For families and friends

1. Pick a calm, private time. Walking or driving side by side can feel easier than face to face.
2. Say what you have noticed, kindly: "I have noticed you seem worn out lately, and I care about you."
3. Listen more than you talk. You do not have to fix it.
4. Ask directly if you are worried about suicide: "Are you thinking about killing yourself?" Asking does not put the idea in their head.
5. Offer one small next step, like looking for a therapist together.

• Stay connected. Keep inviting them to things and checking in.
• Ask what would make it easier: a video visit, a different kind of provider, or going with them.
• Focus on what they care about, like sleep, stress, or work, rather than a diagnosis.
• Adults have the right to make their own choices, unless they are in danger.
• Learn your state's crisis options in advance, so you know what to do if things change.

Call or text 988 for advice, even if you are the one worried. If someone is in danger, call 911 and say it is a mental health emergency. See Get help now.

• NAMI Family-to-Family is a free class for family members.
• Find family and caregiver support in your state.
• Your own feelings matter. A therapist or a support group can help you too.