Over the course of the month of September, the SITREP will be posting information weekly on five action steps for communicating with someone who may be suicidal. This week, the third step is KEEP THEM SAFE. Check out the first & second steps.
You can also find resources and information at the SITREP at the Suicide Prevention page.
How Does Keeping Someone Who May Be Suicidal Safe Help?
First of all, it’s good for everyone to be on the same page. After the “Ask” step, and you’ve determined suicide is indeed being talked about, it’s important to find out a few things to establish immediate safety. Have they already done anything to try to kill themselves before talking with you? Does the person experiencing thoughts of suicide know how they would kill themselves? Do they have a specific, detailed plan? What’s the timing for their plan? What sort of access do they have to their planned method?
Why Does This Work?
Knowing the answers to each of these questions can tell us a lot about the imminence and severity of danger the person is in. For instance, the more steps and pieces of a plan that are in place, the higher their severity of risk and their capability to enact their plan might be. Or if they have immediate access to a firearm and are very serious about attempting suicide, then extra steps (like calling for emergency help or driving them to an emergency department) might be necessary. The Lifeline can always act as a resource during these moments as well if you aren’t entirely sure what to do next.
The Harvard T.H. Chan School of Public Health notes that reducing a suicidal person’s access to highly lethal means (or chosen method for a suicide attempt) is an important part of suicide prevention. A number of studies have indicated that when lethal means are made less available or less deadly, suicide rates by that method decline, and frequently suicide rates overall decline. Research also shows that “method substitution” or choosing an alternate method when the original method is restricted, frequently does not happen. The myth “If someone really wants to kill themselves, they’ll find a way to do it” often does not hold true if appropriate safety measures are put into place. The Keep Them Safe step is really about showing support for someone during the times when they have thoughts of suicide by putting time and distance between the person and their chosen method, especially methods that have shown higher lethality (like firearms and medications).
- 🌈 Crisis Text Line: Text HOME to 741741
- 🌈 LGBT National Hotline: 1-800-843-4564
- Make The Connection: Suicide
- Sacramento SITREP Suicide Prevention page
- Suicide Prevention Lifeline: 1-800-273-8255
- 🌈 Trans Lifeline Hotline: 1-877-565-8860
- 🌈 The Trevor Project: 1-866-488-7386
- VA Mental Health: Suicide Prevention
- Veterans Crisis Line: 1-800-273-8255, Press 1