Across the globe, millions of people have marked themselves with a semicolon—quietly or boldly stating, “my story isn’t over.” This study explores the emotional, psychological, and communal impact of symbolic action in mental health recovery, including tattoos, art, rituals, and participation in awareness events like World Semicolon Day.
From 1,100 survey participants, we found that symbolic acts like tattooing, public ritual, or sharing personal symbolism were deeply meaningful—often described as transformative moments in one’s recovery journey. These symbols offered more than expression; they offered anchor points of survival.
Study Design
Mixed-methods qualitative research focused on symbolism and recovery. Data was gathered from individuals who had engaged in symbolic actions related to their mental health journeys.
Data Collection
Timeframe: September 9,2023 – June 30, 2024
Participants: 1,103 individuals
Methods:
Online survey (18 questions)
Narrative submission option
42 follow-up interviews conducted with tattoo recipients and event participants
Demographics Collected:
Age, gender identity, race/ethnicity
Whether participant had a semicolon tattoo or participated in World Semicolon Day
Motivation and emotional impact of symbolic action
Connection to recovery status (self-reported)
Demographic Category | % of Participants |
---|---|
Age | |
14–24 | 33% |
25–44 | 51% |
45+ | 16% |
| Gender Identity | | | Women | 60% | | Men | 29% | | Nonbinary/Other | 9% | | Prefer not to say | 2% |
Type of Symbolic Action | Participants |
---|---|
Semicolon tattoo | 74% |
World Semicolon Day participation | 39% |
Personal mental health symbol (art, jewelry, etc.) | 22% |
Ritual (lighting candles, public remembrance, journaling, etc.) | 19% |
“It felt like reclaiming my life. Like saying, ‘I survived—and I choose to keep going.’”
Most participants described their tattoo or symbolic ritual as a turning point—marking survival, identity, or a new chapter.
“I look down and see proof I didn’t give up.”
Participants overwhelmingly described their semicolon tattoo as an active part of their healing. For many, it was a daily visual reminder of resilience.
“On World Semicolon Day, I don’t feel alone anymore.”
Events like World Semicolon Day helped people feel part of something bigger. Sharing stories, lighting candles, or gathering in tattoo shops turned a painful past into collective meaning.
“I couldn’t talk about what happened yet. But I could put a mark on it.”
Some used tattoos or rituals to externalize trauma they weren’t ready to speak aloud, giving their experience form, space, and eventual language.
“People asked about my tattoo. It gave me a chance to tell my story.”
Many found their symbolic action became a bridge—sparking conversations, creating connections, and helping others feel less alone.
“It’s not just a semicolon. It’s every night I almost ended the sentence.”
— 26-year-old participant, Pennsylvania
“Getting the tattoo didn’t fix everything. But it was the first decision I made to live.”
— 34-year-old male, Australia
“When I posted my semicolon candle for my brother, strangers replied with love. It was the first comfort I’d felt since losing him.”
— 40-year-old participant, California
“World Semicolon Day makes grief feel sacred, not shameful.”
— 19-year-old participant, UK
The data confirms what Project Semicolon has believed from the beginning: symbols heal. Not by erasing pain, but by giving it form—and giving survivors the power to own their narrative.
Recommendations:
Expand World Semicolon Day, increasing access to free or low-cost tattoos and remembrance events globally
Offer digital and physical ritual kits (candles, journals, prompts) for individual or community use
Create space for people to share tattoo stories and memorials, making symbolism part of our collective healing archive
Partner with mental health professionals to explore how symbolic action can be integrated into recovery plans
To everyone who turned pain into ink, memory into ritual, and silence into symbol—thank you. Your story lives on, written in the spaces between endings and beginnings.
Want to get involved in World Semicolon Day or support our tattoo network? Reach us at:
📧 research@projectsemicolon.com