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Four years ago, Sandra Gilmore, 66, moved back into her childhood home in Sewickley, Pennsylvania, to take care of her 90-year-old parents. Her mother has dementia, congestive heart failure

and diabetes. Her father is hard of hearing. Once she left them for a week with around-the-clock care to go to Disney World with her grandson and his parents. Other than that, Gilmore says

she only leaves her parents to make short trips to the grocery store or to pick up takeout. "There's definitely a little anxiety when I leave them,” she says. She also admits to

getting frustrated at times, too. “When I find myself getting testy and losing my patience, I need to put myself in time-out for a while.” Gilmore, a retired nurse, says, “You would think I

would be totally prepared for this. No, not even close. Nothing prepares you for this. It's a whole different ballgame. It's like steadily going down a dead-end street.” When the

pandemic hit, Gilmore and many other unpaid family caregivers across the nation faced a daily struggle to preserve their mental health. Now the crisis is taking its toll on them. A recent

report based on a nationwide survey from the Centers for Disease Control and Prevention (CDC) about the types of mental health challenges people are facing during the pandemic found that

nearly 31 percent of unpaid family caregivers, like Gilmore, reported seriously considering suicide in the preceding 30 days, compared with the 11 percent of the other adults taking the

survey who were not caregivers. Unpaid family caregivers also reported having more symptoms of depression and anxiety, and starting or increasing substance use to cope with the stress of

COVID-19 on top of caring for their loved ones, compared to the other respondents. The survey was administered from June 24 to 30 and included almost 5,500 adults. Only 4 percent of adults

in 2018 had serious thoughts of suicide, according to a 2018 national survey on drug use and health by the Substance Abuse and Mental Health Services Administration (SAMHSA). This new data

has mental health experts concerned about its ripple effects. "We don't really know how many people go from suicide ideation onto suicide,” says Rajeev Ramchand, senior consultant

for epidemiology and suicide prevention at the National Institute of Mental Health. However, “even thoughts about harming one's self suggest significant despair and distress. It's

noteworthy and concerning, and we should pay attention to it because it could be indicative of future suicide,” says Ramchand. However, he cautions that “what we don't know is if during

normal times caregivers have higher suicidal thoughts."