Suicide is the second leading cause of death among young people, according to the CDC, and statistics show that LGBTQ youth are four times more likely to seriously consider, make a plan for, and attempt suicide than their peers.

September is Suicide Prevention Month, and we’re talking to Sarah Middleton, a licensed professional counselor and intensive in-home therapist at Saint Luke’s Crittenton Children’s Center, about how the LGBTQ youth are at risk for suicide, signs to look for, and what to do to help prevent a loved one from attempting suicide.