"Every situation is different," Myszak said. "Anytime anyone is talking about suicide, you need to take it seriously. But people who don't talk about it do it more often. That's been my experience."
Myszak said the best thing to do should a loved one exhibit these warnings is straight out ask the person his or her intentions. Don't worry about putting the idea into their head. Research has shown that simply isn't the case.
"If you suspect someone is thinking about suicide, you need to ask," she said. "And if they are, don't just walk away from it. Take action. Let somebody else know. Get them some help. They may not want it. In fact, they'll probably be resistant to the idea. But you need to get them some help."
In the area, that help may just be a phone call away.
Across the Ohio River in Louisville, trained counselors with the private, nonprofit Seven Counties Services are ready to answer questions and provide support to callers in crisis 24 hours a day, seven days a week. Of the 60,000 calls to their Hope Now hotline each year, about 40 percent come from people they consider at risk for suicide. The National Suicide Prevention Hotline also routes nearby callers from their nationwide phone line to the center.
"We don't charge for anything we do. Our phone services are all free and everything they tell us is confidential," said Geneva Robinson, clinical supervisor for the Hope Now Hotline. "The only time we would break confidentiality would be in what we call active rescue situation. That's where somebody is either at imminent risk — meaning we know if we don't take action now, someone is going to end up dying — or has already taken an overdose or done something to hurt themselves."