I know this post is going to be a downer but I think there is a lot more to be talked about regarding depression, mental health, and entrepreneurship.

I recently heard a terrifying stat about founder suicides recently. A friend told me that he’d heard of over a dozen suicides from entrepreneurs in the past few years. I didn’t press him for the specific data because I didn’t want to struggle through it, but I personally knew of three so I expected that it would add up to a dozen pretty easily.

Yesterday, I read a post titled The Downtown Project Suicides: Can the Pursuit of Happiness Kill You? It’s part of a series done by Re/code on the Downtown Las Vegas project. The series started out very positive with an article titled Downtown Las Vegas Is the Great American Techtopia but in the middle of the series Tony Hsieh Stepped Down From Lead Role at Las Vegas Downtown Project, 30 percent of the staff got laid off, and the articles turned negative with Factorli, an Early Casualty of the Las Vegas Downtown Project.

And yesterday, the suicide article — The Downtown Project Suicides: Can the Pursuit of Happiness Kill You? — appeared. It’s a rough one that talks about three suicides — Jody Sherman (4/13), Ovik Banerjee (1/14), and Matt Berman (4/14) — all people involved in the Vegas Tech phenomenon.

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I’m saddened by the struggles around The Downtown Vegas Project. I’ve long thought, and continue to think, it’s a really interesting experiment.

But I’m really upset by the suicides. Re/code’s article is harsh and questions the Happiness philosophy of Tony Hsieh and whether it is partly responsible for the suicides. Kim Knoll, who was apparently interviewed for the article, has a solid response to this. But regardless of the root cause, which we can’t possibly know from the article, the fact stands that three entrepreneurs involved recently committed suicide.

First, if you are ever considering committing suicide, immediate reach out to someone and ask for help. Amy and I recommend the National Suicide Prevention Lifeline if you don’t know where to turn. The 800 number is 1-800-273-TALK (8255).

When I had my first clinical depression in my mid-20s, Amy and I set up a few rules around things. We specifically talked about suicide and I agreed that if I ever had a suicidal thought, I wouldn’t act on it. Instead, I would immediately stop what I was doing, tell Amy what I was thinking, and we’d discuss it. During this long depression, I only had one suicidal ideation, but it was while we were driving on a highway in Sedona (I was driving). I immediately pulled over to the side of the road, stopped the car, and told Amy what I was thinking. We switched seats – she drove the rest of the way, and then we had a long conversation that night. After the conversation, even though I was still very depressed, I felt immense relief and support.  When we got back to our home in Boston after that vacation, I started therapy, which was incredibly helpful.

Our society still has an incredible stigma associated with depression. Anyone who has been depressed knows that it is extremely hard to describe how it feels to someone who hasn’t ever been depressed. My favorite description of depression continues to be from Hyperbole and a Half. I’ve recently started describing it as an emotional pain that is significantly worse than almost all physical pains you could imagine, especially because it seems to go on forever. And sometimes this pain is so severe that it feels like ending it all by committing suicide is the only answer.

While this isn’t unique to entrepreneurs, the intensity of being an entrepreneur, especially when your company is failing, or you are failing at your role, can be overwhelming. I see it all the time and try to be a very empathetic listener whenever I encounter it. I’ve learned a huge amount from my friend Jerry Colonna about how to be helpful and know that I’ll continue to be on a journey around mental health and entrepreneurship.

It’s ok to fail. It’s ok to lose. It’s ok to be depressed.

If you are contemplating suicide, get help. If you have an entrepreneurial friend contemplating suicide, do your best to get them help.

This story originally appeared on Brad Feld. Copyright 2014

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