If you or someone you know is having suicidal thoughts, help is less than a moment away. Call or text 988 or visit suicidepreventionlifeline.org for free, confidential support 24 hours a day, seven days a week. The previous hotline, 1-800-273-TALK (8255) or 741741 via text, is still available as well.
When Emily Litman was in middle school, kids whose parents grounded them would blithely lament: "I just want to die." Now she's a middle school teacher in New Jersey, and when her students' phones and TikTok access are taken away, their out-loud whining has a 21st-century digital twist: "I feel so unalive."
Litman, 46, teaches English as a second language to students in Jersey City. Her students don't use — and perhaps have never even heard — English words like "suicide." But they know "unalive."
"These are kids who've had to learn English and are now learning TikToklish," Litman says.
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"Unalive" refers to death by suicide or homicide. It can function as adjective or verb and joins similar phrasing — like "mascara," to mean sexual assault — coined by social media users as a workaround to fool algorithms on sites and apps that censor posts containing discussion of explicit or violent content.
Language has always evolved. New words have always popped up. Teenagers have often led the way. But the internet and online life pave the way for it to happen more quickly.
In this case, words created within a digital setting to evade rules are now jumping the fences from virtual spaces into real ones and permeating spoken language, especially among young people. Beyond being interesting linguistic footnotes, the terms suggest ways that kids can safely discuss and understand serious matters while using a vocabulary that science — and the adults in their lives — might see as too casual or dangerously naive.

(AP Illustration/Peter Hamlin)
But don't get too worried, experts say. Such a shift is known as a "lexical innovation," says Andrea Beltrama, a linguistics researcher at the University of Pennsylvania. He and others say that while it might be jarring for non-TikTokkers to hear suicide and sexual assault discussed so euphemistically, it doesn't necessarily remove the seriousness from the conversation.
"Whoever says 'unalive' intends to communicate something about suicide, and knows that, and assumes that whoever is on the other end will be able to retrieve that intention," Beltrama says.
Suicide is the second leading cause of death among people ages 10-24, according to the Centers for Disease Control and Prevention, and suicide rates for that age group increased more than 50% from 2000-2021.
Using "unalive" could actually make for more meaningful discussions among youths — giving them a sense of community and trust they couldn't have with adults who use the words "suicide" or "kill." Beltrama draws a parallel between "unalive" and how a saying like "Let's go Brandon" has become a way to express disdain for President Joe Biden without using the profane phrase that it's code for.
Like "Let's go Brandon" — which arose from a sports broadcaster's on-air mistranslation of a vulgar crowd chant about Biden at a NASCAR race — "unalive" took on, well, a life of its own. Political conservatives chummily co-opted "Let's go Brandon," and TikTokkers did the same with "unalive."
"'Unalive' is not only successful, but also seems to be creating almost this kind of solidarity or affiliation between groups of people who share this ability of decoding what 'Let's go Brandon' means," he says.
Dr. Steven Adelsheim, a Stanford University psychiatry professor and the director of the Stanford Center for Youth Mental Health and Wellbeing, also advises against overreaction.
"Young people are pretty savvy," Adelsheim says. "I think people understand what they're doing when they're using 'unalive' as a flip descriptor."
Amber Samuels, a 30-year-old therapist in Washington, D.C., who has used "unalive" in her own social accounts, says that she has heard clients use it and similar euphemisms in speech. To her, "it doesn't feel abnormal or unusual."
"I think when we avoid using specific language to talk about suicide and sexual assault, we risk contributing to a culture of silence and shame surrounding these topics," Samuels says. "In the case of social media, though, it's the avoidance of using the actual, uncensored word that allows awareness and conversations to even be possible."
Lily Haeberle, 18, a senior at Indiana's New Palestine High School, says she recently heard a classmate jokingly refer to "re-aliving" oneself after dying. It could be helpful, she says, to reserve words like "unalive" for such flippant references.
"I think they have sort of developed these alternative words as a means of still being able to joke about those types of things without it coming across in such a harsh way," Haeberle says.
It follows that a vanguard of youth culture — video gaming, in which characters are killed right and left and defeated players often cry, "I'm dead!" — has incorporated the term. Gamer forums and chat rooms are rife with references to "unaliving" characters only to have them "respawned," or resurrected.
Dictionary.com — the hipper alternative to major English-language dictionaries that so far do not appear to address "unalive" in this sense — uses this example in its definition: "The point of the game is to unalive all enemies before losing your last life token."
Kids have always had their own slang, but today's adolescents are digital natives constantly barraged with information. Litman has mixed feelings about whether referring to suicide with "unalive" might help or hurt, but she's encouraged that kids are at least talking about it. Particularly, she says, if perceiving suicide as "unaliving" might make a struggling youth more likely to ask for help.
"They're much more comfortable with these topics," she says, "than I would have been at their age."
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The US teen suicide rate is on the rise
The US teen suicide rate is on the rise

Over the past five years, suicide has been the second-leading cause of death for people ages 15-19 in the United States—second only to accidents. It might seem convenient or tempting to blame youth suicides on one headlining perpetrator—social media, the COVID-19 pandemic, bullying, or substance abuse, for instance—but the reality is much more complicated. It involves location, race, and socioeconomic status, among other compounding factors.
Certain groups are more at-risk than their peers. A survey from the Trevor Project in 2022 found that 45% of all LGBTQIA+ youth seriously considered suicide within the past year. Suicides amongst Black youth have also increased, partly due to increased racial discrimination and trauma radiating from incidents of public police brutality against Trayvon Martin, George Floyd, Breonna Taylor, Michael Brown, and many others.
Researchers are at work identifying the unique challenges teenagers face that put them at increased risk for suicide, as well as developing age-individualized solutions. In conjunction with the Biden administration's Unity Agenda, the Health Resources and Services Administration recently updated its national guidelines to mandate suicide risk screening for those ages 12 to 21.
The Substance Abuse and Mental Health Services Administration pledged $7.3 million to a suicide prevention program focused on tribal youth and early intervention to aid students in juvenile justice systems, foster care, and mental health treatment centers.
While the rate of deaths from suicides among teens is lower than the rate for the U.S. general population—14-15 deaths per 100,000 people in recent years, compared to 10-12 deaths per 100,000 15-19-year-olds—teen suicide has nonetheless traced an alarming upward trend since well before the onset of the COVID-19 pandemic—only to be further exacerbated thereafter.
Charlie Health examined the rising rate of suicide among adolescents, specifically looking at data for 15-19-year-olds citing data from the Centers for Disease Control and Prevention.
The increase in teen suicide is the result of many factors

Social dynamics aside, teenagers have always been particularly vulnerable to suicide risk due in part to the physical developmental stage they are in. Teens have an underdeveloped prefrontal cortex—an area of the brain that does not fully develop until a person's mid-20s—which can lead to increased impulsivity.
Combined with some significant stressors over the past two decades, it is possible to hypothesize reasons for the increase in youth suicide rates. However, it is unwise to pin the blame on any of these factors definitively.
Teenage suicides began to rise in 2008, coinciding with the economic recession. Teens experiencing a loss of perceived safety and general anxiety about the future—often due to feelings of instability—may have lead to an escalation in the number of youth suicides. Subsequently, the isolation and lack of socialization resulting from the pandemic, notably in its first year, conflated with factors such as climate change, increased frequency of school shootings, and rising student debt, are also thought to have contributed.
Youth suicide rates in Georgia, Indiana, New Jersey, Oklahoma, and Virginia were all higher during the pandemic than before.
How states compare

The five highest-ranking states for teenage suicide, according to the latest CDC data, are Colorado (21.2 deaths per 100,000 youths), New Mexico (21.9), Montana (30.3), South Dakota (33.6), and finally Alaska, topping all 50 states with 39.8 deaths per 100,000 youths. One underlying cause of the relatively high rate of suicide in the mountain states is the region's concentration of rural and often isolated communities.
From 2015 to 2019, urban suburbs and big cities had the lowest youth suicide rates. The community types with the most youth suicides tended to be more geographically scattered, relatively isolated groups, such as Native Americans, members of the Church of Jesus Christ of Latter Day Saints, strongholds of evangelical Christian practice, and farmlands in the Great Plains.
In these groups, teenagers may face more pressure to conform to traditional religious and gender roles. This fact, coupled with difficulty finding others to socialize with and increased access to firearms or living in a place where gun culture is deeply entrenched, boosts the risk levels for taking one's own life.
Recognizing these unique factors, Montana Gov. Greg Gianforte recently allocated $2.1 million to the Rural Behavioral Health Institute to fund expanded capacity for mental health screenings and same-day urgent care in all schools across the state.
The Alaska Youth Suicide Prevention Program trains high school students to provide peer-to-peer suicide prevention in their classrooms, using the evidence-based Question Persuade Refer (QPR) method.
Native teens face many unique challenges that are disadvantageous to their mental well-being

Suicide rates amongst Native American youth are alarmingly high, comprising the second-most common cause of death for Native youth ages 10 to 24.
Native teenagers face unique challenges that put them at higher risk for suicide than their peers, including intergenerational marginalization, resulting in increased rates of abuse, violence, and depression within their communities.
As a result, efforts to address high suicide rates amongst Native youth are also tailored specifically to their circumstances. The Center for Native American Youth encourages "community-based recognition programs," including fellowships, competitions, and civic engagement training, to elevate local youth to feel empowered.
Grantees with the National Institute of Mental Health have outlined a framework for Native youth suicide prevention by strengthening community ties, including "a sense of belonging to one's culture, a strong tribal/spiritual bond," and "the opportunity to discuss problems with family or friends."
This story originally appeared on Charlie Health and was produced and distributed in partnership with Stacker Studio.
Jeff McMillan, a longtime editor at The Associated Press, is also a member of the AP Stylebook editing team. Follow him on Twitter at http://twitter.com/JeffMcMillanPA