Supporting a Friend in Crisis: How to Support Someone Struggling with Suicidal Thoughts

Recognizing National Suicide Prevention Week

Next week is National Suicide Prevention Week, a dedicated time to raise awareness around mental health, support those in crisis, and work toward reducing the stigma that surrounds suicide. For many people, this week brings a mix of emotions. Some may reflect on personal loss, while others may feel inspired to reach out and help someone they care about. One of the most impactful things you can do is learn how to support a friend or loved one who may be struggling with suicidal thoughts. At Family Psychiatry and Therapy, we believe that support, empathy, and access to care can change and often save lives. Whether you are concerned about a friend, sibling, coworker, or partner, knowing how to approach the conversation can make a real difference.

Why It’s Hard to Talk About Suicide

Conversations about suicide are never easy. Many people fear they might say the wrong thing or make the situation worse. Others may believe it’s not their place to get involved or feel overwhelmed by the idea of being responsible for someone else’s safety. These fears are understandable, but staying silent can leave someone feeling even more isolated. It’s important to remember that asking someone if they are thinking about suicide does not increase the risk. In fact, it often opens the door to help and healing. You do not need to have all the answers or be a mental health professional to offer support. You just need to show up with compassion, listen without judgment, and encourage your friend to connect with someone who can provide clinical care.

Common Signs Someone May Be Struggling

Suicidal thoughts do not always look the way people expect. While some individuals speak openly about feeling hopeless or wanting to give up, others may drop subtle hints or show signs through their behavior. Here are some common red flags that someone may be at risk:

• Talking or joking about suicide, death, or feeling like a burden
• Expressing a sense of hopelessness or having no reason to live
• Withdrawing from family, friends, and previously enjoyed activities
• Unexplained mood changes, such as deep sadness, irritability, or sudden calmness
• Giving away prized possessions or making arrangements for pets, finances, or belongings
• Increasing use of alcohol or drugs
• Neglecting personal hygiene, sleep, or eating habits

No single sign confirms someone is thinking about suicide, but if you notice multiple changes or feel concerned, trust that your instincts are worth paying attention to.

How to Start the Conversation

Reaching out to someone who may be in crisis requires both sensitivity and courage. You do not need the perfect script. What matters most is that your friend knows you are genuinely concerned and that they are not alone. Here are some ways to open the conversation:

• “I’ve noticed you haven’t seemed like yourself lately. Want to talk?”
• “You’ve been going through a lot. How are you really doing?”
• “I care about you and I’m worried. Are you feeling overwhelmed or thinking about hurting yourself?”

Asking directly about suicidal thoughts does not encourage someone to act on them. In many cases, it helps them feel less isolated and more understood. If they say they are having thoughts of suicide, remain calm. Avoid reacting with shock or panic. Instead, say something like, “Thank you for trusting me. I’m here to help you get through this.”

What to Avoid Saying

Even with good intentions, it’s possible to say something that comes across as dismissive or unhelpful. Certain phrases can make the person feel ashamed or invalidated. Here are some things to avoid:

• “You have so much to live for.”
• “Other people have it worse.”
• “Just think positive.”
• “You’re being selfish.”
• “Don’t talk like that.”

These responses can shut down the conversation and cause someone to retreat further. It’s much more helpful to listen actively, acknowledge their pain, and stay present without trying to “fix” things immediately.

Encouraging Professional Help

While being a good friend is incredibly valuable, professional support is essential when someone is experiencing suicidal thoughts. Encourage your friend to speak with a therapist, counselor, or psychiatrist. You might say:

• “Have you thought about talking to someone who can help you work through this?”
• “You don’t have to go through this alone. I can help you find a therapist.”
• “There’s no shame in getting help. Mental health care is there for exactly this kind of thing.”

Family Psychiatry and Therapy offers telehealth services throughout New Jersey, making it easier to access care from the privacy and comfort of home. We provide individual therapy, psychiatry, and family support for people of all ages. If your friend is in immediate danger or has a specific plan to harm themselves, call 911 or take them to the nearest emergency room. You can also call or text the 988 Suicide & Crisis Lifeline for immediate, 24/7 support.

What Ongoing Support Looks Like

Being present after the initial conversation is just as important as the first step. Your friend may not feel better right away, and recovery is often not a straight line. Check in regularly. A short message, a quick phone call, or an invitation to talk can mean everything to someone who is struggling. Even small acts of connection can be powerful. Offer to spend time together doing something simple like watching a movie, going for a walk, or sharing a meal. Respect their space, but let them know you’re there and that they matter. It’s okay to ask again how they’re feeling, even if they didn’t fully open up the first time. And remember, supporting someone in crisis can take a toll on your own emotional well-being. Don’t hesitate to reach out for guidance, therapy, or resources for yourself if you feel overwhelmed.

Let’s Talk About It — Because It Matters

National Suicide Prevention Week is not just about statistics and awareness campaigns. It is about people. Real people who are struggling, and real people who can step up and make a difference. If someone in your life is dealing with emotional pain or thoughts of suicide, your support could be the turning point that helps them find hope and healing.

You do not have to do it alone. Contact us at Family Psychiatry and Therapy to learn how we can help. Our licensed therapists and psychiatric providers are here to support individuals and families across New Jersey with care that’s compassionate, confidential, and convenient through telehealth.