Suicide Prevention
You don’t have to be a mental health professional to help someone who is feeling suicidal; you just need to be able to listen. Asking directly about suicide is the right thing to do if you are worried about someone.
Many people fear talking directly about suicide in case they “give the person the idea”, but there is no evidence that talking about suicide can be harmful – quite the opposite in fact. For many people it can be a huge relief to be asked the question in a direct way.
It is a myth that people who talk about suicide are unlikely to go through with the act. Anyone who talks or writes about taking their own life should be taken seriously. Never assume that a person who has spoken about suicidal thoughts before and not acted on those thoughts won’t do so this time.
Suicide is and can be a stigmatised subject, language is important i.e. ensuring we don't say things like 'commit' suicide.
We hope you will find this guidance helpful, in addition please remember to contact SSAFA's Principal Safeguarding Officer, Suzanne Cornford, to report the safeguarding concern, and if you have had to notify the emergency services of the suicide plan or attempt. This is so as an organisation we can monitor our safeguarding activities and ensure that you get the support you need after dealing with these situations. You can also contact our Mental Health and Wellbeing Manager, Stuart Irons for support.
SSAFA contact details:
Principal Safeguarding Officer, Suzanne Cornford - Suzanne.cornford@ssafa.org.uk
Mental Health and Wellbeing Manager, Stuart Irons - stuart.irons@ssafa.org.uk
Not everyone who thinks about suicide will tell someone, and there are some people who give no indication at all of their intention. However, there are warning signs that we can all look out for. These include, if a person is:
- Talking or writing about death, dying or suicide.
- Actively looking for ways to kill themselves.
- Talking about feeling hopeless, or of having no reason to live.
- Talking about being a burden to others.
- Talking about feeling trapped or in unbearable pain.
- Increasing the use of alcohol or drugs.
- Suddenly very much ‘recovered’ after a period of depression.
- Visiting or calling people unexpectedly to say goodbye either directly or indirectly.
- Making arrangements; setting their affairs in order.
- Giving things away, such as prized possessions.
The best way to help is to ask questions. That way you leave the other person in control. By asking questions, the person you are talking with finds his or her own answers.
Why is it important to ask?
If someone is suicidal, they are likely to be feeling:
- Cut off from everyone around them
- Scared or frightened about wanting to die
- Desperate for support but too scared to ask
Common fears
Would talking about suicide put the idea more into their thoughts?
No. if a person is suicidal, the thought is already in their mind. If they are not suicidal, it won't do them any harm.
What if you say the wrong thing? Could it damage your rapport with them?
Showing you listen and care for them will not damage your connection; saying nothing could result in losing them.
Very Brief Intervention
Ask
Be alert and aware
Ask how this person is feeling?
- Often people want to talk, but wait until someone asks how they are. Try asking open questions, such as "What happened about..?" "Tell me about..." or "How do you feel about..?"
- Repeat back what they say to show you understand, and ask more questions.
- Focus on feelings instead of trying to solve the problem - it can be of more help and shows you care.
- Respect what they tell you. Sometimes it's easy to want to try and fix a person's problems, or give them advice. Let them make their own decisions.
- Be aware of verbal or physical cues of anger and/or emotional distress.
Ask open questions
- When did you realise?
- Where did that happen?
- How did that feel?
Assist
If someone has been feeling low for some time it is probably a good idea that they get some support, whether it is through talking to someone, such as a counsellor, or getting some practical help.
Useful questions you might ask them include:
Have you talked to anyone else about this?
Is there anything you did that helped you when you felt this way before?
Focus on coping mechanisms and protective factors.
Would you like to get some help?
Or, for someone who is reluctant to get help:
Do you have someone you trust you can go to?
Have you had any suicidal thoughts/thoughts about taking your own life?
It's important to use the word suicide, this doesn't plant suicidal thoughts or increase the likelihood of this happening.
Suicide is a permanent solution to a temporary problem. It's important to be direct and this can enable someone to open up and discuss feelings with you.
Do you have a Suicide Safety Plan?
If someone is serious about taking their life, it may help them to talk this through, it won't put the idea in their head and doing this does fit in with Safetalk/ASIST approaches.
Act
If you’re worried that someone is at immediate risk of taking their own life you should phone 999
You should stay with that person until help arrives, but do not put your own safety at risk by getting physically involved.
If there is no immediate risk take the following steps:
Encourage them to ring or visit one of the following organisations.
Samaritans - Veterans app
Web: samaritans.org/how-we-can-help/military/samaritans-veterans-app/
Telephone support for all ages, call: 116 123, open 24 hours a day.
NHS Services for Veterans and Reservists
Web: nhs.uk/nhs-services/armed-forces-community/mental-health/veterans-reservists/
Help for Heroes
Web: helpforheroes.org.uk/get-help/mental-health-and-wellbeing/suicide-awareness/
Shining a Light on Suicide
Web: shiningalightonsuicide.org.uk/the-military-community-suicide-prevention/
(This site also has links to other useful websites)
Stay Alive app
Web: stayalive.app
A pocket suicide prevention resource packed full of useful information and tools to help you stay safe in crisis. You can use the app if you are having thoughts of suicide or if you are concerned about someone else who may be considering suicide.
Papyrus (young people)
Tel: 0800 068 41 41
Text: 07786209697
Email: pat@papyrus-uk.org
Opening hours - Mon-Fri: 10am-10pm, weekends: 2pm-10pm & bank holidays: 2pm-5pm
CALM - campaign against living miserably
Tel: 0800 068 41 41 (7 days a week 5pm to midnight)
Web: thecalmzone.net/
SANE - Mental health helpline
Tel: 0300 123 3393 (7 days a week 4.30 pm - 10:30 pm)
Web: sane.org/
Maytree - a sanctuary for the suicidal
Tel: 020 7263 7070
Web: maytree.org.uk/
Other options include:
- Contacting their GP for an emergency appointment or calling the Out of Hours service
- Calling their Mental Health worker, if they have one
- Calling their social worker or key worker, if they have one
- Encouraging them to re-engage with mental health services, if they are already engaged
- Going through their Safety Plan with them.
If they don’t want help, don’t push them. Sometimes it’s easy to want to try and fix a person’s problems or give them advice; but try to leave a couple of key telephone numbers with them for Samaritans and/or any local support numbers for their area (Crisis teams etc).
It’s usually better for people to make their own decisions. Help them think of all the options, but leave the choice to them.
A person may not be suicidal, but you may still be concerned
Encourage them to contact their GP, they will be familiar with their medical history and will be able to direct them appropriately, which may include a referral to NHS Talking Therapies. The Talking Therapies programme is designed to help people (18 years old and above) overcome emotional and mental difficulties such as:
• Depression
• Stress
• Anxiety
• Sleep problems
• Confidence and self-esteem problems.
Self Care
- Hub of Hope - A postcode-based directory of services. A very useful site that lists the local support available.
- Mind - The charity for better mental health has an extensive range of self-help resources available.
- NHS - A range of self-help tools are available.