Crisis Support and Suicidal Thoughts
When someone is experiencing suicidal thoughts, it can be difficult to know what to say, what to do or where to turn. The intensity of a crisis can make the future feel very small, while fear and shame can make reaching out feel almost impossible. This compassionate five-page booklet offers clear, practical information for people having suicidal thoughts and for anybody worried about someone else.
The guide begins with the most important information: how to get urgent help in the UK. It clearly explains when to call 999 or go to A&E, how to access urgent mental health support through NHS 111, and how to contact Samaritans, Shout and PAPYRUS HOPELINE247. It also includes a short message that can be shown or sent when speaking feels too difficult.
The booklet explains that suicidal thoughts can range from wishing not to wake up to having an active intention to die. It describes some of the signs that indicate increasing risk while reminding readers that a person may appear calm, continue working or care for other people and still be struggling. Particular attention is given to communication differences, autism, ADHD and the way overwhelming distress can make words unavailable.
Readers are supported to create a simple safety plan for surviving the next wave of distress. This includes recognising personal warning signs, making the environment safer, choosing grounding actions, identifying people and services to contact and preparing words that can be used during a crisis. A planning table is included so the reader can record their own warning signs, helpful actions and trusted contacts.
There is also a full page for family members, friends, colleagues, carers and professionals who may be supporting someone. It explains how to ask directly about suicide, how to listen without judgement and how to respond according to the level of danger. It offers examples of helpful language, highlights responses that can unintentionally increase shame, and reminds supporters that they must not carry another person’s safety alone.
The final page focuses on the hours and days after a crisis. It covers follow-up care, reducing demands, arranging company and check-ins, reviewing the safety plan and seeking longer-term professional and practical support. It encourages readers to hold onto small and personal reasons for staying, without pressuring them to feel hopeful before they are ready.
Inside this five-page booklet:
• Immediate UK crisis and emergency contacts
• What to do when someone cannot keep themselves safe
• Understanding passive and active suicidal thoughts
• Signs that urgent help may be needed
• Support when speech and communication are difficult
• Grounding and short-term coping strategies
• A personal safety-planning worksheet
• How to ask someone directly about suicide
• Helpful and unhelpful ways to respond
• Guidance for supporters, families and carers
• Follow-up care after an intense crisis
• Encouragement that is compassionate rather than pressuring
This resource is suitable for adults seeking support, family members, carers, friends, workplaces, therapists, coaches and community organisations. It is written in clear and respectful language and may be particularly useful for neurodivergent people or anyone who finds verbal communication difficult when overwhelmed.
If you or someone else is in immediate danger, call 999 or go to A&E now. For urgent mental health support in the UK, call NHS 111 and select the mental health option. You will not be wasting anyone’s time.
This booklet provides general information and does not replace emergency, medical or mental health care.
