How To Talk To Someone Struggling With Mental Health
World Suicide Prevention Day was first launched on September 10, 2003, as an initiative of the World Health Organization and the International Association for Suicide Prevention. It is an annual event that aims to give a message that suicide can be prevented.
There is no single cause for suicide. It often occurs when health issues and stressors come together, which creates a feeling of hopelessness. Depression, anxiety, and substance problems may increase the risk of suicide when not addressed.
The National Alliance on Mental Illness provides a guide on navigating a mental health crisis.
Recognize the warning signs
Any talk of suicide should always be taken seriously. The risk of suicide is higher for individuals with mental health conditions.
The following are the common warning signs of suicide:
Making or changing a will
Stockpiling pills or obtaining a weapon
Increased drug or alcohol use
Taking steps to tie up loose ends, like organizing personal papers or paying off debts
Sense of utter hopelessness and helplessness
Sudden cheerfulness or calm after a period of despondency
Saying things like “Nothing matters anymore,” “You’ll be better off without me,” or “Life isn’t worth living”
Withdrawal from friends, family, and normal activities
Dramatic changes in personality, mood, and/or behavior
Talking as if they’re saying goodbye or going away forever
History of suicide attempts or other self-harming behaviors
History of family/friend suicide or attempts
Start the conversation
If you notice any warning signs or if you're concerned if something is thinking about suicide, do not be afraid to start the conversation. Start by sharing specific signs that you’ve observed. You can phrase it by saying:
“I’ve noticed lately that you [haven’t been sleeping, aren’t interested in soccer anymore, which you used to love, are posting a lot of sad song lyrics online, etc.] …”
If they say when you ask them if they’re thinking of suicide or if you think they might be at risk, immediately seek help. Call a therapist, psychiatrist/physician, or other health care professional. Remove potential means to reduce the risk and call 988 to reach crisis counselors. If it is an immediate and life-threatening emergency, call 911.
Stay calm
Do not panic and respond calmly. Do not argue or confront your loved one about their behaviors or beliefs.
Listen, express concern, and reassure
Be caring, understanding, and nonjudgmental when talking to them. You can say something along the lines of:
“You are not alone. I’m here for you.”
“I may not be able to understand exactly how you feel, but I care about you and want to help.”
“I’m glad you could talk to me about this”
Do not promise secrecy and do not debate the value of living or argue that suicide is right or wrong. It is important that you do not try to handle the situation alone or resolve the situation single-handedly. Do not say insensitive statements such as:
“We all go through tough times like these. You’ll be fine.”
“It’s all in your head. Just snap out of it.”
Remember to avoid whispering, joking, or laughing, which may increase their agitation or trigger paranoia.
Ask one-part questions
Avoid questions that offer multiple options because it might increase confusion. Similarly, use simple and clear directions or short statements when communicating.
Seek support for yourself
Support groups can provide you with valuable information and mutual support. To provide support to your loved one, you must first be able to take care of yourself. The National Alliance on Mental Illness provides a program and ongoing peer-led support group for family members.
The NAMI Family Support Group is a peer-led support group for any adult with a loved one who has experienced symptoms of a mental health condition. It is free of cost to participants and is confidential. The support group meets weekly, every other week, or monthly depending on the location.
The NAMI Family-to-Family is a free eight-session educational program for the family, significant other, and friends of people with mental health conditions.
Follow up
Stay in touch to see how they are doing. Mental health recovery is not linear, and there may be setbacks. Provide support for your loved one in the long run and work with mental health professionals on their treatment.
Suicide is a public health issue that affects people from all demographics. This is especially true for older adults who are at greater risk of depression and other mental health illnesses in general due to poor physical health, dire living conditions, or lack of access to quality support and services.
Know how to effectively manage and care for the mental health of older adults by reading more from Ca Care Association.
