Ask directly
Use the word suicide. Asking calmly does not create the thought; it can make honest disclosure and timely help more possible.
Practical UK guidance for responding to suicidal thoughts in a teenager, starting a direct conversation and arranging appropriate urgent or ongoing help.
Suicidal thoughts can change quickly. A website cannot decide whether somebody is safe; direct conversation and the appropriate NHS or emergency route come first.
Use the word suicide. Asking calmly does not create the thought; it can make honest disclosure and timely help more possible.
Stay connected, involve another responsible person and use urgent services when the person may act or cannot remain safe.
This collection contains four routes so the card grid remains complete and each concern has a specific next step.
Keep the sequence short enough to use under pressure.
Pay attention to direct statements, preparations, withdrawal, intoxication, severe agitation or a sudden inability to stay safe. Absence of one sign is not proof of safety.
Listen without judgement. Ask whether the person is thinking about suicide, whether they may act and whether they can stay safe while help is contacted.
Move towards a safer shared place, involve a trusted person and use NHS 111, an urgent GP appointment or the person’s mental-health team.
Call 999 or go to A&E when the person may act, cannot remain safe or the situation presents immediate danger.
When urgent and clinical arrangements are already in place, the patient enquiry form can be used to ask whether non-crisis wellbeing support is appropriate.
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