How you can help someone with suicidal feelings

Written by: Dr Stefania Bonaccorso
Published:
Edited by: Bronwen Griffiths

All of us are capable of suffering from mental health problems, and sometimes this can lead to suicidal thoughts and feelings. These will vary in terms of their intensity and how long they last for, but if you suspect someone you know is suffering, there are things you can do and should do to help. Dr Stefania Bonaccorso, an expert psychiatrist, addresses this difficult topic and gives her advice on what to do if you are ever in a situation where someone is talking about ending their life.

Talking about suicide can be a request for help. Don’t assume that because someone has talked about suicide they won’t try to take their own life. You should always take this seriously.

If you talk to someone about their feelings and it seems as though they want to end their life soon, try to keep them safe in the short term. It is unlikely that you will be able to make their feelings go away, but you can help by making them see that there are some things worth living for.

Read more: how to give support

What are the signs of suicidal thinking?

  • A change in someone’s character and behaviour might be a sign that they are having suicidal thoughts. You may be the best judge of when someone you know is acting differently by becoming restless, ill-tempered or confrontational, having mood swings, acting recklessly, sleeping too much or too little, preferring not to be around other people, having more problems with work or studies or saying undesirable things about themselves.

How do I know they’re being serious?

  • Threatening to hurt or kill themselves, talking or writing about death, dying or suicide, or actively looking for ways to end their life, such as stockpiling medication.
  • It is rare for someone to be certain that they want to end their own life. Most people will be undecided about suicide, seeing some ‘pros’ and ‘cons’ of living and dying.
  • A lot of people try to seek help before attempting suicide by telling other people about their feelings or by self-harming to show people that they are in emotional pain.

What can I say to them?

  • People might consider suicide for different reasons.
  • If you are concerned that someone may be considering about suicide, talk to them. Ask them about how they are feeling and offer to help.
  • Talking to someone about their suicidal thoughts does not make them more likely to end their life.
  • You can help someone who is feeling suicidal by listening to them without judging them and trying to help them think about other options.
  • Let the person know that you care about them and that they are not alone.
  • Encouragement, self- esteem and care can help a person recover at this difficult time.

Should I ask for help from anyone else?

  • You may need to get crisis help from mental health services or the emergency services.
  • Helping someone with suicidal thoughts is likely to have a big impact on you. Find out what support is available to you.
  • For urgent support in a crisis, find out if the person has access to a crisis service or if the person is registered with a local crisis team. If the person you are worried about is in danger of hurting themselves or others, please call 999 or go to your nearest Accident and Emergency department .
  • If someone does try to end their life, this is not your fault.

Find a crisis centre here

 

If the content of this article has affected you and you feel like you need to speak to someone, talk to someone you know, find a crisis centre or speak to a psychiatrist.

By Dr Stefania Bonaccorso
Psychiatry

Dr Stefania Bonaccorso is a leading psychiatrist based at The London Medical Specialist Clinic, who specialises in psychosis, depression, self-harm, suicidal thoughts, bipolar illness and personality disorders.

Dr Bonaccorso trained at the University of Rome La Sapienza as both a medical doctor and general adult psychiatrist. After achieving her medical degree, she attended Saint Ann Neuropsychiatric Hospital in Paris on a clinical fellowship awarded by La Sapienza University.

She started her academic career with a PhD in neuro-psychoimmunology in Antwerp, Belgium and Maastricht, Netherlands. She then travelled to the United States to pursue a post-doctoral fellowship at both the University of Boulder, Colorado; and Vanderbilt University in Tennessee. This fellowship was awarded by the Italian National Centre of Research and then funded by NARSAD. Throughout her post-doctoral fellowship, she continued her studies on the interactions between depression and the immune system and in psychopharmacology. 

Dr Bonaccorso currently works as a consultant psychiatrist for the NHS, as well as holding her own private practice. She has accumulated over twenty years of clinical experience throughout her career. She worked for several years as an inpatient consultant and has extensive knowledge of the assessment and management of acute psychosis, schizophrenia and bipolar disorder. She now works in a primary mental health team in Islington where she reviews patients with a wide variety of mental health conditions including personality disorders, PTSD, anxiety, depression and first-episode psychosis.

She continues to be involved in research and maintains honorary academic positions with several universities such as UCL, King’s and University Hertfordshire. She is committed to providing the best possible care to her patients and she is committed to providing the best possible training to younger generations of psychiatrists and foundation doctors. She supports trainees as a site tutor for Camden and Islington NHS Foundation Trust. She also holds the position of academic secretary for the Royal College of Psychiatrists, and organises an academic programme for her colleagues in the London region.

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