How to Help Someone Who is Suicidal

Understanding how to help a suicidal friend or family member can be one of the most challenging yet important tasks you ever take on. People who are contemplating suicide often feel isolated and believe there’s no other way out. As someone who cares, you can play a crucial role in guiding them back to safety and hope.

That’s why it is incredibly important to know the warning signs of suicide, how to help someone who is suicidal and where to find professional support.

If you or a loved one is experiencing an urgent mental health crisis, CALL 988 immediately or seek the nearest emergency room. Do not wait.

Recognizing the Warning Signs of Suicide

Identifying the warning signs of suicidal ideation is the first step in helping someone who might be at risk. While some signs may be subtle, others can be more obvious. Here are some common suicide warning signs to watch for:

Behavioral changes

• Withdrawal: The person may start withdrawing from friends, family and social activities.
• Mood Swings: Look for significant mood changes, such as extreme sadness, irritability or unexpected calmness after a period of depression.
• Change in Sleep Patterns: They may have trouble sleeping or, conversely, may sleep much more than usual.
• Risky Behavior: Engaging in reckless activities without concern for their own safety can be a red flag.

Verbal cues

• Talking About Death: If someone frequently talks about death or expresses a wish to die, take it seriously.
• Feeling Hopeless: They might express feelings of hopelessness or mention having no reason to live.

Situational triggers

• Major Life Changes: Events such as the loss of a loved one, a breakup or losing a job can trigger suicidal thoughts.
• Substance Use: Alcohol and drug use can increase the risk of suicide.

How to Help Someone Who Is Suicidal

If you notice any warning signs, it’s important to act promptly. Here’s how you can offer support:

Start the conversation

Initiating a conversation can be tough, but it’s crucial. Approach your loved one with care and empathy. You can start with:

• “I’ve noticed you’ve been feeling down lately. Do you want to talk about it?”
• “I’m really concerned about you. You’re important to me, and I’m here to listen.”

Listen without judgment

Let your loved one express their feelings openly. Listening is powerful. Avoid offering solutions or minimizing their feelings. Instead, show empathy and understanding. Phrases like “That sounds really difficult” or “I’m here for you” can be comforting.

Assess the risk

If your loved one talks about suicide, ask direct questions to assess their risk. You might ask:

• “Have you thought about how you would do it?”
• “Do you have a plan to harm yourself?”

These questions might feel uncomfortable, but they show you take their feelings seriously and can help gauge the immediacy of the risk.

Encourage professional help

Guide your loved one toward seeking professional help. Suggest they talk to a therapist, counselor or doctor. You can offer to help them find resources or accompany them to appointments if they’re open to it.

Involve others

Don’t try to handle this alone. Involve other trusted friends or family members to create a support network. The more people supporting your loved one, the better.

Emergency Situations

If your loved one is in immediate danger, don’t hesitate to call emergency services or a suicide prevention hotline, such as 988. Stay with them until help arrives.

Suicide prevention hotlines

A suicide prevention hotline can provide immediate support and guidance. In the United States, you can reach the 988 Suicide & Crisis Lifeline simply by calling 988.

Self-Care for Caregivers

Helping a suicidal loved one can be emotionally taxing. It’s important to take care of yourself as well. Here are some self-care tips:

• Set Boundaries: While it’s important to be supportive, it’s also crucial to set boundaries to prevent burnout.
• Seek Support: Talk to a therapist or join a support group for caregivers.
• Practice Self-Care: Engage in activities that replenish your energy and emotional well-being.

You Can Make a Difference

Helping a suicidal loved one is daunting, but your support can make a significant difference. By recognizing the warning signs, starting a compassionate conversation and encouraging professional help, you can guide them towards the path of healing. Remember, you are not alone in this journey — there are resources and people ready to support both you and your loved one. Together, we can break the silence and offer hope to those in despair.

The crisis response center at Friends Hospital in Philadelphia is available 24/7 to assist adults experiencing an acute mental health crisis, such as suicidal ideation. To learn more or schedule a level of care assessment, call 800-889-0548.

If you or a loved one is experiencing a mental health crisis, CALL 988 or seek the nearest emergency room.