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Ask Dr. Steve: The truth about spring and suicide risk

By Steven Szykula, PhD and Jason Sadora, CMHC - Special to the Standard-Examiner | Apr 11, 2026

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Steven A. Szykula

Most people believe suicide rates peak during winter holidays. This is a persistent myth. Research consistently shows that suicide rates are actually lowest in December and highest in spring and early summer — April through June. Understanding this counterintuitive pattern could save lives.

The spring peak has been documented across countries and decades. Yet media coverage and public awareness campaigns concentrate on winter holidays while the actual high-risk period receives less attention. This timing mismatch means prevention efforts miss when they’re most needed.

Knowing that spring carries elevated risk–and understanding why–helps communities, families, and individuals stay vigilant when it matters most.

Understanding the Issue

Q: Why do suicide rates peak in spring instead of winter?

A: Several factors contribute. People who were depressed through winter may gain enough energy in spring to act on thoughts they previously lacked motivation to execute. The contrast between others’ renewal and one’s continued suffering intensifies despair. And the cultural expectation that spring should bring improvement creates hopelessness when it doesn’t.

Q: How significant is the spring increase?

A: CDC data shows April through June have suicide rates 2-3 times higher than December. This pattern holds across international studies spanning multiple decades. The difference isn’t subtle — spring is genuinely and consistently the highest-risk period.

Q: Why does the holiday myth persist?

A: Holiday suicide stories are compelling narratives that media repeats annually despite evidence. The emotional logic seems obvious: loneliness during “family time” causes despair. But research doesn’t support this. Meanwhile, the actual spring peak lacks a simple narrative hook, so it receives less coverage.

Q: Does Utah have additional risk factors?

A: Yes. Utah and other Mountain West states form what researchers call the “suicide belt” with rates significantly above national averages. Research increasingly links altitude to suicide risk — reduced oxygen may affect serotonin production and brain function. Utah’s combination of altitude, cultural factors, and limited mental health access creates elevated baseline risk.

Q: What warning signs should I watch for?

A: Watch for talking about being a burden, expressing hopelessness about the future, withdrawing from activities and relationships, giving away possessions, sudden calmness after depression (possibly indicating decision has been made), increased substance use, and researching methods. Any direct statement about wanting to die should be taken seriously.

Q: How do I ask someone if they’re thinking about suicide?

A: Direct questions are appropriate and don’t increase risk: “Are you thinking about suicide?” or “Are you having thoughts of ending your life?” Asking doesn’t plant ideas — it communicates that you can handle honest answers and opens conversation. Vague questions allow vague deflections.

Q: What do I do if someone says yes?

A: Stay calm — your reaction matters. Listen without judgment. Don’t argue or minimize. Ask if they have a plan or means. Remove access to lethal means if possible. Don’t leave them alone if risk seems imminent. Connect them to crisis resources: 988 Suicide and Crisis Lifeline. Professional help is essential, not optional.

Q: Why is the “energy paradox” so dangerous?

A: Severe depression often involves psychomotor retardation — slowed movement, decision-making, and energy. Someone may have suicidal thoughts but lack energy to act. As depression begins lifting — whether from treatment, seasonal change, or other factors — energy returns before mood fully improves. This window creates elevated risk.

Q: How do allergies connect to spring suicide risk?

A: Research shows correlations between pollen counts and suicide rates — up to 7% increases during peak pollen periods. Allergic inflammation releases cytokines that affect brain regions regulating mood. This biological mechanism may contribute to spring’s elevated risk beyond psychological factors.

Q: What protective factors help?

A: Connection reduces risk — relationships where someone would be missed matter. Reasons for living, whether family, faith, goals, or pets, provide anchors. Access to mental health treatment provides intervention. Reducing access to lethal means (firearms, medications, dangerous locations) prevents impulsive acts. None guarantee safety, but all reduce risk.

Closing

Spring’s suicide risk is documented, significant, and underrecognized. Knowing this pattern helps direct vigilance when it’s most needed rather than during the lower-risk holiday season that receives more attention.

If you’re struggling, spring’s difficulty is real–not a failure to appreciate nice weather. The season that “should” bring relief often intensifies suffering. This disconnection isn’t your fault, and it doesn’t mean improvement won’t eventually come.

If you or someone you know is experiencing suicidal thoughts, reach out immediately: 988 Suicide and Crisis Lifeline (call or text 988). Crisis support is available 24/7.

For those experiencing persistent depression, seasonal mood patterns, or concerning thoughts, professional evaluation provides clarity and support. Comprehensive Psychological Services (WeCanHelpOut.com) offers assessment for mood disorders and can help develop targeted treatment approaches.

Starting at $4.32/week.

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