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The best thing you can do for a friend who attempted suicide is simply to be there to support them. Just offering hugs, a shoulder to cry on, and an ear to talk to can help your friend move on. Let your friend know that you are available for phone calls or spending time together. It's okay if your friend doesn't want to talk about the attempt. They may not be as expressive as they were in the past or may just feel numb. Don't let that stop you from spending time together. Your company might be all they need.  You don't have to bring up the suicide attempt, but you should be there for your friend if they want to talk about it. If the attempt was recent, offer support by asking what you can do to help them, and let them know that you are glad they're still here. It may be hard for you to understand why your friend would make an attempt on their life. You'll probably have many different feelings about the attempt such as anger, shame, or guilt. But, being considerate of your friend's circumstances will be the most helpful. Try to understand the immense pain that was behind the attempt, whether it be pain from depression, pain from trauma, feelings of hopelessness, a recent loss or stressful event, feeling overwhelmed, illness, addiction or feeling isolated. Realize your friend is in emotional pain, regardless of the exact cause. You may never fully understand the things that were going through a person's brain before a suicide attempt. But, if you care about your friend and the attempt happened recently, you can do your best to try to understand the pain they must have been in. Sometimes, the best thing you can do for your friend is just to sit back and listen. Give him or her space to express what they need to. Try to avoid interrupting or trying to "solve" problems. Don't compare your friend's situation to your own, or to another person's, and try to remember that what they're experiencing is unique to them. Give your friend your full attention by removing distractions. This will show your friend that you care because you are paying close attention.  Sometimes, listening is just as important as saying the right thing. While listening, try to avoid judgment or an attempt to understand why. Instead, focus on how your friend is feeling and what they might be needing from you. It may feel as though your friend wants to talk about the attempt all the time. That's natural as they process what happened. Be patient with your friend and let them talk as much as they need. You can offer to help your friend in their time of need in big and small ways. Let your friend be your guide and ask what your friend needs most. Volunteer to help. You may also want to ask what they don't find helpful, in order to avoid doing something they don't want or need.  For example, if your friend is nervous about seeking therapy, you can offer to take them to the doctor's office. Or, if your friend is just overwhelmed by everything, you can offer to make dinner, watch your friend's kids, help your friend with homework, or just to do something that will lighten the load. Just helping with the smallest tasks can make a big difference. Don't think that any task is too small to offer help for. Help may also be in the form of taking your friend's mind off things. They may feel tired of talking about the attempt. Offer to take them out to dinner or the movies. If your friend has recently attempted suicide and you think they're at risk for attempting suicide again, do your best to keep your friend safe. Know who you can call or go to for help. You might go to a school counselor, parent, or even call 911 if your friend says they can't keep themselves safe. Several hotlines are available to offer help, including the National Suicide Prevention Lifeline at 1-800-273-TALK (8255) or the National Hopeline Network at 1-800-SUICIDE (1-800-784-2433) in the U.S.  For outside the U.S., visit suicide resource websites for telephone numbers or online chats.  Remember that you cannot do this on your own. Your friend's family and other friends have to contribute to helping that person stay away from the things that might add to their suicidal feelings. If your friend has been at the hospital after their attempt, or is seeing a therapist, they will likely have a safety plan. Ask your friend if you can know what the plan is, and how you can help. If your friend does not have a safety plan, you can find a guide online to help them create one. Find out from your friend how to tell if they're feeling depressed or overwhelmed and how you can help. Ask your friend how safe they feel and ask them to tell you what to look for in order to intervene. For example, your friend may say that if they have not gotten out of bed all day and is avoiding phone calls, that is a sign that they are getting into a dark place. This would be your signal to call someone who can help. Your friend should be seeing a therapist or mental health care professional, and should consider medication. Aside from making sure your friend is getting additional recovery support, you can help your friend make small changes to improve their life. Your friend shouldn't be making drastic changes, but you may suggest minor things to accomplish.  For example, if your friend was depressed because of a failed relationship, you can slowly help your friend take their mind off of it by planning fun activities and helping your friend start dating when the time comes. Or, if your friend is deeply unhappy because they feel that their career is at a dead end, you can help update their resume or talk about going back to school. Don't think you're being selfish by asking others (like friends, family, or mental health care professionals) to support you and your friend. This can keep you from feeling overwhelmed. If you do start feeling overwhelmed, tell your friend that you need a break, some alone time, or time with other friends or family to take care of yourself. Inform your friend that you want to take this time to refuel and that you'll return once you're refreshed. It may help to set boundaries by telling your friend what you're willing to do and not do.  For example, let your friend know you'd be happy to have a weekly dinner with them, but that you won't keep warning signs a secret and you'll get help to keep them safe. Your friend shouldn't swear you to secrecy and it's important that other trusted people know about the attempt. Try to make your friend feel hopeful about the future. This can help protect against a future attempt. Try to get your friend thinking and talking about hope. Ask your friend how hope influences them. You may try asking:  Who is the one person you would call to help you feel hopeful in this moment? What do you associate with hope, such as sensations, pictures, music, colors, objects? How do you strengthen and nurture your hope? What kinds of things threaten your hope? Try to imagine a picture of hope. What do you see? Where do you turn for hope when you are feeling hopeless? Make an effort to let your friend know that you're thinking of them even when you're not together. Ask your friend if you can check in on them, and how often they'd like you to do that. You can also ask your friend if they have a preferred way for you to check in such as a phone call, text, or a visit. When you do check in, there is no need to ask your friend about suicide unless you think think they are a danger to themselves. Instead, just ask how they're doing or feeling, and if they need help with anything. Don't make the mistake of thinking that your friend won't ever try to take their life again because they tried once and failed. Unfortunately, about 10% of people who threaten or try to die by suicide end up killing themselves. This doesn't mean you should be watching your friend's each and every move, but you should be extra vigilant to make sure your friend does not exhibit warning signs that indicate suicide. If you think there's a chance it might happen again, talk to someone and get help, especially if you notice threatening or talking about harming or killing themselves, talking or writing about death in a way that's unusual for them, or talking about not wanting to "be here." Remember warning signs by memorizing the mnemonic IS PATH WARM:  I - Ideation (a desire to die) S - Substance Abuse P - Purposelessness A - Anxiety T - Trapped H - Hopelessness W - Withdrawal A - Anger R - Recklessness M - Mood change
Be available. Be understanding. Listen. Offer help. Learn about resources to help your friend. Ask your friend about how to keep them safe. Help your friend take small steps forward. Make sure you're not alone. Offer hope. Check in with your friend. Look out for warning signs.