What actually happens in a first session
Most people arrive at the first appointment carrying two things: whatever brought them, and the worry that they will not know how to say it. Here is the whole hour, in plain terms, so one of those can be put down before you walk in.
Recognizing the Signs: What to Watch for When Concerned About Suicide
Most people arrive at the first appointment carrying two things: whatever brought them, and the worry that they will not know how to say it. Here is the whole hour, in plain terms, so one of those can be put down before you walk in.

Identifying the signs that someone might be contemplating suicide can be challenging, but it is crucial for providing timely support and intervention. Recognizing these signs can help you offer the necessary help and prevent a potential tragedy. Here’s a guide on what to watch for and how to respond if you suspect someone is at risk.
Emotional and Behavioural Changes
- Talk of Suicide: Direct or indirect statements about wanting to die, feeling hopeless, or talking about being a burden can be a red flag. Phrases like “I don’t see the point in going on” or “You’d be better off without me” should be taken seriously.
- Increased Isolation: If someone begins to withdraw from friends, family, or activities they once enjoyed, it might indicate they are struggling. Social withdrawal often signals emotional distress.
- Mood Swings: Extreme changes in mood, such as sudden highs and lows, can be a sign of a mental health crisis. Someone might appear unusually calm or happy after a period of depression, which can sometimes be a sign that they have made a decision about their situation.
- Decline in Performance:Noticeable changes in work, school, or personal performance, such as a drop in grades or productivity, might indicate underlying mental health issues.
- Risky Behaviour: Engaging in reckless or self-destructive behaviour, such as substance abuse, risky driving, or self-harm, can indicate that someone is struggling with suicidal thoughts.
Physical Changes
- Changes in Sleep Patterns: Significant changes in sleep, whether sleeping too much or having insomnia, can indicate emotional distress.
- Appetite Changes: A marked increase or decrease in appetite or weight can be indicative of mental health issues, including depression.
- Neglect of Personal Appearance: A sudden lack of interest in personal grooming or appearance might reflect a deeper emotional or psychological issue.
Practical and Organizational Signs
- Giving Away Possessions: If someone begins to give away prized possessions or finalize their affairs, it can be a sign that they are preparing for their absence.
- Writing a Will: Creating or updating a will, especially in a hurried or unusual manner, may indicate that a person is planning for their death.
- Finalizing Plans: Making significant life changes or saying unusual goodbyes can be a sign that someone is contemplating suicide.
How to Respond
- Take It Seriously: If you notice any of these signs, it is crucial to take them seriously. Even if you’re unsure, it is important to express concern and offer support.
- Open a Dialogue: Approach the person with empathy and without judgment. Use open-ended questions to express your concern, such as, “I’ve noticed you’ve been feeling down lately. Is everything okay?”
- Encourage Professional Help: Suggest that they talk to a mental health professional. Offer to help them find a therapist or counsellor and make appointments if needed.
- Provide Support:Let them know that you are there for them and that they are not alone. Sometimes, knowing someone cares can make a significant difference.
- Know Emergency Resources:Be aware of emergency resources such as the Suicide & Crisis Lifeline (988) or local emergency services. Do not hesitate to call for professional help if someone is in immediate danger.
- Follow-up: Continue to offer support and check in regularly. The risk of suicide can be ongoing, and consistent support can make a significant difference.
Conclusion
Recognizing the signs of suicide and understanding how to respond can be life-saving. By being attentive to emotional and behavioural changes, physical alterations, and practical signs, you can offer crucial support to those in need. Remember, reaching out with compassion and encouraging professional help are key steps in preventing suicide and providing hope for those who may be struggling.
If you are experiencing suicidal ideation or know someone showing signs of concerning behaviour, please reach out to a mental health professional or crisis service to get help immediately.
If you or someone you know is in immediate crisis, please call 911 or Telehealth Ontario at 1-866-797-0000
9-8-8: Suicide Crisis Helpline offers support that is:
- bilingual
- trauma-informed
- culturally appropriate
- available to anyone in Canada