Most people who are thinking of suicide give some warning signs.
A caring, non-judgemental response from a friend can be life-saving.
Key concepts
- Ask directly: 'Are you thinking of ending your life?'
- Listen more than you talk; don't argue or lecture
- Don't promise to keep it secret if their life is at risk
Symptoms and signs
- Talking about death, being a burden or no way out
- Giving away belongings or saying goodbye
- Sudden calm after a period of distress
Causes
- Depression and other mental illness
- Relationship breakdown, exam or financial crisis
- Alcohol or drug use
Risk factors
- Previous attempt
- Access to means such as pesticides or medicines
- Isolation
Evidence-based management
- Stay with them if risk is immediate
- Remove or lock away means of self-harm
- Call Tele-MANAS 14416 together or 112 in an emergency
- Help them book a consultation and follow up later
When to seek professional help
- Thoughts of suicide or self-harm — call Tele-MANAS 14416 or 112 now
- A plan or means already arranged — go to emergency now
- You can book an online consultation for a confidential assessment
Frequently asked questions
Will asking about suicide make it more likely?
No. Asking directly is shown to reduce distress and opens the door to help.
What if they get angry?
Stay calm, express care and keep the door open; their safety matters more than the friendship being comfortable.
Medical references
Guidelines and official sources used for this article.
- Suicide — fact sheet. World Health Organization.
- Tele-MANAS — National Tele Mental Health Programme. Ministry of Health and Family Welfare, Government of India.
- Author
- Dr. Kuldeep Budania, MBBS, MD Psychiatry
- Medical reviewer
- Dr. Kuldeep Budania, MD Psychiatry
- Last reviewed
This article is for general information and is not a substitute for personal medical advice.
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