According to the Counseling Center at the University of California at Los Angeles (UCLA), about 70 percent of people who commit suicide give some indication of their intentions.¹ If you know someone who is going through a life crisis such as the death of a loved one, the end of a relationship, or a strong reaction to having been in combat, watch for warning signs of suicidal intent:

From UCLA's "Suicide Prevention":

Many persons convey their intentions directly with statements such as

• "I feel like killing myself."
• "I don't know how much longer I can take this."

Others in crisis may hint at a detailed suicide plan with statements such as

• "I've been saving up my pills in case things get really bad."
• "Lately I've been driving my car like I really don't care what happens."

In general, statements describing feelings of depression, helplessness, extreme loneliness, and/or hopelessness may suggest suicidal thoughts. It is important to listen to these "cries for help" because they are usually desperate attempts to communicate to others the need to be understood and helped.

Often persons thinking about suicide show outward changes in their behavior. They may prepare for death by giving away prized possessions, making a will, or putting other affairs in order. They may withdraw from those around them, change eating or sleeping patterns, or lose interest in prior activities or relationships. A sudden, intense lift in spirits may also be a danger signal, as it may indicate the person already feels a sense of relief knowing the problems will "soon be ended."

How You Can Help

Most suicides can be prevented by sensitive responses to the person in crisis. If you think someone you know may be suicidal, you should:

• Remain calm.
  In most instances, there is no rush. Sit and listen--really listen to what the person is saying. Give understanding and active emotional support for his or her feelings.

• Deal directly with the topic of suicide.
  Most individuals have mixed feelings about death and dying and are open to help. Don't be afraid to ask or talk directly about suicide.

• Encourage problem solving and positive actions.
  Remember that the person involved in emotional crisis is not thinking clearly; encourage him or her to refrain from making any serious, irreversible decisions while in a crisis. Talk about the positive alternatives which may establish hope for the future.

• Get assistance.
  Although you want to help, do not take full responsibility by trying to be the sole counsel. Seek out resources which can lend qualified help, even if it means breaking a confidence. Let the troubled person know you are concerned--so concerned that you are willing to arrange help beyond that which you can offer.