Sarah Fuller had no concrete plan to die. But that didn’t stop her from thinking about the possibility often.

This spring, amid a spate of Division I college athlete suicides, the former Vanderbilt soccer goalkeeper and football kicker says she very easily could’ve been among them. In particular, the March death of Katie Meyer, a fellow goalkeeper who starred for Stanford, scared her into getting help. O.K., she thought, I need to change something about my mental health.