Managing A Suicidal Crisis

If you are in crisis, dial 2-1-1 from anywhere in Connecticut. 2-1-1 is certified by the American Association of Suicidology. If you live outside of Connecticut use the National Hopeline number which is 1-800-784-2433.

1. Establish a relationship.

• "Can you tell me what's been going on?"
• "I'm really glad you called. I'd like to help. Let's talk about it."

2. Gather specific information

• Identify causes for suicidal feelings (i.e. sources of intolerable stress).
• Determine whether or not the person has a suicide plan.
  • "What happened today to make you feel like killing yourself?"
  • "How were you planning to kill yourself?"
  • "Are you alone?"

3. Express your feelings of concern.

• "That must make you feel ________."
• "You sound _________."
• "I'm glad you decided to talk to me."
• "I don't want you to harm yourself."

4. Focus discussion.

• Stay focused on the problem that suicide is designed to resolve.
• Separate and define specific problems to alleviate confusion and feelings of hopelessness.
  • "Has something like this ever happened before?"
  • "Have you ever felt like this before?"
  • "Which problem(s) do you want to see resolved the most?"

5. Build hope, help the individual make plans.

• Emphasize temporary nature of crisis.
• Use their ambivalence to your advantage.
• Discuss alternatives to suicide.
  • "What has helped you to cope in the past? What hasn't"
  • "Have you considered __________?"
  • "Of the ideas we've talked about, what seems best to you?"

6. Mobilize available resources.

• Internal - their own strengths, previous coping methods.
• External - family, friends, professionals, clergy, etc.

7. Make a referral/connect with a therapist, etc. If immediate risk, call 9-1-1.