Completed suicides reflect only a portion of the impact of suicidal behavio
r; sublethal behaviors cause morbidity and can signal treatable problems su
ch as depression. There is no national quantification of nonlethal suicidal
behaviors. The present study used a random-digit-dialed telephone survey t
o estimate the 12-month incidence of suicidal ideation, planning, and attem
pts among U.S. adults. Of 5,238 respondents, 5.6% (representing about 10.5
million persons) reported suicidal ideation, 2.7% (about 2.7 million) made
a specific suicide plan, and 0.7% (about 700,000) made a suicide attempt (e
stimate = 1.1 million attempts). Hence, suicidal behaviors are not uncommon
and occur along a continuum ranging from ideation to completed suicides. P
reventing nonlethal precursor behaviors may prevent deaths.