God is our refuge and strength, an ever-present help in trouble. Therefore we will not fear, though the earth give way and the mountains fall into the heart of the sea, though its waters roar and foam and the mountains quake with their surging.

Do you not know? Have you not heard? The LORD is the everlasting God, the Creator of the ends of the earth. He will not grow tired or weary, and his understanding no one can fathom. He gives strength to the weary and increases the power of the weak. Even youths grow tired and weary, and young men stumble and fall; but those who hope in the LORD will renew their strength. They will soar on wings like eagles; they will run and not grow weary, they will walk and not be faint.

Race Gender History of Depression Previous Suicide Attempts Use of alcohol as a self treatment for depression Recent loss of important persons, positions, or possessions Socially isolated Clear plans

- Showing signs of depression for an extended period of time - Withdrawing from family and friends. - Making statements about ending their life - Writing notes or poems about suicide or death. - Giving away prized possessions. - Writing a will. - Being preoccupied with death or dying.

- Cutting is a sign of depression and not necessarily a suicide attempt - Always take suicide threats seriously - Never be afraid to ask someone if they have thought about it - Thoughts of suicide are extremely common

Antidepressants (35-45% success rate when used alone) Cognitive Behavioral Therapy (Connection of Thoughts, Emotions, and Behaviors) Electric Convulsive Therapy (ECT) Strong personal relationships Techniques to boost self-esteem and a sense of competence

Moderate and even gentle exercise such as a brief walk Meditation, prayer and relaxation exercises Having the ability to share our faith with others Spending time in nature and with pets Use of the Beck Depression Inventory

Feeling Good by David D. Burns Mind over Mood by Dennis Greenberger Self Esteem by Matthew McKay The Self Esteem Workbook by Glenn Schiraldi Treatment Plans and Interventions for Depression and Anxiety Disorders by Robert Leahy Draw Close to the Fire by Terry Wardle