
Suicide Prevention Starts With a Conversation
Talking about suicide can feel uncomfortable. You may worry that saying the wrong thing will make things worse—or that asking someone directly about suicide could put the idea in their head.
But according to OSU Medicine psychiatrist Sara Coffey, D.O., having an honest conversation can be an important first step in helping someone who is struggling.
Know the warning signs
Changes in behavior don’t always mean someone is thinking about suicide, but they are worth noticing—especially when they are sudden or occur after a difficult experience.
Signs may include:
- Withdrawing from family and friends
- Expressing hopelessness or feeling like a burden
- Significant changes in sleep or behavior
- Increased use of alcohol or other substances
- Talking about death, dying or suicide
Don’t be afraid to ask
If you’re concerned about someone, it’s okay to ask directly: “Are you thinking about suicide?”
Asking the question does not plant the idea in someone’s mind. It can create an opportunity for someone to talk honestly about what they’re experiencing and allow you to help connect them with support.
You don’t need to have the perfect words. Start by listening without judgment and letting the person know you care. “People don’t have to have the perfect words,” Coffey said. “Being willing to listen, stay connected and help someone find support can make a tremendous difference.”
Take concerns seriously
If someone tells you they are thinking about suicide, don’t dismiss their feelings or promise to keep it a secret. Stay connected and help them find appropriate support.
You can call or text 988 to reach the 988 Suicide & Crisis Lifeline, available 24 hours a day, seven days a week. If someone is in immediate danger, call 911 or go to the nearest emergency department.
You don’t have to solve everything in one conversation. Sometimes the most important thing you can do is simply start one.
OSU Behavioral Medicine – Legacy
5310 E 31st St,, Suite LL
Tulsa, Oklahoma, 74135
918-236-4000