On Purpose with Jay Shetty

Harvard Psychologist Matthew Nock: 20% of People Experience Suicidal Thoughts! (Spot the Signs and Ask THESE Questions That Could Save a Life)

56 snips
Sep 15, 2025
Dr. Matthew Nock, a Harvard professor and expert in suicide prevention, sheds light on the urgent issue of suicidal thoughts. He emphasizes that these thoughts often stem from a desire to escape pain rather than a wish to end life. The discussion covers risk factors like age, gender, and social disconnection, alongside the impact of technology. Matthew stresses the importance of open conversations about mental health, debunking myths that asking about suicide puts ideas in people's heads. This insightful dialogue aims to empower listeners to support those in crisis.
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INSIGHT

Suicide Often Means Escape Not Death

  • Most people who attempt suicide do not truly want to die but seek escape from intolerable psychological pain.
  • About 15% think about suicide, one-third of those attempt, and only ~5–10% of attempters die by suicide.
INSIGHT

Pathway From Thoughts To Attempts

  • The pathway to suicide usually progresses from ideation to planning to attempt, but timelines vary widely.
  • Many people have thoughts for years while most attempts occur within the first year of ideation onset.
INSIGHT

Different Predictors For Thought Versus Action

  • Different factors predict thinking about suicide vs acting on those thoughts.
  • Depression predicts ideation; anxiety, impulsivity, aggression, and substance use predict acting on ideation.
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