Everything above still applies. Say you're sorry, say the name, stay in the room. What changes is a short list of things that do real damage here, and one thing worth saying out loud.
Never name a cause. AFSP is direct about it: there's no single cause for suicide, and a suicide most often happens when stressors and health issues converge.[12] The safe sentence is that a suicide is never the result of one thing. Then stop. That holds whether the cause you're reaching for sounds moral or medical. To a survivor whose person had no diagnosis, "he must have been so depressed" lands as "you missed it."
Never ask how, and never ask about warning signs. AFSP tells supporters not to ask intrusive questions about how the person died unless the survivor brings it up, and not to assign blame or ask whether they failed to take the signs seriously.[11]
Never call it selfish, a sin, weakness, or a failure of faith or love or strength. AFSP lists every one of those.[11] Nothing on that list has ever helped anybody.
Don't speculate about what they were thinking or what they wanted. Not their state of mind, not a note, not anything. Nobody knows, and the not knowing is one of the hardest parts of this loss.
Say "died by suicide." Never "committed," which is the language of crime.
Skip the clichés harder than usual. AFSP names the ones it hears most after a suicide: "She's in a better place," "Everything happens for a reason," "You are never given more than you can handle," "You'll get over it." They minimize both the size and the nature of this grief.[11]
What to say instead, close to word for word from AFSP: "I don't know what to say. I have no idea what you're going through, and I care about you, and I want to be here for you."[10] Then say the person's name the way you would after any other death, and give them the opening to talk about them.[11]
Researchers who asked bereaved young adults in Britain what support actually helped got an answer that sounds like nothing and is hard to do. A 24-year-old woman in the study said the most helpful support came from friends who simply carried on as usual while letting her know she could talk about whatever she wanted, whenever she wanted.[17]
Lines that work:
- "I'm so sorry about Alex. I don't have words for this."
- "I'm not going anywhere, and you don't have to talk."
- "Tell me about him whenever you want. I'll listen as many times as you need."
- "I'm bringing groceries Tuesday. Send me a list or don't. Either way I'm coming."
988, said plainly. People who lose someone to suicide carry raised risk themselves. In a UK study of 3,432 bereaved young adults, people bereaved by suicide had higher odds of attempting suicide than people bereaved by sudden natural causes, with an adjusted odds ratio of 1.65.[13] That's a reason to keep showing up for months, and a reason to say this next part out loud rather than assume it's understood.
The 988 Suicide and Crisis Lifeline takes calls, texts, and chats, free and confidential, 24 hours a day. It's for everyone, including people who aren't in crisis and want to talk to somebody.[14] Call or text 988, or chat at 988lifeline.org. Using it is an ordinary, reasonable thing to do, for the person grieving and for you.
What this loss looks like from the inside is in grief after suicide loss.