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Everyday mental health

How to Support Someone Who Is Struggling With Their Mental Health

What to say and not say, how to listen well, how to ask about suicide directly, and how to look after yourself while helping.

Two women hugging in a grassy field

Photo: Joshua Koblin on Unsplash

The short version

  • Listening without fixing is often the most helpful thing.
  • Asking directly about suicide does not plant the idea; it opens the door.
  • Help them connect with professional support and take care of yourself.

When someone you love is struggling, it’s natural to want to fix it. Often, the most helpful thing is simpler: being there.

What to say

  • “I’ve noticed you seem down lately. How are you really doing?”
  • “That sounds really hard.”
  • “Thank you for telling me.”
  • “I’m here. You don’t have to go through this alone.”
  • “What would be helpful right now?”

What to avoid

  • “Just think positive.”
  • “Others have it worse.”
  • “You’ll get over it.”
  • Jumping straight to advice
  • Taking over their decisions

Listen well

  1. Give full attention, phone away.
  2. Reflect back what you hear.
  3. Validate feelings even if you don’t agree with every thought. See validation vs. reassurance.
  4. Tolerate silence.

Ask directly about suicide

If you’re worried, ask: “Are you thinking about suicide?” Research indicates asking directly does not increase risk, and it can bring relief.

If they say yes, stay with them, remove access to lethal means if you can, and call or text 988 together. If there is immediate danger, call 911.

Help them find support

Offer to help search for a therapist, sit with them while they call, or drive them to an appointment. See how to find a therapist.

Look after yourself

Supporting someone is draining. Keep your own support, set limits, and remember you’re not responsible for fixing them. See compassion fatigue.

Questions people ask

What if they don’t want help?
Keep the door open, stay connected and express concern. You can’t force an adult into care unless there’s imminent danger, in which case call 911 or 988.
Written by Mara EllisonWriter behind Therapist Words and author of two self-help books. Not a licensed therapist; content is checked against professional sources. About · Editorial policy
Sources and further reading

This article is for education, not therapy or medical advice. Read our disclaimer. In crisis? Call or text 988.

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