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Recognize Warning Signs for Suicide Risk:
Remember that there is no typical suicidal person. Anyone can be
thinking of killing themselves. Review some of the common warning
signs that you can look for.
What You Can Do If Think Someone May Be Suicidal:
Be
direct. Talk openly and matter-of-factly about suicide.
Ask the person, "Are you thinking of killing yourself?"
Don't lessen the reality of the situation by using phrases like
"ending it all" or "going to sleep." Gently
hold up for the person what kind of decision they are really making.
- Listen to the person in crisis.
Allow expressions of feelings, including feelings about wanting
to die. Accept the feelings, even if they scare you. Let the person
cry or scream if needed in order to get their feelings out.
Make a specific contract with the person to call you, a crisis
line, or some other person or agency before they do anything to
hurt or kill themselves. If the person won't make such a promise,
it is not safe to leave them alone for any period of time. Make
sure someone stays close by the person (in the same room, in visual
contact) and get outside help immediately.
- Don't say things like "It's
not so bad" or "Things will get better soon."
That invalidates the overwhelming feelings that the suicidal person
is having and can cause them to feel very alone. Instead, try
to say things like, "You feel so terrible right now that
you can't see any way out other than killing yourself." That
lets the suicidal person know that you can hear how desperate
they feel.
- Don't be judgmental. Don't
debate whether suicide is right or wrong, or feelings are good
or bad. Don't lecture on the value of life. Don't talk about suicide
in judgmental terms, such as "doing something dumb."
- Get involved. Become available.
Show interest and support. Let the suicidal person know that you
care about them.
- Don't underestimate a threat of
suicide. It's natural to want to believe that a friend
or loved one isn't at risk, but the fact is that people who threaten
to commit suicide often do commit suicide. By the time friends
and family become aware of the suicidal thoughts, the risk of
suicide is often very high. Take the person seriously. Never dare
the person to do it or tell the person that you don't think that
they would be able to do it. Do not deny or minimize the idea
that the person is serious.
- Try not to act shocked.
This will put distance between you and the suicidal person, and
they may feel like you can't understand. Show them that you want
to understand and that you are not going to turn away or reject
how they feel.
- Get support for yourself
so that you will be able to support the suicidal person. Don't
agree that you will keep their thoughts of suicide secret. Let
them know that you will be there to love and support them, and
that you will need to get more support for both of you. Don't
try to handle a suicidal person by yourself. Bring in other friends
or family or call a crisis hotline for support.
- Try to find out how the
person plans to kill himself or herself. Do they have a specific
plan, with the time, day and/or method picked out? The more specific
the plan, the greater the risk. Some methods of suicide tend to
be more lethal than others. For example, if a suicidal person
plans to use a firearm, that represents a very high level of risk.
However, almost all methods carry serious risk. Remember that
some over-the-counter medications, such as acetaminophen (Tylenol),
can be life-threatening, even in relatively small doses.
- Remove the method, such
as the gun, pills, or knife. Call law enforcement if there is
immediate danger involved to yourself or to the person in crisis.
For instance, you should not try to get a gun out of the hands
of a suicidal person. You could end up harming both yourself and
the other person. Law enforcement officers are trained to handle
dangerous situations, and you should let them intervene.
- Get help from experts. Call
your local suicide or crisis hotline (e.g., 2-1-1 Information and Crisis Services or
1-800-SUICIDE). Get in touch with a therapist or counselor who
has experience working with suicidal clients. Most states have
laws allowing for short-term, involuntary evaluation and hospitalization
for people who demonstrate suicidal intent. In Florida, this law
is called the "Baker Act." Suicide hotlines are often
able to provide you with information and talk with you about what
your options are.
Disclaimer: The information provided here is
for educational purposes only, and should not be used as a substitute
for seeking professional care for the diagnosis and treatment of
any mental/psychiatric disorders.
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