] Roberto, welcome back to the show! [03:07] Roberto please fill us in on how you got involved with ADHD and suicidality. [04:12] He gives us statistics on the number of people who die by suicide every year. [05:52] Roberto shares how ADHD can impact the treatment when dealing with both issues. [07:04] There is research that shows that individuals with ADHD have a higher risk of self-harm and suicide. [07:24] Does that include people with ADHD but have never had depression? [09:31] Roberto shares a study following kids with ADHD ages 4 to 6 for fourteen years showing how many of them had a plan for suicide during that time. [10:32] Roberto describes the difference between self-harm versus suicide. [13:02] He speaks about author a leading suicide specialist and his book [15:57] Because people with ADHD are prone to impulsiveness, could there be a non-attempt attempt at suicide? [18:34] Roberto tells us that many people who attempt suicide feel like they are burdens to their families and leaving will make it easier on them. [21:06] If you feel like you are a burden or that you don't want to be here, please call the at 800-273-8255 to talk to someone about what you are feeling. [27:01] Roberto shares a story where a client had rehearsed his suicide so often in his mind that he used it to self-soothing. [29:40] Coping mechanisms can take many different forms, but you shouldn't be ashamed to tell someone about them. [31:00] Roberto speaks about how he struggled in high school to find out where he fit in the world. [34:41] How should someone respond if a loved one comes to them with thoughts of suicide? He says the first thing is to listen without overreacting. [36:06] Praise them for being open and trusting you with these thoughts. [37:31] Give them the and don't simplify it. [39:57] If there is an imminent risk that they will follow through, it's time for them to get help as quickly as possible. [41:39] Roberto shares that 50% of suicides are by firearms, 66% of gun deaths are suicides.  [43:28] What are some lessons you have learned from people who have attempted suicide? [45:00] If you have ADHD and major executive dysfunction it can be very difficult but there are ways and strategies to get through the challenges. [47:56] Roberto chats about how important finding your tribe or community is because you are not alone. [50:41] Roberto shares that non-suicide contracts do not work and are not effective. [52:32] He speaks about occasions when churches wouldn't do funerals of people who died from suicide because of the stigma that lingers even today. [54:22] Roberto wants listeners to know that there is help out there for anyone that has feelings of suicide. [55:01] Thank you, Roberto, for being on the show, please come back again. [55:47] If you're a regular listener, consider becoming a patron and on our Patreon at Find Roberto: