Crisis Text Line
Text HOME to 741741 for free 24/7 crisis in the US
Remain calm and choose a private place to talk .
Use “I” statements to talk about what you have noticed.
Use a direct approach, Ask:
“Are you thinking of killing yourself?” or “Are you thinking of suicide?”
Listen and speak non-judgmentally
Don’t get angry, minimize, ignore, lecture, threaten, debate or moralize.
Don’t try to counsel them but refer them to resources in this brochure.
“Do you have a specific plan?”
“Do you have the means to do it?”
“Have you thought about when you would do it?”
Call 911 and/or the National Suicide Prevention Lifelines 1-800-273-8255
Accompany them to the nearest hospital emergency department.
Seek immediate help from a mental health provider.
Urge them to temporarily remove lethal means (guns, pills, etc.) from their home
Maintain contact to provide follow-up support.
Keep probing if you remain concerned.
Let them know that you would want to help them if they ever do have thoughts of suicide.
Do NOT express relief or say “Good!” if the person says they are not suicidal. If they actually are feeling suicidal, they may think you don’t really want to know.
Encourage them to contact a mental health provider.
Give them the National Hotline number and ask them to download the Lifeguard app.
Maintain contact to provide support and encouragement.
Loss of relationship; divorce, breakup
Death of a family member or friend
Job loss, failing grades in school
Family history of suicide
Crisis in the immediate past or future
Physical health problems
Legal problems
Loss of housing
Excessive substance use
Text HOME to 741741 for free 24/7 crisis in the US
The Missouri Institute of Mental Health’s (MIMH) mission is to improve and transform mental health outcomes through innovative research and program development, program evaluation, community outreach, and professional training. Our target population is incredibly varied based on the wide scope of work performed. A broad definition would be any individual impacted by, at risk for, or living with a mental illness, behavioral health condition, traumatic brain injury, or HIV/AIDS, as well as all sectors who work with these individuals from policy-makers to funders to direct-service workers.