First, tell your friend you are honored they trust you enough to tell you. And the number one most important thing you can do is listen with empathy.
So what does that mean? Listening with empathy means you listen without passing judgement or offering advice. You can’t “fix” this but you can prevent a suicide simply by sitting and listening to someone.
So what do you say exactly?
When they say they want to suicide, you can say. “Tell me more, I’m listening.” If you can’t remember anything else on this post, you can remember to listen. Many times that is all it takes to prevent a suicide.
When they say they are worthless and no one would care if they were dead. You can say something like, “That is must be so painful to feel that way. I do want you to know I would care, though. How long have you felt this way?”
Like I said. Listening is the most important. But you can ask these questions.
“Do you have a plan?”
“Have you attempted suicide before?”
“How do you think your mother/father/sister/brother/dog/spouse would feel if you died?”
Don’t fight their answer. By asking you are just planting a seed.
If they say, “What if I attempted and I botch it and make myself disabled for life?” Agree with them that that could happen. Because it could.
If they say, “I am afraid [insert method] will hurt.” Agree with them that it could hurt a lot.
If they say, “Do you think that if I killed myself, I’d go to hell?” Answer honestly that you really don’t know. You don’t want to promote a religious debate and it’s not a “sin” but a public health issue. But if they are feeling doubt and their faith is something that is making them hesitate, then that’s not a bad thing at the moment.
Don’t say, “You have so much to live for!” That sounds like you are invalidating feelings.
A suicidal episode often lasts twenty minutes or so. While that is typical, it could be shorter or longer. If someone who is experiencing an episode of depression or psychosis, it is more complex.
If it looks really bad, you have to call 911. But most don’t need 911 and you can always call the suicide hotline together or the crisis text line and ask together or call to ask for advice.
USA Crisis Text 741-741
United Kingdom 116 123
Australia 13 11 14
International suicide hotlines
Do not make the promise you won’t tell anyone. You don’t want to go on instagram and announce it, of course, but just say that you’d prefer they told a trusted adult. Encouraging the person to get help might mean connecting with them the next day and ask if they have made an appointment for an assessment.
If you have a friend who is telling you about thoughts of suicide often and they won’t tell a trusted adult even if you offer to go together, you may have to tell a trusted adult yourself. You’d rather a friend be mad at you than dead.
One of my friends called me and confessed he was struggling with thoughts of suicide and during our conversation he mentioned his psychiatrist recently increased his medication dose. We decided together that the sudden onset of his thoughts of suicide might be due to to that and the best idea was to call the psychiatrist the following day to report the issue.
I stayed with him on the phone until the episode passed and got back in touch the next day. He made the call and told me later that he had reached out and the increase in meds was the problem.
You will feel you are “not qualified” to do this. But the truth is, the power of caring enough to connect with another human and listening does prevent suicide.
All you can do is the best you can do. Thank you for caring enough to look this up and be there for a friend.