How to Talk About Suicide, from a Psychologist Who Lost a Loved One

How to Talk About Suicide, from a Psychologist Who Lost a Loved One

Ashley J. Smith

Ashley J Smith

Ashley Smith, PhD, is a clinical psychologist, speaker, author, and co-founder of Peak Mind: The Center for Psychological Strength. She began studying and treating anxiety disorders in graduate school. She earned her PhD in clinical psychology from the University of Nebraska-Lincoln in 2007. Since then, she has become a sought-out specialist who has worked in children's hospitals, an anxiety specialty center, and now in private practice in Kansas City, MO.

In addition to direct clinical work, Dr. Ashley is actively involved in other scholarly activities. She has been an adjunct assistant professor in the Department of Psychology at the University of Missouri-Kansas City and has provided supervision, trainings, and consultation for students and other professionals. She has several publications, including a blog, and maintains active involvement in professional organizations like the Anxiety and Depression Association of America. She regularly presents keynotes, workshops, and trainings to audiences of all sizes and has been involved in planning and producing local and national conferences.

Dr. Ashley is passionate about using psychology and applied neuroscience to help people live bold, happy lives. 
 

Boost Search Results
Off

How to Talk About Suicide, from a Psychologist Who Lost a Loved One

Share
No
How to Talk About Suicide, from a Psychologist Who Lost a Loved One

It can be difficult to talk about suicide. It’s a taboo topic, fraught with discomfort. Couple that with some harmful misunderstandings and our tendency, as a society, to shy away from hard conversations, and it’s no wonder that you may struggle to find the right words.  

As a psychologist who has lost a loved one to suicide, I have been on many sides of this conversation. My hope is to share some guidance on how to talk about this important topic. 

What to Say When You Are Concerned 

There’s a myth that asking someone about suicide may cause them to become suicidal. I cannot stress this enough. That is not true.  

Asking someone about suicidal thoughts will not plant the idea. It will, however, open the door for conversation. With that simple but clear question, you are communicating that you are a safe person to talk to. 

What to Say When Someone Discloses Suicidal Thoughts 

It can be excruciating to hear that someone you care about is having thoughts of suicide. You may experience fear, shock, sadness, or anger. While those are all completely understandable, please don’t let them dictate your response. 

You may be tempted to say: 

“How could you even think that?” 

“You wouldn’t do that to me, would you?” 

“How do you think it makes me feel to hear you say that?” 

“Why are you depressed? You have so much to live for!” 

“That’s selfish.” 

Those comments might make your loved one feel worse, and they will learn that you aren’t someone they can talk to. 

Instead, try: 

“Thank you for trusting me enough to share this. We’ll figure it out together.” 

“I’m so sorry you’re struggling. I’m here for you.” 

“I know it feels overwhelming right now, but it won’t always feel this way.” 

“You are not alone.” 

Then, be curious and compassionate. Ask questions. When did they start to feel this way? Is there anything in particular that triggered it? Have they taken any action steps (e.g., making a plan, writing a note)? Do they have reasons to keep living? 

Sometimes talking things out can help them feel better, getting through the immediate crisis. Talking may build hope, which is a lifeline. And sometimes you are simply gathering helpful information that you can share with their parent, partner, or provider.  

As a teen, you may worry that your friend will get mad at you if you tell someone, but it is too big of a responsibility to keep to yourself. Talk to a trusted adult like a parent or school counselor, or call/text 988 to talk with someone who can help 24/7. 

Parents, treat suicide as a real concern. Do not leave your child alone and make sure that potentially dangerous items are secure (as in absolutely locked away or removed from the house altogether). You can also call 988 or talk to your child’s doctor, school counselor, or therapist. If you do not feel confident in your ability to keep your child safe, take them to the nearest emergency room or call 911. 

The same advice goes for anyone whose partner, family member, or friend is struggling.  

As you take action, be honest and supportive. Say something like “We’re going to call the crisis hotline now. They will have people who can help us. We’ll get through this together.” 

What to Say to Someone Who is Grieving 

It sucks to lose a loved one under any circumstance, but suicide is especially hard. Loved ones often struggle to understand why it happened. They may feel guilt, anger, or shame in addition to sadness.  

I start by saying, “This sucks. I’m so sorry this happened.” I ask if they want to talk about it. Then I listen. If it seems relevant, I tell them it’s not their fault. If they are open to hearing it, I tell them it’s not their loved one’s fault, either. Their brain played tricks on them and convinced them there was no other option. I tell them I am here for them and sit in their pain with them, as long as they need. Read My Suicide Notes.

Let’s Choose Our Words Carefully 

Notice how the phrases “I have to…” and “I get to…” have different tones – one is an obligation to dread while the other is privilege to appreciate. It’s amazing how much difference one little word can make. That’s because language matters. We need to be thoughtful about the words we use.  

Committed v. Died by 

I deliberately use the phrase “died by suicide” rather than “committed suicide.” We don’t say someone committed a heart attack, even if their behavioral choices throughout life (e.g., lack of exercise, poor diet, smoking) contributed to their demise. Rather, we view their death as something that happened to them, not something they actively, willfully chose.  

When you truly understand suicide – how someone gets to the point where they lose their life – then you know that it is a battle lost. It is not a choice in the way that “committed” implies any more than a heart attack is. 

Adjusting our language to reflect this more accurate understanding is important for removing stigma and shame, which can make the grieving process for loved ones more difficult. It also helps us, as a society, shift our thinking, which will, hopefully, lead to more efforts to effectively prevent unnecessary deaths. 

Bad Thoughts v. Self-Harm Thoughts 

I also caution against using the term “bad thoughts” when you talk to someone who may be experiencing suicidal thoughts. If you ask someone if they are having “bad” thoughts, they might shut down. Instead, be more neutral yet precise by asking “Are you having thoughts about self-harm?” or “Do you want to die?” Removing the judgment (“bad”) paves the way for more open, honest, and helpful conversations.  

Given how prevalent suicide is, it is important for us to get comfortable having real, honest conversations about it.  

Ashley J. Smith

Ashley J Smith

Ashley Smith, PhD, is a clinical psychologist, speaker, author, and co-founder of Peak Mind: The Center for Psychological Strength. She began studying and treating anxiety disorders in graduate school. She earned her PhD in clinical psychology from the University of Nebraska-Lincoln in 2007. Since then, she has become a sought-out specialist who has worked in children's hospitals, an anxiety specialty center, and now in private practice in Kansas City, MO.

In addition to direct clinical work, Dr. Ashley is actively involved in other scholarly activities. She has been an adjunct assistant professor in the Department of Psychology at the University of Missouri-Kansas City and has provided supervision, trainings, and consultation for students and other professionals. She has several publications, including a blog, and maintains active involvement in professional organizations like the Anxiety and Depression Association of America. She regularly presents keynotes, workshops, and trainings to audiences of all sizes and has been involved in planning and producing local and national conferences.

Dr. Ashley is passionate about using psychology and applied neuroscience to help people live bold, happy lives. 
 

Use of Website Blog Commenting

ADAA Blog Content and Blog Comments Policy

ADAA provides this Website blogs for the benefit of its members and the public. The content, view and opinions published in Blogs written by our personnel or contributors – or from links or posts on the Website from other sources - belong solely to their respective authors and do not necessarily reflect the views of ADAA, its members, management or employees. Any comments or opinions expressed are those of their respective contributors only. Please remember that the open and real-time nature of the comments posted to these venues makes it is impossible for ADAA to confirm the validity of any content posted, and though we reserve the right to review and edit or delete any such comment, we do not guarantee that we will monitor or review it. As such, we are not responsible for any messages posted or the consequences of following any advice offered within such posts. If you find any posts in these posts/comments to be offensive, inaccurate or objectionable, please contact us via email at [email protected] and reference the relevant content. If we determine that removal of a post or posts is necessary, we will make reasonable efforts to do so in a timely manner.

ADAA expressly disclaims responsibility for and liabilities resulting from, any information or communications from and between users of ADAA’s blog post commenting features. Users acknowledge and agree that they may be individually liable for anything they communicate using ADAA’s blogs, including but not limited to defamatory, discriminatory, false or unauthorized information. Users are cautioned that they are responsible for complying with the requirements of applicable copyright and trademark laws and regulations. By submitting a response, comment or content, you agree that such submission is non-confidential for all purposes. Any submission to this Website will be deemed and remain the property of ADAA.

The ADAA blogs are forums for individuals to share their opinions, experiences and thoughts related to mental illness. ADAA wants to ensure the integrity of this service and therefore, use of this service is limited to participants who agree to adhere to the following guidelines:

1. Refrain from transmitting any message, information, data, or text that is unlawful, threatening, abusive, harassing, defamatory, vulgar, obscene, that may be invasive of another 's privacy, hateful, or bashing communications - especially those aimed at gender, race, color, sexual orientation, national origin, religious views or disability.

Please note that there is a review process whereby all comments posted to blog posts and webinars are reviewed by ADAA staff to determine appropriateness before comments are posted. ADAA reserves the right to remove or edit a post containing offensive material as defined by ADAA.

ADAA reserves the right to remove or edit posts that contain explicit, obscene, offensive, or vulgar language. Similarly, posts that contain any graphic files will be removed immediately upon notice.

2. Refrain from posting or transmitting any unsolicited, promotional materials, "junk mail," "spam," "chain mail," "pyramid schemes" or any other form of solicitation. ADAA reserves the right to delete these posts immediately upon notice.

3. ADAA invites and encourages a healthy exchange of opinions. If you disagree with a participant 's post or opinion and wish to challenge it, do so with respect. The real objective of the ADAA blog post commenting function is to promote discussion and understanding, not to convince others that your opinion is "right." Name calling, insults, and personal attacks are not appropriate and will not be tolerated. ADAA will remove these posts immediately upon notice.

4. ADAA promotes privacy and encourages participants to keep personal information such as address and telephone number from being posted. Similarly, do not ask for personal information from other participants. Any comments that ask for telephone, address, e-mail, surveys and research studies will not be approved for posting.

5. Participants should be aware that the opinions, beliefs and statements on blog posts do not necessarily represent the opinions and beliefs of ADAA. Participants also agree that ADAA is not to be held liable for any loss or injury caused, in whole or in part, by sponsorship of blog post commenting. Participants also agree that ADAA reserves the right to report any suspicions of harm to self or others as evidenced by participant posts.

RESOURCES AND NEWS
Evidence-based Tips & Strategies from our Member Experts
RELATED ARTICLES
Block reference