The goals of suicide prevention are to help the person understand that you care, there are alternatives to suicide, they can get safely through the crisis and that you can help them seek available resources.
How Should I Respond to Suicidal Behavior?
[box type="alert" size="large" icon="none" border="full"]What Can I DO When the Need is URGENT?
- Call 800.273.TALK (8255) or
- Call your local mental health agency crisis line
- Use Crisis Text: Text VT to 741741
- For information and referral on suicide resources in Vermont, you can dial 2-1-1
- For an online directory of suicide resources click here
- Take the person to the nearest emergency room
- Never leave a suicidal person alone
- Do not leave the person with access to firearms, medications, alcohol and other substances which they might use to kill themselves or which might lower their resistance to causing themselves harm[/box]
The steps to helping a suicidal person:
Show You Care –
- Speak slowly and calmly
- Be positive and reassuring
- Acknowledge the person’s pain
- Give the person your full attention
- Be supportive and non-judgmental
- Be honest and direct: “I care about you and am concerned”
Ask About Suicidal Intent –
Asking does not plant an idea in someone’s head. It provides relief and opens the door to communication.
- Do you have thoughts of killing yourself?
- When you say that, I feel concerned. “Are you thinking about suicide?
Get Help –
Offer help but recognize your own limits
- Do not be the only person offering help or providing support
- You are not alone. Help is available.
- Who do you trust that you’d like to talk to?
- Can I go with you to get help?
Always Offer Hope
Help them to understand that life in general, and theirs in particular, is important and has purpose and meaning. You can say…
- “There are solutions that can help you feel better and I will help you find them”
- “Other people who have considered suicide have gotten help to feel better”
- “Perhaps it’s hard to see it right now, but you have a future that is important”
- “I’m sure there are other people who count on you. Let’s try and identify some of them”
Warning Signs: Cause for Immediate Concern
- Mentioning, threatening suicide or expressing a strong wish to die
- Making a plan—how, when, where
- Seeking access to lethal means—guns, medications, poisons, rope, alcohol, cars
- Talking, writing, drawing, or texting about death, dying or suicide
- Giving away prized possessions, putting life in order
- Showing abrupt improvement after a period of sadness or withdrawal
- Feeling “beyond help”
Other Warning Signs
These are indications that the person is in severe psychological pain. They may not signal an immediate emergency but the person does need help.
- Increased alcohol or other drug use
- Abandonment of activities once considered enjoyable
- Impulsiveness and unnecessary risk-taking
- Neglect of personal appearance
- Preoccupation with death (through music, poetry, drawings, video games, movies)
- Severe mood swings
- Persistent feelings of failure
- Unexpected anger or wish for revenge
- Persistent physical complaints
- Difficulty concentrating
Indications of serious depression that could lead to suicide:
- Unrelenting low mood
- No sense of purpose in life
- Anxiety, agitation or psychic pain
- Sleep problems
- Pessimism or hopelessness
- Desperation or feeling trapped
- Withdrawal from family and friends
Things to Avoid, do not –
- Argue about whether suicide is right or wrong
- Minimize or discount the problem
- Say anything that might cause shame or guilty feelings
- Try to forcefully remove a weapon
- Act shocked
- Interrupt and offer advice
- Offer unrealistic solutions
- Promise to keep a secret
The most important thing is: If someone is in physical pain we would try to take action to heal or decrease it. If someone is in pain emotionally, we should also offer resources that can help. They may include medication, seeing a professional, learning skills to decrease anxiety, self-care, coping and reaching out for help, support groups, nutritional support and physical activity. There are many ways to offer help. Asking, checking in, and talking about mental health challenges, disordered thinking or mental illness is OK.