• Explicitly acknowledge that suicide is the issue. Be direct, talk openly and matter-of-factly. 
• Listen. Listen without judgment or advice giving. Don't lecture on the value of life or minimize the problems. 
• Don't be sworn to secrecy.  
• Offer hope that alternatives are available but do not offer glib reassurance.
• Take action. Remove means, if possible without endangering yourself.
• Get help from persons or agencies specializing in crisis intervention and suicide prevention.
• Call 911 if an attempt is in progress.

Suggestions adapted from Suicide Prevention Lifeline.