How to Talk to Someone who is Suicidal: Tools and Guidelines

Assisting a person in suicidal distress in 4 steps

A brief guide for immediate action in cases of suspected suicide risk:

  • Direct verbal cues: statements such as “I am going to kill myself.”
  • Indirect verbal cues: statements such as “I’m tired of life,” “I can’t go on like this.”
  • Severe changes in mood and behavior: avoidance, withdrawal, anger outbursts and deep sadness, loss of appetite or increased appetite, sleep disturbances, sudden calmness.
  • Suspicious actions that may indicate preparation for suicide: hoarding pills, purchasing firearms, writing farewell letters.
  • Important to know: Asking about suicidal thoughts does not “put ideas into someone’s head.” It instead opens a path to talk about distress and get help.
  • Approach the person and ask directly, honestly, and with care.
  • Show interest in their emotional state and try to understand their distress and needs.
  • Listen without judgment and try to understand their emotional state and needs.
  • Ask a clear, direct question to assess whether suicidal distress is present, for example:
  • “Have you been feeling so sad recently that you really wanted to die?”
  • “Have you ever thought about suicide?”
  • “Are you thinking about killing yourself?”
  • Note: Listen calmly and without judgment. Do not argue with the pain, do not promise that everything will be fine, and do not say things like “you have no reason to feel this way” or “think about your family.” Instead, it is better to say: “I hear that you are in a lot of pain. I’m here with you, and we will look for help together.”
  • If there is suicidal distress, help reduce fears about seeking help. Express concern, care, and willingness to help. Suitable phrases at this stage include:
    • I know it’s hard for you to find hope right now. I just ask that you don’t stay alone with this despair.
    • “Even if it’s hard to see right now, there are people who can and want to help you.”
    • “I know you’re in pain. It doesn’t have to stay this way. There are ways to reduce this pain.”
  • Help ease fears about seeking professional help. Do everything possible to connect the person to a support resource or professional, and offer to accompany them in accessing appropriate help: “I’m here with you, let’s take the next step together.”

You can refer the person to a family doctor, psychiatrist, emergency room, social worker, psychologist, counselor, hotline, and more. However, it is important to emphasize: do not rely only on a general recommendation to seek help. Offer to take active steps together—call together, sit with them while they write a message, accompany them to the emergency room, or contact a family member, friend, or professional who can stay with them.

  • ERAN | Emotional first aid (24/7) | phone or chat 1201
  • Sahar | Online emotional support and listening (24/7)

Note: Even after contacting a support service, it is important to follow up and check on the person you referred. You can send a message, call, and make sure they are not left alone with their distress.

In an immediate emergency situation

In an immediate emergency situation

  • Talk as soon as possible
  • Pick the right place
  • Clear some time
  • Prepare information in advance
  • Don't promise confidentiality
  • Avoid giving advice
  • Communicate honestly and sensitively
  • Pay attention

Note

Note

How not to talk about suicide

In case of an immediate crisis

In case of an immediate crisis

Hotlines for mental health first aid

List of support and help lines on the government services website