The Republic of South Africa is facing a serious problem with suicides: estimates suggest that about 23 people die by suicide daily, and another 460 attempt it. These figures, provided by the South African Depression and Anxiety Group (SADAG), reinforce calls for the country to rethink its approach to discussing suicide and responding to individuals in crisis.
These numbers emerged against the backdrop of the World Suicide Prevention Day celebration in South Africa on September 10th. The World Health Organization (WHO) urges a change in the understanding and manner of discussing this issue. This year marks the end of the third and final year of the WHO's thematic campaign for 2024–2026 titled 'Changing the narrative around suicide,' with the call to action 'Start the conversation.'
This campaign aims to debunk harmful myths, reduce stigma, and encourage more open and compassionate conversations about suicide. Furthermore, it demands systemic changes, including strengthening public policy, implementing evidence-based prevention strategies, and improving access to quality psychiatric care.
Globally, the WHO reports that over 720,000 people die from suicide each year, and the consequences of this tragedy affect not only the individual but also their family, friends, workplaces, and communities.
The need for early intervention
SADAG notes that the demand for support in crisis situations demonstrates the scale of suffering people face daily. SADAG Operations Director, Cassie Chambers, emphasized that people desperately need help, as evidenced by daily calls.
SADAG hotlines receive between 2,500 and 3,000 calls per day, with approximately one in four serious calls related to suicide. Chambers believes that prevention cannot begin only when a person reaches a critical point. She argues that achieving significant results requires helping people recognize warning signs so they can more easily talk openly about suicide and know where to seek help.
Chambers added that families, friends, schools, workplaces, and communities should understand that discussing suicide is crucial, and asking directly about problems can open the door to receiving necessary support.
Calls from government bodies
Government departments have also expressed concern over the burden of suicide in the country, especially among youth. The Department of Women, Youth and Persons with Disabilities previously called for increased investment in psychosocial services, estimating the suicide rate in South Africa at approximately 23.5 deaths per 100,000 people.
This department highlighted the importance of creating environments where young people can discuss their difficulties and receive support before a crisis occurs. The department stated that protecting the mental well-being of youth requires commitment from the entire society, calling on families, schools, government, religious organizations, and communities to help create a supportive environment.
Moreover, the National Mental Health Policy and the Department of Health's strategic plan for 2023–2030 also place great emphasis on promoting, preventing, treating, and providing access to psychiatric care across the country.
For Chambers, one of the most important aspects of changing the narrative is eliminating the fear of asking directly about suicidal thoughts. She stressed that asking directly about suicide does not increase the likelihood of an attempt. SADAG urges people to ask this question directly, listen without judgment, and encourage seeking professional help.
Cipla, which has collaborated with SADAG within the current campaign, also aims to stimulate conversations before people reach a crisis situation. Cipla Africa CEO, Paul Miller, noted that sometimes a few words can mean more than they seem. He spoke about the 'Hope Stand,' which helps share these words, reminding a person that their life matters and that it is normal to talk about one's feelings. He urged people not to let the fear of saying the wrong thing prevent them from seeking help.
As the three-year cycle of the World Suicide Prevention Day campaign concludes in 2026, its message remains clear: changing the narrative begins with overcoming silence and easing the process for people to acknowledge that they are struggling and know where to turn for support.
Help is available
Anyone experiencing emotional stress or concerned about an acquaintance can receive free telephone counseling and support from SADAG. Cipla Mental Health hotlines (0800 456 789) are available for 24-hour free counseling, as well as WhatsApp Cipla Mental Health (076 882 2775) daily from 08:00 to 17:00. Additional resources on mental health and suicide prevention are available on the SADAG website.