Dare County Suicide Stories

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

The Breaking Through Task Force has partnered with The Saving Lives Task Force, Be Resilient OBX and Dare County to promote suicide awareness and education. We will be sharing stories of local individuals who have been impacted by suicide during September of 2022 (via social media posts and a documentary). The documentary will be aired during a special town hall event. The documentary may also be available on YouTube, social media, local TV, and websites. If you elect to participate, you do not have to be on camera, we can share your story anonymously and/or through social media postings.

I identify as: *

Someone who survived a suicide attempt

Someone who has considered attempting suicide

Someone who lost a relative to suicide

Someone who lost a friend/co-worker to suicide

Someone who supported a loved one through suicidal ideation

Other:

Required

Please share your story: *

Do you have a message of hope that you want to share to: loved ones of those who are dealing with loss due to suicide or those who are thinking of suicide?

Have you ever supported someone who survived a suicide attempt? Can you share how you helped?

If you have considered suicide, what helped you get through the crisis?

If you have ever been suicidal, what do you wish someone had done or said to support you?

I would be interested and willing to participate in the documentary/social media campaign via (Please note: we may only share images and names of deceased individuals with permission of next of kin.):

On Camera

By Voice-over (your face will not be shown but you will talk about your experience)

Through writing

Through photos

Other:

You may contact me about the information I have provided on this form: *

Yes

Clear form

Never submit passwords through Google Forms.

This form was created inside of Dare County.

Does this form look suspicious? Report

Forms