Research has shown that many in the pharmacy team feel afraid of starting a conversation with someone who is showing “at risk” signs. It’s not unusual to be unsure about what to say or not say, but any connection can make someone ‘think again’ about suicide, so:

• Be direct. This reduces the risk of misunderstanding
• Do not feel uncomfortable saying the word suicide. Ask the person if they feel like they want to end their life or are feeling suicidal. Using the word suicide will not put the thought into someone’s head or make it more likely that they will end their life
• If they do have suicidal thoughts, ask them if they have considered a method, made plans, or written a note. Have they stored harmful drugs? These are clear indicators of significant intent and high risk
• Ask if they have already taken any substances (e.g. tablets)
• Ask if they are receiving any help (e.g. from a GP)
• Discuss them contacting their formal or informal carers or offer to do this for them. If they are known to a local GP practice, you can ask to speak to their GP or the duty doctor
• If the person has no one and continues to be suicidal then call for emergency support (normally emergency services or A&E). If you think there is an imminent risk call 999. If necessary, ask for the police and request a welfare check – the police can detain the patient under The Mental Health Act. If the patient agrees to go to A&E, you could call ahead and say you have serious concerns about that person’s safety. Alternatively, someone could go to A&E with them
• Think of it as ‘suicide first aid’ – analogous to what you would do for physical first aid in an emergency
• It is not your responsibility if someone chooses to end their life
• Suicide is a serious matter, but not one to fear.