Talking with a Veteran in Crisis

Here are some ways to approach a conversation with a Veteran who may be suicidal.

First, assess the situation to determine if the Veteran may be in imminent danger. Check to see if there are any harmful objects in the area, such as firearms, sharp objects, or lethal drugs. Those at the highest risk for suicide often have a specific suicide plan, the means to carry out the plan, a time set for doing it, and an intention of following through with it.

Asking whether a Veteran is having thoughts of self-harm or suicide may seem extreme, but it is important. Although many people may not show clear signs of intent to harm themselves before doing so, they will likely answer direct questions about their intentions when asked. Remember, asking if someone is having suicidal thoughts will not give them the idea or increase their risk.

However, some of those who are at risk may not admit that they plan to attempt suicide. In case the Veteran won't talk about it, be sure to look for warning signs:

Warning Signs of Imminent Suicide Risk

Acting recklessly or engaging in risky activities that could lead to death, such as driving fast or running red lights seemingly without thinking.

Showing violent behavior such as punching holes in walls, getting into fights, or engaging in self-destructive violence; feeling rage or uncontrolled anger; or seeking revenge.

Giving away prized possessions, putting affairs in order, tying up loose ends, and/or making out a will.

Seeking access to firearms, pills, or other means of harming oneself. If you believe a Veteran is at high risk and has already harmed himself or herself, you need to call local emergency services at 911.

• Never negotiate with someone who has a gun. Get to safety and call 911.
• If the Veteran has taken pills or harmed himself or herself in some way call 911.
• Veterans who are in emotional distress and are showing warning signs for suicide can be connected to the 24-hour Veterans Crisis Line: Call 988 and Press 1, use the online chat, or text to 838255. Caring, specially trained responders are available to provide free, confidential support 24 hours a day, 7 days a week, 365 days a year. Responders are available to speak to Veterans and their caregivers, family members, or friends.

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When responding to answers from a Veteran, remember that simple, encouraging feedback goes a long way in showing support and encouraging help-seeking:

• You're not alone, even if you feel like you are. I'm here for you, and I want to help you in any way I can.
• It may not seem possible right now, but the way you'e feeling will change.
• I might not be able to understand exactly what you're going through or how you feel, but I care about you and want to help.
• Even for Veterans who do not appear to be suicidal, it is important to direct them to resources to help them face mental health challenges and more.
• For more information about the Veterans Crisis Line, visit

  Veterans Crisis Line!

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• For more information about VA's mental health resources, visit VA Mental Health!

• For access to more than 400 stories of strength and recovery from Veterans and their family members, visit 

  Make the Connection!

The simple act of talking with a Veteran by phone can help save a life. For a Veteran in crisis whose emotional struggles and health challenges may lead to thoughts of suicide these conversations can mean the difference between a tragic outcome and a life saved. When talking to a Veteran, listen for signs of distress or other clues that might indicate that they need immediate help.

Determine if the caller is in distress.

1. Remain calm and listen.
2. Ask the question:Sometimes when people are (upset/angry/in pain/etc.) they think about suicide. Are you thinking about killing yourself or someone else?
3. If no: not suicidal, homicidal, or in crisis
4. Route caller to appropriate local resources.
5. You can find resources in your area.
6. If yes: suicidal, homicidal, or in crisis
7. Assess whether the Veteran is at imminent risk, and determine if he or she has already inflicted self-harm or injured others or has an immediate plan to do so, with access to means.

If you work for a support organization or you are a friend, family member, or acquaintance of the Veteran and the veteran is in crisis:

1. Try to find out where the Veteran is located and whether anyone else is nearby.
2. Verify the Veteran's phone number and, if possible, the last four digits of their Social Security number.
3. Explainthat you will conference a Veterans Crisis Line staff member into the call.
4. Call 988, Press 1.
5. Complete a warm transfer: When the VCL responder answers, identify yourself, explain what is going on, and provide the Veteran's information.
6. Inform the Veteran that you will hang up and he or she is in good hands with the VCL responder.
7. Make sure the Veteran is on the call with the VCL responderbefore hanging up.