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“As doctors, we will have this tremendous opportunity to talk to people every day,” says Miriam Callahan, a second-year student at Columbia University medical school.

Suicidal thoughts are a normal reaction to an abnormal set of circumstances, says Columbia psychologist Ali Mattu, but the silence around suicide isolates people when they need help the most.

Patients are “getting treatments they may not need or that don’t work, or they’re getting more than they needed,” said Jeffrey Lieberman, psychiatrist-in-chief of Columbia University Medical Center.