When someone you know is suicidal

Learning that someone you care about feels suicidal often marks the beginning of a stressful time. This news may come as a shock to you. There might be part of you that doesn't want to know any more about it or deal with it. You might be unsure of what to say and worried that whatever you say will only make things worse. 

You might experience many different feelings in response to this news, such as panic, fear, frustration, anger, resentment, helplessness, hopelessness and distress. It might touch on your own beliefs about life and death.

All are understandable reactions to a serious situation and should remind you of the need to look after your own wellbeing during this crisis. However, while having these feelings it is important not to let them and your reactions get in the way of talking openly with the person you are concerned about, so that you can begin to understand their pain and estimate their risk of attempting suicide. Importantly, if you can remain outwardly calm and confident in your approach to the suicidal crisis, this can be very reassuring for a person who is feeling suicidal.

 

The suicidal crisis is a psychological injury?

An analogy that people sometimes find helpful in understanding a suicidal crisis is to imagine that, like a physical trauma, it is an emotional or psychological injury for the person. While the situation is not necessarily as simple or straightforward as this, it might help you to better understand what the person is going through.

 

The initial role that you as a support person play is therefore similar to performing physical first aid. That is, you assist the suicidal person to 'stop the emotional bleeding' and ensure the suicidal person has access to professional mental health supports. You wouldn't take on the whole responsibility of fixing someone else's broken limb or treating their heart attack as you would understand that they require expert support and the assistance of a professional such as a doctor or surgeon. In the same way, it is best to encourage the person you are concerned about to seek the assistance of mental health professionals, such as a doctor or psychologist.

This does not mean that you won't have an important role to play in the long term for the person you are concerned about. They will continue to greatly benefit from your care and support and ability to offer them a 'listening ear' when needed along the way. 

 

I feel like it's my fault

People can blame themselves when someone they are close to feels suicidal. This is often the case when a relationship breaks down or when a child feels suicidal. 

 

In some situations, the suicidal person might be saying this to you directly, or you might simply feel that you are in some way responsible or have done something to cause them to feel this way. 

It is important for you to understand that it is not your fault. The suicidal person's thoughts and feelings are based upon: 

 

  • their own interpretation of the stressful events, traumas or difficult circumstances that they have experienced or are currently experiencing
  • their current view of the future, which could very well appear hopeless to them right now.

 

Looking after yourself

Supporting someone who feels suicidal or who has attempted suicide can take a lot of time and emotional energy. People often report feeling burdened, guilty or drained when offering support to someone who feels suicidal. These are natural responses to a difficult situation. 

 

Talk to someone

Don't try to deal with this situation alone; you need to look after yourself by sharing the responsibility. This could include: 

 

  • talking to another person who is also concerned about the suicidal person
  • talking to someone outside the situation, such as a friend, family member, colleague or a helping professional (either in person or over the telephone). 

 

Talking to someone outside of the situation will give you the space to talk about how this situation is affecting you, identify your own needs and build on your coping strategies for managing the situation.

Also ask yourself "How much time and energy can I give to this situation?" You will be no help to either yourself or the person you are concerned about if the experience of feeling drained develops into exhaustion and burnout.

 

Self-care

Take time out of your support role to care for your own wellbeing. 

Are you eating properly and getting enough sleep? 

Do you have time to do the things that are meaningful for you?

 

Reducing stress

Managing your own stress levels is important. Some strategies you might draw upon to assist you when feeling under stress are: 

 

  • Listening to music 
  • Getting out into nature 
  • Exercise 
  • Massage 
  • Relaxation 
  • Yoga 
  • Meditation 

 

This information is available as a downloadable PDF

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