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Suicide and crisis terms

Passive suicidal thoughts

Shariq Refai, MD, MBA, board-certified psychiatrist and the reviewer of this article.

Reviewed by Shariq Refai, MD, MBA·Updated March 15, 2026·About 3 minutes

About this term

Sources

  • CDC. Suicide Data and Statistics. 2023.
  • SAMHSA. Key Substance Use and Mental Health Indicators. 2022.
  • Posner K, et al. The Columbia-Suicide Severity Rating Scale: initial validity and internal consistency findings from three multisite studies with adolescents and adults. Am J Psychiatry. 2011.

Primary source: NIMH: Suicide prevention.

Frequently asked questions

What are passive suicidal thoughts?
Passive suicidal thoughts are wishes to be dead, to not wake up, or to disappear, without intent to act and without a plan. They're a recognized symptom of major depressive disorder and are common during severe episodes. They sit on the milder end of the suicidal-thinking spectrum but still deserve clinical attention.
Are passive suicidal thoughts an emergency?
Passive thoughts without intent or a plan are usually not an emergency, but they're a reason to talk to a clinician promptly. They can shift toward active thoughts during a worsening episode, and they belong in any conversation with a prescriber or therapist.
Should I tell my therapist about passive suicidal thoughts?
Yes. Bringing up passive thoughts gives a clinician important information about severity and informs the treatment plan, including the choice of medication, the pace of follow-up, and the value of a written safety plan. Talking about these thoughts doesn't increase risk.
When do passive thoughts become active?
Active suicidal thoughts include intent, a plan, or steps toward acting (acquiring means, choosing a time or place). Any movement from "I wish I weren't here" toward intent or planning is a reason to contact a clinician the same day, call or text 988, or go to the nearest emergency department.

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Last reviewed March 15, 2026.

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