Recognizing Someone in Distress
Situation
Learn about the situation. Almost any challenging situation could lead to suicidal thoughts.
- Are they having relationship problems? Have they recently broken-up with their girlfriend/boyfriend? Are they arguing with their parents?
- Are they misusing alcohol, street drugs or are they involved in gambling?
- Are they being teased, bullied or made fun of by peers?
- Are they failing subjects? Are they having problems at work?
- Are they in trouble with the law?
- Are they experiencing significant financial problems?
- Have they been physically or sexually abused?
- Are they experienced a significant loss?
- Are they questioning their sexuality or sexual orientation?
Physical Changes
Ask about physical changes.
- Do they lack interest or pleasure in all things?
- Do they lack energy or feel tired and sluggish?
- Are they restless and anxious?
- Have you noticed a change in their appearance or a lack of interest in personal care?
- Are they having problems with sleeping? (Sleeping all of the time or unable to sleep)
- Has their appetite changed? (Not eating or overeating)
- Have you noticed an increased number of physical complaints?
Behaviour Changes
Observe for behavioural changes.
- Are they crying, having emotional outbursts or irritable?
- Do they have prior suicidal behaviour or self-harm behaviour?
- Are they abusing alcohol or drugs?
- Are they impulsive and participating in reckless, risky behaviour?
- Have they dropped out of school or are they thinking about dropping out of school?
- Are they fighting or breaking the law?
- Are they withdrawing from friends or family?
- Are they giving away favourite possessions?
- Has there been a dramatic mood change or an extreme behaviour changes? This could indicate a more immediate danger.
Thoughts
Listen to their thoughts, in the statements they make.
- Are they talking about suicide or do they seem preoccupied with death?
- Do they have a plan to harm themselves?
- Are they feeling isolated and alone?
- Are they feeling helpless with no future?
- Do they just want to escape?
- Do they feel guilty or damaged?
- Are they making statements like “Everyone will be better off without me”?
Feelings
Try to sense what they are feeling.
- Do they feel an overwhelming sadness?
- Are they feeling desperate?
- Are they feeling hopeless and worthless?
- Are they feeling disconnected and lonely?
- Do they feel ashamed or guilty?
- Are they feeling angry?