1.  If you suspect that one of your friends is depressed, or thinking about suicide, ask. Don't be afraid that asking will give your friend the idea. Most depressed people have thought about death or suicide, and are usually relieved to be asked. It can be helpful to ask questions like:

   1. I've noticed that you've seemed kind of down, and have been keeping to yourself a lot lately. What’s wrong?"
   2. "Do you ever wish you didn't have to deal with it anymore?"
   3.  "Are you having thoughts about death or suicide?"
   4. "Are you thinking about harming or killing yourself?"

2. Listen carefully to what your friend is saying and feeling. Listen much, talk little. Often you can be much more helpful to your friend by active listening, rather than talking.

3. Try to stay calm yourself and avoid panicking. If you look or act very nervous, your friend may stop talking to you or change the subject, figuring you cannot handle the topic.

4. Don't be afraid of your friend's intense feelings. Encourage your friend to talk about what is bothering her or him. Validate her or his feelings, not the behavior (i.e., suicide).

5. DO NOT try to cheer your friend up, or mouth simple platitudes like, "Things will get better," "Life's rough sometimes," "But you have so much to live for." These are not helpful.

6. AVOID philosophical or religious arguments. Stick to the concrete, discuss alternatives, focus on their feelings.

7. Be caring, but with limits. Don't promise anything that you cannot or do not want to deliver.

8. Encourage your friend to seek professional help. Treat their mental health as you would their physical health (e.g., you wouldn't advise someone with serious physical pain to just wait for things to get better, you'd advise them to see a doctor ASAP; similarly, someone in serious emotional pain should be encouraged to see a mental health professional ASAP). Offer to call an appropriate source of help and make an appointment for her/him.

9. Remove, or encourage your friend to give you for the time being, anything that could be immediately lethal (e.g., a bottle of pills, a straight-edge razor, a gun).

10.  If you discover that your friend has a specific plan or a timetable for harming her/himself, take it seriously. Call an appropriate campus resource right away.
    
    Don't leave the person alone, even if they say something like, "I'm okay now." Get someone to stay with your friend, or accompany your friend to a mental health professional.

11. Don’t try to handle this by yourself. Talk with their parents, your parents, clergy, or other trusted adults about what is going on. (Even if your friend made you promise not to tell anyone about their suicidal thoughts; a true friend refuses to keep this kind of promise when a friend’s life may be at stake; your friend may be upset with you now for telling someone else, but chances are he or she will thank you later).

12. Inform appropriate staff on campus about your concerns for your friend. If your friend is a Tulane student, contact one of the following resources:

    1. Center for Educational Resources and Counseling staff
       (504-865-5113; M-F, 8:30 am to 5:00 pm)
       
    2. Psychiatry staff at the Student Health Center
       (504-865-5255 ext.3; M-F, 8:30 am to 4:30 pm)
       
    3. Public Safety staff (504-865-5200; anytime)
       

Other Resources in the Greater New Orleans Area and Nationally Include:

Student Health Center on-call, after hours, physician (504-889-3352); The COPEline (504-523-COPE; anytime); National Suicide Prevention Hotline (1-800-273-8255); Girls and Boys Town National Hotline (1-800-448-3000; anytime); Gender Violence Hotline (504-920-9900); RAINN [Rape, Abuse and Incest National Network] (1-800-656-HOPE); The National Domestic Violence Hotline    (1-800-799-SAFE)