In this Q&A, we speak to Lakshmi Vijayakumar, a psychiatrist, researcher and founder of SNEHA, a suicide-prevention organization in India. Over the past four decades, her work — from tackling youth suicides to shaping laws and working with refugees — has saved countless lives, mainly because of her unshakeable belief in change. Here she speaks candidly about her journey, the challenges of changing minds, and the urgency of treating suicide as both a mental health and social issue.