In 2024, over 76,000 people died from drug overdoses in the U.S., a 27% drop from the previous year. But behind this improving statistic is a painful truth: many of these deaths were intentional suicide attempts. When someone deliberately takes too many pills or substances to end their life, it's called an intentional overdose. This method accounts for 15-20% of all suicide deaths in America, according to CDC data. The good news? Crisis resources are actively saving lives. Here's how they work and how you can access help right now.
What Is Intentional Overdose?
Intentional overdose happens when someone takes more medication or drugs than their body can handle on purpose to end their life. It's different from accidental overdoses caused by substance use disorders. The Substance Abuse and Mental Health Services Administration (SAMHSA) found that 2.7% of adolescents aged 12-17 attempted suicide in 2024, with overdose being one of the most common methods. For adults aged 18-44, suicide is among the top causes of death, and intentional overdose contributes significantly to these statistics.
Why does this happen? Many people in crisis see overdose as a way out because it feels accessible. Prescription opioids, sedatives, and over-the-counter painkillers like acetaminophen are frequently used. But this method carries serious risks: it can cause permanent organ damage, and survival often leads to long-term health problems. The Centers for Disease Control and Prevention (CDC) tracks these cases using specific ICD-10 codes to distinguish intentional suicide attempts from accidental overdoses.
Life-Saving Crisis Resources Available Now
When someone is in crisis, immediate help can make all the difference. The 988 Suicide & Crisis Lifeline A nationwide network of call centers that provides free, confidential support 24/7 for people in distress. Established in 2022, it handles over 4 million contacts annually. is a critical resource. Just dial 988 or 1-800-273-8255 to connect with trained counselors. In 2024, this service handled 4.7 million contacts-a 32% increase from 2023. Many users report life-saving experiences, like one Reddit user who said, "When I called 988 after taking too many pills, the counselor stayed on the line until EMS arrived 18 minutes later-that probably saved my life."
For text-based support, Crisis Text Line Free, confidential text support for mental health crises. Text HOME to 741741 for immediate help from trained volunteers. works 24/7. In 2024, it handled 3.2 million conversations with a median response time of just 37 seconds. This service is especially helpful for teens and young adults who prefer texting over calling.
Another vital resource is the SAMHSA National Helpline Free, confidential treatment referral service for substance use and mental health issues. Call 1-800-662-4357 for help finding local treatment centers.. It received 550,000 calls in 2024 and provides referrals to treatment facilities nationwide. While wait times have increased to 5.7 minutes on average (up from 2.4 minutes in 2022), it remains a crucial lifeline for those needing substance use treatment.
| Resource | How to Access | Response Time | Key Features |
|---|---|---|---|
| 988 Suicide & Crisis Lifeline | Call 988 | 5.7 minutes (2024 average) | 24/7 phone support, multilingual, connects to local crisis centers |
| Crisis Text Line | Text HOME to 741741 | 37 seconds (median) | Free text-based support, confidential, available 24/7 |
| SAMHSA National Helpline | Call 1-800-662-4357 | 5.7 minutes (2024 average) | Free treatment referral for substance use and mental health |
Why Crisis Resources Are Struggling Right Now
Despite their life-saving impact, these resources face serious challenges. Mental Health America's 2025 report found that 42% of people seeking same-day crisis services couldn't get help. Staffing shortages are a major reason-SAMHSA-funded crisis centers saw a 37% increase in staff turnover in 2024 due to funding instability. The Centers for Disease Control and Prevention U.S. federal agency tracking public health data, including suicide and overdose statistics. Provides critical data for prevention strategies. reports that rural areas have 25% higher suicide rates than urban areas but 40% less access to crisis services.
Funding cuts threaten progress. The Trust for America's Health 2025 report warns that proposed federal budget cuts could eliminate $480 million in state-level prevention funding. Without sustained investment, suicide rates could increase by 8-12% by 2027. Dr. Allison Arwady, CDC's National Center for Injury Prevention and Control Director, says, "The unprecedented decline in overdose deaths shows what's possible when we invest in public health. Cutting funding now would reverse this progress."
How to Get Help Right Now
If you're in crisis, here's exactly what to do:
- Call 988 immediately. You don't need to be suicidal to call-any mental health crisis qualifies. The call is free and confidential.
- If texting is easier, text HOME to 741741 for Crisis Text Line support. This service works for depression, anxiety, and substance use crises too.
- For substance use treatment referrals, call 1-800-662-4357. SAMHSA's helpline connects you to local treatment centers regardless of insurance status.
- If you're with someone in crisis, stay with them until help arrives. Remove access to medications or weapons. Call 911 if they're actively harming themselves.
Many people worry about costs, but all these services are free. The National Institute on Drug Abuse U.S. federal agency researching drug use and addiction. Provides evidence-based information on overdose prevention and treatment. confirms that crisis resources prioritize immediate safety over payment issues. Even if you're uninsured, you'll receive help.
Supporting Someone at Risk
If you know someone struggling, your support matters. Start by asking directly: "Are you thinking about suicide?" This shows you care and opens the door for help. Don't be afraid to say the words-research shows it reduces risk.
Here's what to do next:
- Stay with them until they're safe. Don't leave them alone.
- Remove access to medications, sharp objects, or firearms. Call 911 if they're in immediate danger.
- Call 988 together. Many people feel less alone when a loved one calls with them.
- Connect them to long-term care through SAMHSA's helpline or local mental health providers. Early intervention prevents crises from escalating.
Mental Health America's 2025 report found that people who receive support from loved ones are 50% less likely to attempt suicide. Your presence can be the difference between life and death.
Frequently Asked Questions
What should I do if I think someone is planning an overdose?
Don't ignore warning signs. Ask directly: "Are you thinking about suicide?" Stay with them, remove access to harmful substances, and call 988 immediately. If they're actively harming themselves, call 911. Your action could save their life.
Is 988 really confidential?
Yes. Counselors are trained to maintain confidentiality. They won't share your information with police or family unless you're in immediate danger of harming yourself or others. Calls to 988 are completely private.
What if I can't afford mental health treatment?
Free or low-cost options exist. SAMHSA's helpline (1-800-662-4357) connects you to treatment centers that offer sliding-scale fees or free services. Many community health centers provide mental health care regardless of ability to pay. Crisis resources like 988 and Crisis Text Line are always free.
How do I know if someone needs help?
Watch for changes in behavior: withdrawing from friends, talking about death, giving away possessions, or sudden calmness after deep depression. These are red flags. Trust your instincts-if something feels wrong, ask directly. You don't need to be a mental health expert to help.
Can intentional overdose be prevented?
Yes. The CDC's 2024 data shows overdose deaths dropped 27% due to coordinated prevention efforts. Key strategies include restricting access to lethal means, expanding crisis services, and integrating mental health care with substance use treatment. Every person who reaches out for help has a chance at recovery.
