Establish what their situation feels like for them. Try to find out if there have been any particular events in their life that have made them feel suicide is their only option. Ask how long they have been feeling this way. Listen non-judgementally to the young person and give reassurance that help is available and that their future can have possible options (283). Assess the risk of suicide. Be aware that those at the highest risk for acting on thoughts of suicide are those who have a specific suicide plan. However, the lack of a plan for suicide is not sufficient to ensure safety. Suicide behaviour may also become apparent to you through their behaviour – they may have planned for when they are gone, e.g. writing a will or wishes, cancelling deliveries, or giving away possessions.
Allow a pre-adolescent time to describe how and why they are feeling they want to die, whilst considering they may not know why or may not be able to articulate why. Think about how you communicate and the language you use. The word ‘suicide’ may not be understood by all pre-adolescents, but it is important to be direct and explain what it means. Avoid vague language like ‘thoughts of harming yourself’, which is not the same as wanting to end their life.
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