How to Listen, What to Say
“I believe my friend is thinking about suicide and I don’t know what to do. I am worried about saying the wrong thing…”
Reach Out
If you have a strong feeling that a friend or someone you care about is thinking about taking their own life or self-harming, reach out and ask them. Asking them if they are considering suicide will not make them more likely to go through with it. You are not putting ideas into their head or increasing the risk, research has proven that by acknowledging suicide and openly discussing it may reduce suicidal ideation. Simply asking them “You’ve said some things that worry me, are you thinking about suicide?” will show them that you are open to talking and are willing to listen to their feelings without judgment. Many experts say that simply talking about suicide can relieve some of the worries that someone may be experiencing as it gives them a chance to be heard and to know that someone who cares is there for them. Stay calm, be honest, and actively listen. You are providing much-needed support by listening, even if you are not quite sure what to say.
If your friend isn’t ready to talk just yet don’t force them to share anything. Just let them know you are there for them and ready to listen whenever they feel the need to reach out.
After asking if suicide has been on their mind
After asking if suicide has been on their mind, try asking “Are you in immediate danger or have you made plans to end your life?”. This will help you determine if this emergency needs urgent action. If they appear to be in immediate danger do not leave them alone, just by being there you are doing something very valuable. This may all prove quite shocking to you so try to remain calm and don’t panic. Call 999 or help your friend to dial a support helpline. It can also be helpful to remove any potentially harmful items from the room, placing them as far away as possible (these can include sharp objects or knives, drugs or medications, cleaning products, wire, belts, or rope) Remember to acknowledge that their feelings are real and legitimate.
Acknowledge that their feelings are real and legitimate
Don’t try to offer quick and easy solutions. Listen to why they are in emotional pain. Help them try to focus on their own reasons for staying alive, not yours. You could try saying “I may not know exactly what you are going through but I want to try to understand”. It shows that you empathise with them and genuinely care about the pain they are feeling. Encourage them to focus on getting through today rather than the much more stressful bigger future. Try to help them find something with meaning that they can hold onto. The goal is to try and remind them of what they value and what’s important to them. You could try saying “I know we can get through this” or “Just because you don’t feel strong now doesn’t mean you aren’t strong enough to move on”, to offer them support and hope.
Once you have established their immediate safety it is important to connect them to ongoing professional mental health support. Another important step is to help them develop a crisis safety plan. For more detailed information on how to do this, click https://www.papyrus-uk.org/resource-suicide-safety-plan/. You can also make an arrangement to contact them either by phone, text, or in person the next day, and throughout the days that follow, but don’t promise anything you can’t commit to. Thank you for being there for your friend.
In summary: Assess the risk of suicide or self-harm, listen non-judgementally, give reassurance and information, and encourage them to seek appropriate professional help and use self-help strategies.
If you are feeling suicidal or know someone that is thinking of taking their own life
click the button for urgent help and emergency contacts
Some Useful Responses
“I’m sorry to hear you feel that way”
“It sounds like that is very painful”
“I’m going to stay with you”
“I’m listening to you and I want you to keep talking to me”
“I know you mean what you are saying”
“I hear you and I care”
Some Reassurances
Help them to feel hope and optimism
Acknowledge they have a real medical problem
Inform them that effective help is available
Ask them “I want to help, is there anything you need right now?”
What Not to Do
Don’t minimise or brush off the intensity of their feelings.
Don’t analyse their motives
Don’t argue or use guilt to prevent suicide
Don’t try to fix all of their problems
Do not promise secrecy, confidentiality never applies to suicide its more important to ensure their safety.
Don’t say “You’re not thinking about doing something stupid are you?”
For further training in suicide prevention and support
And for more information on arranging individual and group training sessions visit Tan Y Maen. You can also contact Papyrus who run regular training for individuals, groups, and businesses, ranging from free introductory tutorials to an extensive 2-day course in Applied Suicide Intervention Skills Training.
Goal Zero is supported and part-funded by the following organisations, and without their help this community campaign would not be possible.
