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Pearl · 04 of 05

Asking about suicidal thoughts directly does not plant the idea

Ask directly about suicidal thoughts, then act on the answer with a safety plan and follow-up.

Established clinical teaching is that asking someone plainly about suicidal thoughts does not increase the risk and often brings relief. Ask in direct, non-judgemental words, then explore intent, plan, access to means and protective factors.

Follow an affirmative answer with a collaborative safety plan, limiting access to means, and a clear arrangement for follow-up.

  • Use direct words: ask whether the person has thought of ending their life.
  • Explore plan, intent, timing and access to means.
  • Agree a written safety plan and who to contact.
  • Arrange follow-up before the person leaves.

Why it matters

Hesitation to ask is a common barrier to identifying people at risk.

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