World Suicide Prevention Day (WSPD), observed annually on September 10, is orchestrated by the International Association for Suicide Prevention (IASP) in collaboration with the World Health Organisation (WHO) to amplify global awareness that suicide is preventable. The triennial theme for WSPD is "Changing the Narrative on Suicide," with the call to action "Start the Conversation." According to WHO's official statement, this theme seeks to underscore the significance of reducing stigma and fostering open dialogues to avert suicides. Transforming the narrative on suicide involves reshaping how we view this intricate issue, moving from a culture of silence and stigma to one of openness, comprehension, and support.

Suicide continues to be one of the foremost causes of death, transcending all age groups, genders, and backgrounds. In our Southeast Asia Region, suicide is a significant public health issue, with over 200,000 fatalities annually. "Stigma surrounding mental health conditions and suicide means many contemplating suicide do not seek assistance. Suicides and attempts have a cascading effect on families, friends, colleagues, communities, and societies," stated Saima Wazed, WHO Regional Director for Southeast Asia.

"Let us recall that suicide prevention is not only about crisis management but also about constructing robust, supportive communities where individuals feel connected and valued. Small acts of kindness, open dialogues, and a non-judgmental ear can profoundly influence someone's life," she added. By dismantling the stigma associated with mental health and suicide, we foster an environment where individuals feel secure to seek help. It is vital to ensure that everyone understands they are not alone and that effective interventions and support systems are accessible.

Family and friends can be the initial to identify warning signs and can initiate the process of helping a loved one access mental health treatment. It is also crucial for family, friends, and other social support structures to seek professional guidance following a loved one's suicide attempt. A holistic approach to public health is essential, encompassing overall mental health, well-being, and quality of life for all. This is, in essence, the first pillar of our regional roadmap for results and resilience, emphasizing the importance of adopting a mental health, well-being, and quality-of-life perspective across all public health initiatives, including addressing the social determinants of health.

Through this perspective, we can devise more comprehensive approaches that promote overall well-being and enhance health and quality-of-life outcomes for individuals and communities. This holistic approach will result in the development of more open and supportive societies, where everyone should be able to 'start the conversation' without fear of judgment or stigma. Every effort matters, every conversation is significant, and every life is valuable. Each of us can individually contribute to starting the conversation, and collectively, we must build a society where anyone can initiate the conversation.

Let's construct a world where hope prevails and every individual feels supported.