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How do I support a friend who is suicidal?

Updated Sep 3, 20261 min readAnswer
On this pageShort answer What to do Common questions Related questions Sources
Short answer

Ask directly - "Are you thinking about killing yourself?" - because direct asking does not plant the idea, it opens the door.

Then listen without fixing, help put distance between them and anything lethal, and connect them to 988 together - staying on the bridge afterward, because the weeks after a crisis are high-risk. Know NIMH's warning signs: talking about death or being a burden, withdrawing, giving things away, sudden calm after despair. A plan, means, or a goodbye means 988 or an ER now.

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What to do

1Ask the direct question.It opens doors; it does not plant ideas.
2Listen without fixing.Serious, present, and no minimizing.
3Secure the means.Medications and weapons moved out of reach while the crisis passes.
4Bridge and follow through.988 together, then keep showing up for weeks.

Common questions

How do I support a friend who is suicidal?

The research-backed moves are more doable than people fear. Ask directly: "Are you thinking about killing yourself?" - direct asking does not plant the idea, and it opens the door that shame keeps shut. Then listen without fixing: no arguing them out of it, no minimizing ("you have so much to live for"), no secrecy promises you cannot keep - just taking it seriously and staying. Reduce the danger where you can: ask about means, and help put distance between them and anything lethal - medications, weapons. Connect them to help and stay on the bridge: call or text 988 together, help them make the appointment, drive them there - and keep showing up afterward, because the weeks after a crisis are high-risk, and a text that says "thinking of you, no need to reply" genuinely helps. Know the warning signs NIMH lists: talking about death or being a burden, withdrawing, giving things away, sudden calm after despair, increased substance use. Imminent risk - a plan, means, a goodbye - means 988 or an ER now, not tomorrow. Pymander, a free AI doctor available 24/7 by text, can help you prepare the conversation.

About this page. Written and maintained by the Pymander Health team. Last updated September 3, 2026.

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