Suicide is the tenth leading cause of death worldwide, resulting in over 800,000 deaths in 2013. Suicide often begins with suicidal thoughts and can progress to self-injury or completed suicide if left untreated. Mental illness, impulsiveness, relationship or financial problems, and bullying are all risk factors. Males are more likely to die by suicide than females, using more violent methods, and rates have increased 60% since the 1960s. When considering suicide, people are no longer thinking rationally and need serious help. Friends and family should look for signs like changes in behavior or interest in activities to intervene and seek help. Never ignore suicide threats - help is available through counseling services like Lifeline Port Moresby.