Here are some ways to approach a conversation with a Veteran who may be suicidal.
First, assess the situation to determine if the Veteran may be
in imminent danger. Check to see if there are any harmful objects in the area, such as firearms, sharp objects, or lethal drugs. Those at the highest risk for suicide often have a specific suicide plan, the means to carry out the plan, a time set for doing it, and an intention of following through with it.
Asking whether a Veteran is having thoughts of self-harm or suicide may seem extreme, but it is important. Although many people may not show clear signs of intent to harm themselves before doing so, they will likely answer direct questions about their intentions when asked. Remember, asking if someone is having suicidal thoughts will not give them the idea or increase their risk.
However, some of those who are at risk may not admit that they plan to attempt suicide. In case the Veteran won’t talk about it, be sure to look for warning signs:
Warning Signs of Imminent Suicide Risk
Acting recklessly or engaging in risky activities that could lead to death, such as driving fast or running red lights — seemingly without thinking
Showing violent behavior such as punching holes in walls, getting into fights, or engaging in self-destructive violence; feeling rage or uncontrolled anger; or seeking revenge
Giving away prized possessions, putting affairs in order, tying up loose ends, and/or making out a will
Seeking access to firearms, pills, or other means of harming oneself
If you believe a Veteran is at high risk and has already harmed himself or herself, you need to call local emergency services at 911.
If you and/or the Veteran are not in imminent danger, start a conversation to help the Veteran open up and to find out how you might be able to help. You can ask questions such as:
• “When did you first start feeling like this?â€
• “Did something happen that made you begin to feel this way?â€
When responding to answers from a Veteran, remember that simple, encouraging feedback goes a long way in showing support and encouraging help-seeking:
The simple act of talking with a Veteran by phone can help save a life. For a Veteran in crisis — whose emotional struggles and health challenges may lead to thoughts of suicide — these conversations can mean the difference between a tragic outcome and a life saved. When talking to a Veteran, listen for signs of distress or other clues that might indicate that they need immediate help.
Determine if the caller is in distress.
If you work for a support organization or you are a friend, family member, or acquaintance of the Veteran and the veteran is in crisis: