MD, MSc Family Medicine, BSc (Hons). Radiography
Diplomas in Mindful Mental Health, Cognitive Behavioural Therapy, Nutrition & Dietetics, Homeopathy & Reflexology, Creative Writing

It is often the case that when a loved one, a friend or a colleague appears suicidal, one might not be aware of what to do to handle this sensitive situation. Whatever the nature of the case, taking timely action is always the recommended choice.
The first step is to delve into whether an individual is in real danger of acting on the suicidal feelings by asking appropriate questions. It is ideal to be direct, avoid stigmatizing concepts, ask open-ended questions, whilst giving time for a vulnernable person to answer.
Such questions may include:
- How have you been feeling lately? Do you ever feel like giving up on life?
- Are you constantly thinking about death or about hurting yourself?
- Have you been thinking about how or when to act on your suicidal ideation?
- Do you have a direct access to things that can be used as weapons to harm yourself?
Having said this, it is also important to mention that at times, things may not be as clear cut...in the sense, that one cannot always tell when another individual is considering suicide. In such cases, it is vital to look for significant warning signs instead.
These may include:
- Making blunt statements such as "I wish that I have not been born",
- Finding means that can be used to take one's life, such as guns or rifles, stocking up of pills, or reckless driving,
- Social withdrawal, extensive mood swings, changes in eating or sleeping patterns, expressions of preoccupations with death, of feeling trapped or hopeless about certain situations,
- Increasing use of alcohol or illicit drugs,
- Giving away personal belongings or getting life affairs in order, such as doing a will, as well as saying goodbyes as if certain people will never be seen again.
If you determine that someone is at risk of suicide, the key is to stay calm, and remain in the company of the vulnerable individual until immediate help arrives. It is important to listen to what they have to tell you and keep them as safe as possible.
In the meantime, you can ask them if they would also like to be in the presence of other people, such as relatives, whilst getting in touch with health care professionals that will be able to fully assess the psychological state and the needs of the suicidal individual.

Free 24/7 suicide assistance and mental health services available locally include:
21 231 231 - Primary Health (Telemedicine)
112 – Police and Ambulance Emergency Service
1579 – National Mental Health Helpline
1770 – Richmond Foundation Mental Health Helpline
179 – Supportline
Olli.chat – Mental health chat service
Kellimni.com – Online support service run
2141 5183 – Mental Health Services Malta
Other Free Social Support Services:-
2122 4580 – Richmond Foundation
2122 8333 – Victim Support Malta
2388 5110 – Sedqa Malta
2219 9000 – Caritas Malta
2295 9000 – Aġenzija Appoġġ
2256 8000 – Aġenzija Sapport
Disclaimer: This article is for general informational purposes only and is not intended to replace professional medical advice, diagnosis, or treatment. If you or someone you know is in crisis or may be at risk, please seek help from a qualified healthcare provider or contact the emergency services.