Hoarding food
  • Low confidence and self-esteem
  • Finding it difficult to recognise when you are hungry
  • Feeling depressed and irritable
  • Having suicidal thoughts

Need help?

It is estimated that that over 630,000 women in the UK have an eating disorder and it is possible that this figure is higher because of people not recognising the signs or the stigma associated with an eating disorder, so you are not alone. A full recovery is possible with the right support. We don’t know all the causes of eating disorders, and it is likely to be a combination of different factors that may be environmental, genetic or biological. It is important to understand they are not all about food, but complex issues that involve thoughts, feelings and behaviours too.

There is no shame in having an eating disorder; if food and body image problems are affecting your life and becoming an obsession, it is hard but important to recognise that eating disorders are a treatable mental illness and you do need support.

Find someone you trust to help you find the right help. It can be very difficult for people with eating disorders to get better on their own, so it’s important that you find professional help and support as soon as possible. The sooner someone is treated for an eating disorder, the better their chance of making a full recovery.

This might involve strategies like finding a support group, working out what your triggers are. Without help, you could reach a crisis and be under very serious physical and mental stress.

Download our NHS recommended app if you are struggling with suicidal thoughts or concerned about someone. There are over 800 resources to help you stay safe for now. 

Samaritans

Contact the Samaritans if you feel you are in a crisis:

Contact your GP

Speak to your GP or health care professional to discuss together what tests, treatment and support are right for you: 

Please remember that Beat is not a suicide crisis service.

Information and advice on eating disorders:

A Beat leaflet that can help you and those supporting you to prepare for your GP appointment: 

Research shows that nearly 400 people with an eating disorder died by suicide during 1997 – 2021, which was also an increase in the previous rate (Hercus et al. 2024). Suicides where people had a primary diagnosis of an eating disorder often had secondary diagnoses such as self-harm and mental health issues such as depression. Adding to the complexity, one in three patients with eating disorders who died by suicide had a history of childhood abuse and one in five had a history of domestic abuse.

Eating disorders are a mental illness, and for some people a part of this may be that they seek control of food to cope with difficult feelings and other situations. With treatment, recovery is possible. These are suggestions on how to support them:

  • Give your time to listen to them
  • Assure the person that you are there for them
  • Tell them you care; they are not alone and that you want to help
  • Do not blame the person or get angry with them
  • Focus on their feelings
  • Avoid talking about food, weight or appearance
  • Try not to make mealtimes a battle ground
  • Do not force the person to eat
  • Keep trying to include them – it will make them feel valued as a person
  • Try to build up their self-esteem – give positive reinforcement
  • Encourage them to seek help
Beat logo

Information on supporting someone with an eating disorder: 

Support and training programmes for people supporting those with an eating disorder

Beat logo

Online directory of services, including a range of support and training programmes for people supporting those with an eating disorder:

NHS services

NHS directory for eating disorder services near you:

For employers

Advice on dealing with eating disorders in the workplace, support and what you can do for your staff:

National guidance

NICE clinical guidelines on eating disorders (UK):

SIGN clinical guidelines on eating disorders (Scotland):

Sexual violence

Sexual violence is a term that describes any sexual activity that has happened without consent. This includes rape, sexual assault, sexual abuse and sexual harassment. 

Lady Gaga (Stefani Germanotta) – Singer and actress

Stefani was repeatedly raped as a teenager by a music producer. Like many survivors, she blamed herself and felt too ashamed to tell her loved ones. The experience left her with daily suicidal thoughts like ‘why should I stick around?’.

The emotional and physical impact of her sexual assault resulted in self-harm, PTSD and, later, a psychotic episode. Stefani encourages others to talk to somebody, rather than engage in harming behaviours. As an advocate for sexual assault survivors, she says “I always tell people; tell somebody, don’t show somebody”.

Stories of hope - Katya

“I didn’t think I would ever be able to talk about what was happening to me…it was ‘our secret’. It was humiliating, degrading and shameful. I wanted to be free of the pain and torment, and suicide seemed like the only way out. But good friends showed me another way – with their gentle support, I started to tell my story at my own pace and when I was ready.

My body still bears the scars, and I am reminded of the terror I experienced every time I use the bathroom. However my GP, physiotherapists, and pilates have helped alleviate the physical symptoms. I still have suicidal thoughts, but I have been taught how to handle them such as I picture the thoughts inside a balloon which I can let go of and watch it drift away. Or if the thoughts come at the end of a long, tiring day, I know they may be gone in the morning. Mostly, though, it’s because I no longer feel alone with my suicidal thoughts, there are other women who feel like I do, and understand me.”

Empowering survivors of sexual abuse

As a survivor of childhood sexual abuse and a member on the Board of Trustees and an Ambassador for the charity Safeline, Lydia hopes this emotional account of her personal journey can help to empower fellow survivors. 

Credit: TEDx Talks, YouTube

The impact of sexual violence

  • Amnesia
  • Anger
  • Anxiety
  • Boundary issues
  • Denial
  • Depression
  • Dissociation
  • Fear
  • Flashbacks
  • Guilt and self-blame
  • Humiliation
  • Insomnia
  • Loneliness and isolation
  • Mental health issues
  • Mood swings
  • Numbness, feeling empty
  • Panic attacks
  • Paranoia
  • Phobias
  • Physical pain and ill health
  • Post Traumatic Stress Disorder (PTSD)
  • Relationship and trust issues
  • Safety issues
  • Self-harm
  • Shame
  • Suicidal thoughts

Need help?

According to the Rape Crisis Centre, there are approximately eleven rapes every hour in England and Wales, and one in four women have been raped or sexually assaulted. You are not alone.

There are many complicated and unique responses to sexual violence, and it can affect each person in a different way. There is no wrong or right way to feel or react. As the body and mind process this trauma, many different emotions, behaviours, and physical responses may appear and disappear. Complicated emotions and reactions could return months or years after it happened. Remember, it is never your fault, and nothing to do with your actions, something you said or how you dressed.

Traumatic experiences like rape can lead to mental health issues. Around 70% of people experience a large amount of stress after a sexual violence experience. Women who have been raped are thirteen times more likely to try and take their own life. It is important to get some support to help you recover and heal from what you have been through.

Download our NHS recommended app if you are struggling with suicidal thoughts or concerned about someone. There are over 800 resources to help you stay safe for now. 

Rape Crisis England and Wales

Rape Crisis have a free, 24/7 rape and sexual abuse support line and online chat:

Safeline

Safeline have a One to One chat service for specialist counselling and therapies with trained experts:

NHS centres

Find your local sexual assault referral centre: 

Research carried out by University College London shows that 94% of women who are raped experience Post Traumatic Stress Disorder (PTSD). In addition, 33% of women who are raped contemplate suicide and a further 13% attempt suicide.

It is important to listen and believe them without any judgement. It is very normal for a survivor to freeze or even return to their abuser. Avoid questioning this behaviour as it can create more shame and humiliation. It is important to let them know they do have support systems and that you are there for them to help navigate this safely.

Supporting a survivor

Rape Crisis England and Wales have a guide to supporting someone who has experienced sexual abuse:

Getting help

Read the NHS guide to getting help and finding support after a sexual assault:

Recovery toolkit

Professional training for anyone working with survivors and people at risk:

Safeline training

Training courses for professionals and organisations working in sexual abuse and related fields:

Premenstrual (PMS and PMDD)

In partnership with the National Association for Premenstrual Syndromes

Premenstrual Dysphoric Disorder (PMDD) is a severe form of Premenstrual Syndrome (PMS), characterised by intense emotional and physical symptoms that occur in the ‘luteal phase’, the week or two before menstruation starts. It is a serious and chronic mental and physical disorder that can be helped through medication and lifestyle changes.

Professor Nick Panay, Chairman of NAPS, says:

“Severe PMS or PMDD can have a devastating effect on personal, social and professional quality of life and is associated with a significantly increased risk of suicidal ideation, intent and attempts.

It is vital that it is taken seriously by the public and healthcare professionals and managed effectively with evidence-based treatments.

Patients with suicidal ideation or intent need effective mental health safety netting as well as urgent treatment.”

Vicky Pattison – Presenter and author

Vicky has described the terrifying experiences she had had leading up to her period that left her feeling out of control and impacting her whole life. She was often made to feel like she was making a fuss and was just being hysterical. She describes a cycle of despair, hopelessness, crippling anxiety, and even suicidal thoughts.

Vicky has expressed relief that she has been diagnosed with PMDD so she knows she isn’t going ‘insane’. She encourages other women to talk about what they are experiencing and go and see a doctor and not to be dismissed. 

The importance of talking about difficult issues

Sophie Milner, a UK influencer, talks about her journey with symptoms of PMDD, her diagnosis and how she navigates daily life. She talks about noticing that her symptoms weren’t like other people’s experiences, and how she tracked her mental health and worked with healthcare professionals to find the right treatment. 

Credit: Sophie Milner, YouTube

Symptoms of PMDD

  • Depressed mood, sadness, or hopelessness
  • Feelings of worthlessness or poor self-image
  • Anxiety, tension, or nervousness
  • Increased irritability or anger
  • Mood swings or frequent tearfulness
  • Emotional sensitivity or feeling easily upset
  • Feeling overwhelmed or out of control
  • Suicidal thoughts or feelings
  • Self-critical thoughts or paranoia
  • Difficulty concentrating or forgetfulness
  • Confusion
  • Conflict with others (family, coworkers, friends)
  • Decreased interest in normal activities
  • Fatigue, lethargy, or lack of energy
  • Changes in sleep patterns (insomnia or excessive sleeping)
  • Changes in appetite (binge eating, overeating, or cravings)
  • Breast tenderness, headaches, joint or muscle aches
  • Weight gain and bloating

Need help?

An estimated one in twenty women are affected by premenstrual dysphoric disorder (PMDD), so you are not alone. You may be experiencing extreme anxiety and depression and even having suicidal thoughts because the suffering feels too much.

Premenstrual Syndromes can seriously impact people’s lives and relationships. The exact cause of PMDD is not known, but research shows that it is the result of fluctuating hormone levels causing changes in your neurological pathways. It is believed that decreased levels of oestrogen and progestogen are what triggers often unpleasant and distressing symptoms that impact mental and physical health for up to two weeks. You may be feeling very unwell, unable to function properly, so you need to manage your PMDD and seek the right help.

PMDD is often misdiagnosed as a different mental health problem like depression or anxiety, rather than the combination of physical and mental disorder that it really is. If you struggle with these symptoms at all points in your menstrual cycle, it is more likely to be a different issue, but if the symptoms are only experienced in the two weeks before menstruation, it could be PMDD.

Understanding how your body and menstrual cycle work will help you. You should not be ashamed of struggling with your period, talking about it with other people, or finding support groups or specialists who deal with PMDD.

Download our NHS recommended app if you are struggling with suicidal thoughts or concerned about someone. There are over 800 resources to help you stay safe for now. 

Samaritans

Contact the Samaritans if you feel you are in a crisis:

Contact your GP

Speak to your GP or health care professional to discuss together what tests, treatment and support are right for you: 

NAPS have also developed a guide for talking to your GP about PMS and PMDD:

Watch the NAPS and Hormone Health Webinar for more information and resources on PMDD:

Online community

Inspire is an anonymous online forum and non-social media messaging service and support group:

Research carried out by the BBC showed that 70% of women they surveyed said they felt suicidal in the days before their period, with 30% said they had tried to take their own lives. If you are supporting someone it is important to understand this disorder and how debilitating it is.

Pre-Menstrual Dysphoric Disorder (PMDD) affects 31 million people globally and 1 in 20 in the UK. Despite this, it is still widely misunderstood and often misdiagnosed as depression- and anxiety-related disorders. Globally, people with PMDD are seven times more likely to attempt suicide. There are currently no tests to fully determine whether or not a patient has PMDD, so it is important to analyse main symptoms alongside the menstrual cycle and include questions about physical aspects like bloating, aches and weight gain.

The more severe symptoms of PMDD include depression and suicidal ideation, a risk which should be taken very seriously. PMDD can also appear in combination with, or because of, other suicide risk factors like abuse, trauma and depression, making it harder to diagnose.

Many people find that their PMDD affects relationships with family, friends and coworkers, so it is important to be patient and understanding either as a family member or a healthcare professional. Asking the person you are supporting to keep a log of their periods, mood swings and other symptoms can help to pinpoint and understand their experiences.

Guidelines for professionals

NICE have put together guidelines on PMS and PMDD for healthcare practitioners:

Calls for research

The University of the West of Scotland has published a UK Research Agenda piece on why more attention is needed for PMDD:

Best practice

BMJ Best Practice guidelines are designed to help professionals make the best choices for their patients:

Helping someone you know

Mind have a section full of advice on helping someone with PMDD: 

Related disorders

There is some research into related disorders and how they may present and affect people with PMDD: 

Suicide in women: myths and facts

Some phrases and assumptions around suicide add to the weight of social stigma and shame. This can be even more damaging to women who may be going through difficult times in their relationships, careers and physical or mental health.

The spread of these stereotypes and misunderstandings can lead to women struggling with suicidal ideation. They may see it as confirmation that they are misunderstood, inadequate, alone or worthless. This makes them more likely to struggle in silence and can increase the chance that they will act on their suicidal thoughts.

Here are some of the most harmful women’s suicide myths debunked. Click each myth to see the real facts and explanations.

How to have a conversation about suicide

Timing is key. Asking about suicide is an important conversation and needs to be treated with respect. 

You might think the best time to ask about suicide is when someone is down or upset, but they are more likely to close down and not want to talk at this point. Instead, ask when they’re having a good day and likely feeling more talkative.

Do remember that someone’s internal monologue might be telling them that don’t deserve help, they’re not good enough, or are a failure. Allow them to open up and direct the conversation – don’t ambush them or make them feel targeted.

Talking in a place where someone feels unsafe or rushed may affect what they say. Your choice may depend on the specific risks or situations the person may be experiencing. 

1. At home or in a safe, quiet and private place 

It’s easier to talk to someone when they are comfortable and not worried about showing emotions or speaking their mind. Remember that for some women, being near or at home does not feel safe. 

Take your time. Avoid trying to talk during mealtime or late in the day. Instead find a time when it’s just the two of you and you can talk as long as you need without having to rush off.

2. While doing something you enjoy together

Many people find it easier to talk while doing an activity.

Many women may feel less under pressure if they don’t have to maintain eye contact. It can also be helpful to focus on an activity as this gives you both space to pause, reflect and gather thoughts without awkward silences.

Remember to choose an activity that they will find enjoyable and avoid tasks that may feel like chores or errands. 

3. On a walk or in a quiet place

You could suggest going for a walk in a quiet or familiar place. Nature can often help people to feel more relaxed, but it is important to check first. 

Women who do not feel safe at home may also feel anxiety in more public spaces. Concerns about letting others know their whereabouts may also affect a woman’s willingness to do something unplanned or out of their usual schedule. See if you can schedule some time together. 

Remember the four Cs: appear Calm, Confident, Consistent and Compassionate, however you feel inside.



Talking to someone about how they are can be difficult, especially if you believe they are struggling. You might not know what to say, or feel worried about how they will react.


It’s important to show that you are genuinely concerned about a woman’s experiences. 

Here are some suggestions on how to start the conversation:

  • “How are you feeling?”

  • “What has been the best and worst part of your day today?”

  • “It seems like you’ve been struggling lately. Are you comfortable talking with me about what’s going on?”

  • “I’ve noticed you’ve had a few down days lately, can you let me know how you’re feeling or what you’re thinking about?”

  • “If you are having feelings that are hard deal to with or scared of, you can always talk to me. I won’t be upset, I just want to listen.”

It is important to be direct, clear and avoid euphemism.

This might be difficult, so remember: you are asking the question because it is important to know the answer.

  1. Have you been thinking about suicide?
  2. Do you feel like you don’t want to be in this world anymore?
  3. Do you want to close your eyes and never wake up?
  4. Do you have any plans on hurting or killing yourself?

When they answer, listen with empathy and without judgement. You will find advice on what to say and what not to say further down this page. 

Be careful not to look shocked or upset as this may cause them to close up or be less honest. Be prepared to listen, even if it’s hard to hear, and try to stay calm. 

What to say

Here are some ways to keep the conversation going and opportunities to offer hope, support and empathy to women who are struggling. 

It can be very hard to ask these questions; remember it is always better to ask about suicide and get a definitive answer than to avoid asking and miss an opportunity to connect someone with urgent support. 

  • “Just take your time, there’s no rush.”
  • “I know talking about this can be difficult.  I’m here to listen.”
  • “You can tell me anything.”
  • “I want to listen and understand.”

Reassure them that they matter to you, you’re here to listen and support and you don’t need to rush off.   

Many people who feel suicidal will feel worthless, especially if their struggles have been brushed off or downplayed, which can happen with a lot of experiences affecting women. Showing them you are prioritising them and the conversation will mean a lot. 

  • “How long have you been feeling this way?”
  • “Have you felt this way before?”

Ask how and when their feelings changed and, if they have experienced this before, what happened last time. 

Reassure them that they won’t feel this way forever, and that the very intense feelings can and will change with time. 

  • “Have you got a plan? What is it?”
  • “Have you thought about how you would kill yourself?”
  • “Have you thought about when you would kill yourself?”
  • “Have you taken any steps to get the things you would need to carry out your plan?”
  • “Have you thought about how you might do this?”

This is important. 

People who have made a suicide plan are at more risk.  Let them know that you care about them and that they aren’t alone. 

If they start talking about the immediate future or plans for that day, it is important to stay with them and seek further help

  • “I can’t imagine how painful this is for you, but I would like to try to understand.”
  • “I’m here, we can find a way to get through this.”

Empathise with them. Be aware you don’t know exactly how they feel and may never experience or understand what is going on in their mind. 

Remind them that you have the time to listen and that you want to hear them. 

  • “You’re not alone, lots of people feel like this.”
  • “I’m glad you’re telling me how you feel.”
  • “You know, one in five people have thoughts like yours and recover from them, it is okay to feel like this.”

Try to offer hope and context – they are not alone, others feel this way and there is a lot of help available for them. Remind them that people can find ways to get through tough times and that you will help them. 

  • “What reasons do you have for staying alive?”

Ask about their reasons for living and dying and listen to their answers. Focus on people they care about, and who care about them. People are less likely to attempt suicide when they have positive future events to focus on. 

Keep asking open-ended questions – this means there isn’t a yes or no answer, but an opportunity for them to speak more, continuing the conversation. 

  • “Thank you for sharing this with me.”

Encourage them to seek help that they are comfortable with. This could be a doctor, therapist, counsellor or one of the many resources listed for women on this page. 

What not to say

It is important to know what you should avoid saying to get the best outcome. Take a look at the phrases below and learn why they might not be helpful to someone who is thinking about suicide.

Click each phrase for more information and clarifications. 

This is ignoring real feelings of despair and desperation and won’t help them to feel heard or understood. 

Their feelings won’t go away because you want them to, they will suffer in silence.

This could make someone feel more isolated and ashamed of what they are experiencing. 

Listen with empathy and without judgement.

Their distress and pain is real and may be cause by a combination of things, including mental health issues. Setting aside these feelings could make them feel they won’t be understood if they seek help. 

Many people who feel suicidal can feel like they are a failure in some way, whether related to family, work, relationships or something else. Criticism could increase their feelings of inadequacy. 

What is distressing them may be a combination of lots of complex reasons, including mental health issues that have been building over time. 

Suicidal ideation is painful, complex and unique to the individual. Telling them you understand their unique, personal struggles could come off as disingenuous and prevent them from opening up to you further. 

There has been a 32% increase* in women's suicides

Globally, 250,000 women take their own lives every year. 

This World Suicide Prevention Day, you can help support women at risk by donating or training with us.

*between 2012-2022, ONS data