25

Call 12356 if you’re depressed or having suicidal thoughts; don’t keep sleeping pills or pesticides at home

UpdatedGrade BBig benefitLifespanFreeLittle timeNo willpower

Removing lethal items from easy reach is a proven way to cut suicide risk: after restricting access to painkillers, suicide rates linked to them dropped by 43%; installing barriers at locations where people often jump off cliffs cut rates by 86%. That’s why it’s a good idea to avoid storing sleeping pills and pesticides at home. If you’re feeling overwhelmed, call 12356 — this national helpline is available at least 18 hours a day.

Cost
There’s no cost involved. You just need to make one phone call. Plus, lock away any medications and keep pesticides out of the house.
Benefit
A recent review of nearly a decade’s worth of research confirms that limiting people’s access to lethal means is an effective suicide prevention strategy. After controls on painkiller availability were put in place, suicide cases tied to these drugs fell by 43%. Installing protective barriers at common suicide hotspots reduced rates by 86% (the 95% confidence interval ranges from 79% to 91%). School-based cognitive intervention programs also lowered rates of attempted suicide by roughly 55% (OR 0.45, 95% CI 0.24–0.85). Antidepressant medications and psychotherapy are also key components of suicide prevention. Starting May 1, 2025, the 12356 helpline will be available nationwide in China, operating at least 18 hours each day.
Notes
The B rating is based on two factors: most evidence supporting restrictive measures comes from ecological studies that compare suicide rates before and after policy implementation; there is currently no direct evidence that the helpline itself reduces overall mortality rates. Suicidal impulses typically last only a few minutes to a few hours, so simply removing lethal items from immediate reach is a meaningful intervention on its own. Data on outcomes over longer time periods following suicide attempts, as well as information on long-term consequences for survivors, can be found in Item 32 of this section (“Tell someone close to you as soon as suicidal thoughts arise”).
Sources · 2
  1. Zalsman G 等 (2016). Suicide prevention strategies revisited: 10-year systematic review. Lancet Psychiatry. doi.org/10.1016/S2215-0366(16)30030-X
  2. 国家卫生健康委 (2024). 关于应用"12356"全国统一心理援助热线电话号码的通知(国卫医政函〔2024〕259 号). gov.cn/zhengce/zhengceku/202412/content_69944…

← Read the whole chapter: 1. How to avoid premature death

Keyboard shortcuts

Typing any letter opens search, so commands use Option ⌥ + Shift ⇧ + a key (Windows: Alt + Shift + key). / and ? still work on their own.

/ / Ctrl K
Open search
a–z
Type any letter (not a shortcut) to start searching
Esc
Close dialog, menu or sidebar
?
Show these shortcuts
↓ / ↑
Next item
AltShift
Next item
AltShift
Previous item
AltShift
Next chapter / next item on item pages
AltShift
Previous chapter / previous item
AltShift
Mark the current item done
AltShift
Save the current item
AltShift
Listen to the current item
AltShift
Random item
AltShift
Toggle dark mode
AltShift
Show/hide sidebar
AltShift
Open filters
AltShift
Go home
AltShift
Open tools
AltShift
Open self-check
AltShift
Toggle live edit (admin)
AltShift
Bigger / smaller / default text (+)
AltShift
Bigger / smaller / default text (−)
AltShift
Bigger / smaller / default text (0)

Appearance and colors

Sign in

Sign in to carry what you saved, did and read to every device. No password: enter your Gmail, get a 6-digit code or a link, and you are in.