In Saudi Arabia, call an ambulance on 997 immediately if you fear the person may hurt themselves now1 or you are unsure whether they are safe at this moment. Also call if they have recently attempted suicide and have not had a medical assessment afterwards, have an injury needing urgent care, or may have been poisoned and have not been medically assessed. Do not wait for a visible injury or symptoms of poisoning; symptoms can be delayed2.
If you are with them, stay until help arrives if it is safe for you. Move things they could use to harm themselves only if you can do so safely. Do not try to take a dangerous object from their hand or restrain them. Tell the call handler where they are and what you know about what happened, and follow their instructions. If you are threatened, move to a safe place6 and alert emergency services. For an assault or direct security threat in Saudi Arabia, call the police on 9993.
While waiting for the ambulance
Watch their responsiveness and breathing and use speakerphone:
Unresponsive and not breathing normally, or you are unsure about their breathing:start CPR immediately14 and ask the call handler to guide you for the person's age. Do not wait for the ambulance to arrive. Occasional gasps are not normal breathing. Tell the call handler if the person is a child; children's CPR includes rescue breaths and chest compressions15, using techniques suited to their age.
Unresponsive but breathing normally: place them on their side in the recovery position16 and keep checking their breathing. If an injury after a fall or accident is suspected, tell the call handler and follow their guidance about moving the person instead of placing them in that position yourself.
Suspected poisoning:do not induce vomiting2 or give food or drink. Keep the packaging if it is safely available, and tell the ambulance service what you know without delaying the call to gather information.
If you cannot get through to an ambulance, ask someone else to call1, or accompany the person to the nearest emergency department2 if travel is safe and someone else can drive safely. The person at risk must not drive themselves.
If doctors have assessed the attempt and given the person a discharge or follow-up plan, follow that plan. Call an ambulance again if danger returns or you are unsure about their safety now. Tell the healthcare professional about any previous attempt4: it matters for assessment, but does not by itself establish that there is an emergency now.
If these thoughts are your own: If you fear you may hurt yourself or cannot stay safe, call an ambulance on 997 from within Saudi Arabia, or ask someone beside you to call. Tell a safe person you trust and ask them to stay with you. If you are thinking about ending your life right now, seek an immediate professional mental health assessment12, even without a plan. If you cannot reach that assessment immediately and safely, seek emergency-department care17. Other concerning thoughts or wishes to die also deserve prompt contact with a professional. Ministry of Health doctors on 9379 can guide you toward care; do not wait for telephone advice when you need immediate help.
Ask directly, without turning the conversation into a test
Someone close to you may have said, “I can't take this any more,” or sent a message about ending their life. You may worry about overreacting or saying something hurtful. Take what they say seriously. You do not need perfect words or have to solve the crisis alone. Begin by listening and asking clearly what they mean.
If their words are unclear, you could say: “When you say you can't take this any more, do you mean you're thinking about suicide?” Do not rely only on hints. Research summarised in the National Institute of Mental Health's guidance8 shows that asking directly about suicide does not increase suicidal thoughts or behaviour.
If they say yes, ask calmly: “Are you thinking about ending your life right now?” If those are their thoughts now, help them reach an immediate professional mental health assessment, even if they have not mentioned a plan. Stay while arranging help if it is safe for you. If you cannot reach assessment immediately and safely, seek emergency-department care17. Call an ambulance on 997 if they have suicidal intent or a plan12, fear acting on their thoughts, or you are unsure they are safe now.
Also ask whether they have already hurt themselves, have a plan or have something nearby they could use for harm, so you can tell the service helping them. Do not wait for every answer before calling an ambulance if you fear immediate danger. Other concerning thoughts or wishes to die still deserve prompt professional contact, even if they are not thinking about suicide at this moment.
Avoid asking for graphic details that do not help with care. If they have already injured themselves or taken a harmful substance, tell emergency services what you know. They may need the name of the medicine or substance. Keep the packaging2 to show the healthcare team if you can do so safely, and answer their questions without guessing.
These questions help you understand what is happening and explain it to the people providing help. They are not a way to decide by yourself that the risk is “low”. The absence of a disclosed plan12, a denial of suicidal thoughts or calmer behaviour after talking is not enough to reassure you if you remain concerned about their safety. If you do not know whether it is safe to wait, get urgent help7 and explain your concern.
You might become concerned because they talk about death4 or feeling like a burden, say an unusual goodbye, or show a worrying change in behaviour. Do not wait for several signs to appear together or assume everyone will show a clear warning before a crisis. Do not dismiss what they say as attention-seeking1.
Mental health, physical health and social circumstances may all play a part, including severe stress, pain or experiences of violence. Suicidal thoughts cannot be reduced to one cause5, and you do not need to wait for a diagnosis of depression before seeking help.
Listen without blame or false promises
Give the person time to speak; you do not need an immediate answer to every sentence. You can acknowledge their distress without agreeing to self-harm: “What you're going through sounds very hard. I want to listen and get help with you.” If you cannot find a response, “I don't know what to say, but I care about you” is more honest than promising everything will change tomorrow.
Instead of “Let me know if you need anything,” offer something you can do: “I can sit with you now while we contact a health service,” or “Would you like help explaining what's happening to the doctor?” Do not say you are available all the time if you cannot be.
If they ask for secrecy or refuse help
Respect their privacy, but do not promise to keep a threat to their life secret. You could say: “I'll protect your privacy as much as I can, but if I'm afraid your life is in danger, I'll get help.” Share the information needed with a health service or a trusted person who can help, rather than telling everyone you know.
If possible, ask whom they feel safe with. Being related does not automatically make someone a suitable source of support. Avoid involving someone they fear or who may hurt them. Tell the health service if there are concerns about violence at home12.
If they have suicidal thoughts now and refuse assessment, seek immediate advice from the health service about reaching care safely; refusal is not a reason to wait for a routine appointment. Call an ambulance if you are unsure they are safe. If the concern involves other thoughts without immediate danger, ask what makes seeking care difficult5: stigma, cost, a previous experience or not knowing where to go. Offer specific help, such as calling together to ask where to seek care and what it costs. Seek medical advice yourself12 if you remain concerned.
If a worrying message reaches you from a distance
Start by calling the person and finding out where they are now. Ask who could reach them safely, and try to keep contact. If you suspect immediate danger, reassuring messages alone are not enough. If possible, ask someone else to call emergency services7 while you keep talking to the person. Otherwise, make the emergency call, then call them back.
If you are both in Saudi Arabia: Call an ambulance on 997 and give their location and the information you have. Also contact a safe person nearby who can be there.
If you are both in the same country outside Saudi Arabia: Use that country's local emergency number.
If you are in different countries: Ask the person to call their local emergency services if they can, or ask a safe person near them to make the call. A short emergency number dialled from your country may not connect you to services in theirs. If they cannot call or refuse, and you do not know anyone nearby, try to contact the emergency service responsible for their location through an official contact channel, and keep trying to reach them.
If you only know their online account: Use the platform's reporting tool for suicide or self-harm10 concerns, and try to find out their location or someone who can reach them. Reporting is an additional step; it does not replace emergency help when you have information about immediate danger.
If contact stops after words suggesting imminent danger, do not wait for another reply before getting help. Tell the service you contact what the person said and their last known location7, and be clear about what you do not know. The service or platform may be unable to locate or reach them; do not assume this will happen automatically.
During the call: useful information when getting help
Where they are now: An address or nearby landmark; their last known location if you cannot establish where they are now.
How to reach them again: A phone number or other contact method if the call ends.
Who can reach them: A safe person nearby, if known.
What you know and do not know: What they said or what has happened, without guessing.
If contact stops when there is imminent danger, get help with the information available and keep trying to reach them. Do not wait for another reply.
If the person is a child or teenager
If you are their parent or carer, listen calmly, ask directly and take what they say seriously. If they are thinking about ending their life now, seek immediate professional mental health assessment. If you cannot reach it immediately and safely, seek emergency-department care. Stay if it is safe, and remove access to things18 they could use to harm themselves if you can do so safely. If their life or safety is in danger now, call an ambulance on 997 in Saudi Arabia. Do not wait for an appointment or for school to reopen. Contact their doctor, treating team11 or a health service promptly about other concerning thoughts too.
If you are a teenager worried about a friend, involve a safe adult11 who can act, even if your friend asks you to keep it secret. This might be a parent, relative or teacher you trust. If the first adult cannot help, ask another adult or a healthcare professional. Do not tell someone your friend fears or who may hurt them simply because they are family. Tell the health service or emergency services about these concerns.
Help them reach care, even if they seem calmer
The person may seem calmer by the end of the conversation, but that does not mean their need for care has ended. Follow the assessment step their situation calls for, and offer to go with them or help explain the thoughts they have described. If they are already receiving treatment, tell the team about worrying changes and ask for guidance instead of simply waiting for the usual appointment.
For medical advice in Saudi Arabia, call the Ministry of Health on 937, where doctors provide consultations around the clock. Explain that the concern involves suicidal thoughts and ask for guidance on appropriate care9. Do not delay immediate assessment or emergency help while waiting for telephone advice or a session through an app.
An assessment determines suitable care and whether the person needs urgent protection or follow-up and treatment. Treatments can help4, and the choice should fit their circumstances. Do not promise a set number of sessions or a fixed time for the thoughts to disappear.
After the crisis: agree on support they can rely on
Once urgent help is in place, the person can make a safety plan with a professional and the people they choose to involve. This is a written set of steps to turn to when distress increases, not a promise that they will never harm themselves. It can cover:
What they notice when the thoughts become stronger, and what helps them cope with distress early on.
Whom they can talk to or have stay with them, and an alternative if the first person does not answer.
Their care service and contact numbers, and when to call an ambulance or go to an emergency department.
Do not delay calling an ambulance to finish this plan or try steps to calm the person. After discharge from care or once the crisis has passed, keep in touch8 in a way you have agreed and can maintain: a call at a set time, company at a follow-up appointment, or help with something that makes treatment hard to access. Share follow-up with the people they choose for support. If danger returns, get help again.
Do not carry this alone
Fear for someone close to you can be exhausting. Ask a trusted person or professional for support, and share tasks according to what each of you can do. If you need to leave while you are worried about the person's safety, arrange for appropriate help to be there6 before you go. If none is available, call emergency services and explain the situation. If staying puts you in danger, move to a safe place and get help.
You may be the first person they tell, but you cannot guarantee what happens on your own. Your role is to take them seriously, help them reach care and be part of support shared with others. You also deserve support and rest.
Frequently Asked Questions
What signs might mean someone is thinking about suicide?
You might become concerned because they talk about death or feeling like a burden, say an unusual goodbye, or show a worrying change in behaviour. Do not wait for several signs to appear together or assume everyone will show a clear warning before a crisis, and do not dismiss what they say as attention-seeking. You do not need to wait for a diagnosis of depression before seeking help.
Does asking someone directly about suicide make it worse?
No. Research shows that asking directly about suicide does not increase suicidal thoughts or behaviour. Take what they say seriously; you do not need perfect words. Begin by listening and asking clearly what they mean, for example: “When you say you can't take this any more, do you mean you're thinking about suicide?” Do not rely only on hints. If they say yes, ask calmly: “Are you thinking about ending your life right now?”
What should I do if someone close to me says they are thinking about ending their life right now?
Help them reach an immediate professional mental health assessment, even without a stated plan. Stay while arranging help if it is safe for you. If you cannot reach assessment immediately and safely, seek emergency-department care. Call an ambulance on 997 if they have suicidal intent or a plan, fear acting on their thoughts, or you are unsure they are safe now.
Ask whether they have already hurt themselves, have a plan or something nearby they could use for harm, to tell the service helping them, but do not delay calling an ambulance for every answer if you fear immediate danger. Denial or calmer behaviour is not enough reassurance if you remain concerned. If unsure whether it is safe to wait, get urgent help and explain your concern.
When should I call an ambulance for someone who may be suicidal?
In Saudi Arabia, call an ambulance on 997 immediately if you fear the person may hurt themselves now or you are unsure whether they are safe at this moment. Also call if they have recently attempted suicide and have not had a medical assessment afterwards, have an injury needing urgent care, or may have been poisoned and have not been medically assessed. Do not wait for a visible injury or symptoms of poisoning; symptoms can be delayed. If they refuse help and you fear immediate danger, call and explain the situation even without their agreement. Getting help does not require you to force them or put yourself in danger.
Should I keep it secret if someone asks me not to tell anyone about their suicidal thoughts?
Respect their privacy, but do not promise to keep a threat to their life secret. You could say: “I'll protect your privacy as much as I can, but if I'm afraid your life is in danger, I'll get help.” Share what is needed with a health service or a trusted person who can help. If you are a teenager worried about a friend, involve a safe adult who can act, even if your friend asks for secrecy.
Content writer and researcher at Tatmeen, working on Arabic and English articles across mental health and everyday life topics, including relationships, stress, work, habits, and family.
Every Tatmeen article is reviewed by care providers licensed by the Saudi Commission for Health Specialties, so what you read is accurate and trustworthy.
This article builds understanding and does not replace a licensed care provider.
In immediate danger?
If you or someone you know is in danger, call an ambulance on 997 or go to the nearest emergency department.
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Also call if they have recently attempted suicide and have not had a medical assessment afterwards, have an injury needing urgent care, or may have been poisoned and have not been medically assessed. Do not wait for a visible injury or symptoms of poisoning; <a href=\"https://www.nhs.uk/conditions/poisoning/\" target=\"_blank\" rel=\"noopener noreferrer\">symptoms can be delayed</a>.</p>\n<p>If you are with them, stay until help arrives if it is safe for you. Move things they could use to harm themselves only if you can do so safely. Do not try to take a dangerous object from their hand or restrain them. Tell the call handler where they are and what you know about what happened, and follow their instructions. If you are threatened, <a href=\"https://www.hpft.nhs.uk/media/hojf0wry/caring-for-someone-with-suicidal.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">move to a safe place</a> and alert emergency services. For an assault or direct security threat in Saudi Arabia, <a href=\"https://www.cst.gov.sa/about/Numbering\" target=\"_blank\" rel=\"noopener noreferrer\">call the police on 999</a>.</p>\n<h3>While waiting for the ambulance</h3>\n<p>Watch their responsiveness and breathing and use speakerphone:</p>\n<ul>\n<li><strong>Unresponsive and not breathing normally, or you are unsure about their breathing:</strong> <a href=\"https://www.resus.org.uk/professional-library/2025-resuscitation-guidelines/adult-basic-life-support-guidelines\" target=\"_blank\" rel=\"noopener noreferrer\">start CPR immediately</a> and ask the call handler to guide you for the person's age. Do not wait for the ambulance to arrive. Occasional gasps are not normal breathing. Tell the call handler if the person is a child; children's CPR includes <a href=\"https://www.resus.org.uk/cy/node/36439\" target=\"_blank\" rel=\"noopener noreferrer\">rescue breaths and chest compressions</a>, using techniques suited to their age.</li>\n<li><strong>Unresponsive but breathing normally:</strong> place them on their side in the <a href=\"https://www.resus.org.uk/professional-library/2025-resuscitation-guidelines/first-aid-guidelines\" target=\"_blank\" rel=\"noopener noreferrer\">recovery position</a> and keep checking their breathing. If an injury after a fall or accident is suspected, tell the call handler and follow their guidance about moving the person instead of placing them in that position yourself.</li>\n<li><strong>Suspected poisoning:</strong> <a href=\"https://www.nhs.uk/conditions/poisoning/\" target=\"_blank\" rel=\"noopener noreferrer\">do not induce vomiting</a> or give food or drink. Keep the packaging if it is safely available, and tell the ambulance service what you know without delaying the call to gather information.</li>\n</ul>\n<p>If you cannot get through to an ambulance, <a href=\"https://how-are-you-really-feeling-sussex.nhs.uk/preventing-suicide\" target=\"_blank\" rel=\"noopener noreferrer\">ask someone else to call</a>, or accompany the person to the <a href=\"https://www.nhs.uk/conditions/poisoning/\" target=\"_blank\" rel=\"noopener noreferrer\">nearest emergency department</a> if travel is safe and someone else can drive safely. The person at risk must not drive themselves.</p>\n<p>If doctors have assessed the attempt and given the person a discharge or follow-up plan, follow that plan. Call an ambulance again if danger returns or you are unsure about their safety now. Tell the healthcare professional about <a href=\"https://www.nimh.nih.gov/health/publications/suicide-faq\" target=\"_blank\" rel=\"noopener noreferrer\">any previous attempt</a>: it matters for assessment, but does not by itself establish that there is an emergency now.</p>\n<p><strong>If these thoughts are your own:</strong> If you fear you may hurt yourself or cannot stay safe, call an ambulance on 997 from within Saudi Arabia, or ask someone beside you to call. Tell a safe person you trust and ask them to stay with you. If you are thinking about ending your life right now, seek an <a href=\"https://www.nimh.nih.gov/research/research-conducted-at-nimh/asq-toolkit-materials/adult-outpatient/adult-outpatient-brief-suicide-safety-assessment-guide\" target=\"_blank\" rel=\"noopener noreferrer\">immediate professional mental health assessment</a>, even without a plan. If you <a href=\"https://www.nhs.uk/nhs-services/mental-health-services/where-to-get-urgent-help-for-mental-health/\" target=\"_blank\" rel=\"noopener noreferrer\">cannot reach that assessment immediately and safely, seek emergency-department care</a>. Other concerning thoughts or wishes to die also deserve prompt contact with a professional. <a href=\"https://www.moh.gov.sa/937/pages/default.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">Ministry of Health doctors on 937</a> can guide you toward care; do not wait for telephone advice when you need immediate help.</p>\n<h2 id=\"article-section-ask-directly-without-turning-the-conversation-into-a-test\" data-toc-heading tabindex=\"-1\"><span id=\"ask-directly-without-turning-the-conversation-into-a-test-2\" aria-hidden=\"true\"></span>Ask directly, without turning the conversation into a test</h2>\n<p>Someone close to you may have said, “I can't take this any more,” or sent a message about ending their life. You may worry about overreacting or saying something hurtful. Take what they say seriously. You do not need perfect words or have to solve the crisis alone. Begin by listening and asking clearly what they mean.</p>\n<p>If their words are unclear, you could say: “When you say you can't take this any more, do you mean you're thinking about suicide?” Do not rely only on hints. Research summarised in the <a href=\"https://www.nimh.nih.gov/health/publications/5-action-steps-to-help-someone-having-thoughts-of-suicide\" target=\"_blank\" rel=\"noopener noreferrer\">National Institute of Mental Health's guidance</a> shows that asking directly about suicide does not increase suicidal thoughts or behaviour.</p>\n<p>If they say yes, ask calmly: “Are you thinking about ending your life right now?” <strong>If those are their thoughts now, help them reach an immediate professional mental health assessment, even if they have not mentioned a plan.</strong> Stay while arranging help if it is safe for you. If you <a href=\"https://www.nhs.uk/nhs-services/mental-health-services/where-to-get-urgent-help-for-mental-health/\" target=\"_blank\" rel=\"noopener noreferrer\">cannot reach assessment immediately and safely, seek emergency-department care</a>. Call an ambulance on 997 if they have <a href=\"https://www.nimh.nih.gov/research/research-conducted-at-nimh/asq-toolkit-materials/adult-outpatient/adult-outpatient-brief-suicide-safety-assessment-guide\" target=\"_blank\" rel=\"noopener noreferrer\">suicidal intent or a plan</a>, fear acting on their thoughts, or you are unsure they are safe now.</p>\n<p>Also ask whether they have already hurt themselves, have a plan or have something nearby they could use for harm, so you can tell the service helping them. Do not wait for every answer before calling an ambulance if you fear immediate danger. Other concerning thoughts or wishes to die still deserve prompt professional contact, even if they are not thinking about suicide at this moment.</p>\n<p>Avoid asking for graphic details that do not help with care. If they have already injured themselves or taken a harmful substance, tell emergency services what you know. They may need the name of the medicine or substance. <a href=\"https://www.nhs.uk/conditions/poisoning/\" target=\"_blank\" rel=\"noopener noreferrer\">Keep the packaging</a> to show the healthcare team if you can do so safely, and answer their questions without guessing.</p>\n<p>These questions help you understand what is happening and explain it to the people providing help. They are not a way to decide by yourself that the risk is “low”. The <a href=\"https://www.nimh.nih.gov/research/research-conducted-at-nimh/asq-toolkit-materials/adult-outpatient/adult-outpatient-brief-suicide-safety-assessment-guide\" target=\"_blank\" rel=\"noopener noreferrer\">absence of a disclosed plan</a>, a denial of suicidal thoughts or calmer behaviour after talking is not enough to reassure you if you remain concerned about their safety. If you do not know whether it is safe to wait, <a href=\"https://rightdecisions.scot.nhs.uk/media/kgla3yay/suicide-safety-guidance-final-hv-and-cmw-june-2025.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">get urgent help</a> and explain your concern.</p>\n<p>You might become concerned because they <a href=\"https://www.nimh.nih.gov/health/publications/suicide-faq\" target=\"_blank\" rel=\"noopener noreferrer\">talk about death</a> or feeling like a burden, say an unusual goodbye, or show a worrying change in behaviour. Do not wait for several signs to appear together or assume everyone will show a clear warning before a crisis. <a href=\"https://how-are-you-really-feeling-sussex.nhs.uk/preventing-suicide\" target=\"_blank\" rel=\"noopener noreferrer\">Do not dismiss what they say as attention-seeking</a>.</p>\n<p>Mental health, physical health and social circumstances may all play a part, including severe stress, pain or experiences of violence. Suicidal thoughts <a href=\"https://www.who.int/news-room/questions-and-answers/item/suicide\" target=\"_blank\" rel=\"noopener noreferrer\">cannot be reduced to one cause</a>, and you do not need to wait for a diagnosis of depression before seeking help.</p>\n<h2 id=\"article-section-listen-without-blame-or-false-promises\" data-toc-heading tabindex=\"-1\"><span id=\"listen-without-blame-or-false-promises-3\" aria-hidden=\"true\"></span>Listen without blame or false promises</h2>\n<p>Give the person time to speak; you do not need an immediate answer to every sentence. You can acknowledge their distress without agreeing to self-harm: “What you're going through sounds very hard. I want to listen and get help with you.” If you cannot find a response, “I don't know what to say, but I care about you” is more honest than promising everything will change tomorrow.</p>\n<p><a href=\"https://www.who.int/news-room/questions-and-answers/item/suicide\" target=\"_blank\" rel=\"noopener noreferrer\">Avoid calling them selfish</a> or saying their faith is weak, comparing their suffering with someone else's, or making them feel guilty about their family. <a href=\"https://www.hpft.nhs.uk/media/hojf0wry/caring-for-someone-with-suicidal.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Do not turn the conversation into an argument</a> about whether their feelings are right or wrong. If their faith brings comfort, support that <a href=\"https://www.nimh.nih.gov/health/publications/5-action-steps-to-help-someone-having-thoughts-of-suicide\" target=\"_blank\" rel=\"noopener noreferrer\">alongside the care they need</a>.</p>\n<p>Instead of “Let me know if you need anything,” offer something you can do: “I can sit with you now while we contact a health service,” or “Would you like help explaining what's happening to the doctor?” Do not say you are available all the time if you cannot be.</p>\n<h2 id=\"article-section-if-they-ask-for-secrecy-or-refuse-help\" data-toc-heading tabindex=\"-1\"><span id=\"if-they-ask-for-secrecy-or-refuse-help-4\" aria-hidden=\"true\"></span>If they ask for secrecy or refuse help</h2>\n<p>Respect their privacy, but do not promise to keep a threat to their life secret. You could say: “I'll protect your privacy as much as I can, but if I'm afraid your life is in danger, I'll get help.” Share the information needed with a health service or a trusted person who can help, rather than telling everyone you know.</p>\n<p>If possible, ask whom they feel safe with. Being related does not automatically make someone a suitable source of support. Avoid involving someone they fear or who may hurt them. Tell the health service if there are <a href=\"https://www.nimh.nih.gov/research/research-conducted-at-nimh/asq-toolkit-materials/adult-outpatient/adult-outpatient-brief-suicide-safety-assessment-guide\" target=\"_blank\" rel=\"noopener noreferrer\">concerns about violence at home</a>.</p>\n<p>If they refuse help and you fear immediate danger, call an ambulance and explain the situation <a href=\"https://www.nimh.nih.gov/health/publications/suicide-faq\" target=\"_blank\" rel=\"noopener noreferrer\">even without their agreement</a>. Getting help <a href=\"https://www.hpft.nhs.uk/media/hojf0wry/caring-for-someone-with-suicidal.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">does not require you to force them or put yourself in danger</a>.</p>\n<p>If they have suicidal thoughts now and refuse assessment, seek immediate advice from the health service about reaching care safely; refusal is not a reason to wait for a routine appointment. Call an ambulance if you are unsure they are safe. If the concern involves other thoughts without immediate danger, ask <a href=\"https://www.who.int/news-room/questions-and-answers/item/suicide\" target=\"_blank\" rel=\"noopener noreferrer\">what makes seeking care difficult</a>: stigma, cost, a previous experience or not knowing where to go. Offer specific help, such as calling together to ask where to seek care and what it costs. <a href=\"https://www.nimh.nih.gov/research/research-conducted-at-nimh/asq-toolkit-materials/adult-outpatient/adult-outpatient-brief-suicide-safety-assessment-guide\" target=\"_blank\" rel=\"noopener noreferrer\">Seek medical advice yourself</a> if you remain concerned.</p>\n<p></p>\n<h2 id=\"remote-help\" data-toc-heading tabindex=\"-1\">If a worrying message reaches you from a distance</h2>\n<p><strong>Start by calling the person and finding out where they are now.</strong> Ask who could reach them safely, and try to keep contact. If you suspect immediate danger, reassuring messages alone are not enough. If possible, ask <a href=\"https://rightdecisions.scot.nhs.uk/media/kgla3yay/suicide-safety-guidance-final-hv-and-cmw-june-2025.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">someone else to call emergency services</a> while you keep talking to the person. Otherwise, make the emergency call, then call them back.</p>\n<ul>\n<li><strong>If you are both in Saudi Arabia:</strong> Call an ambulance on <strong>997</strong> and give their location and the information you have. Also contact a safe person nearby who can be there.</li>\n<li><strong>If you are both in the same country outside Saudi Arabia:</strong> Use that country's local emergency number.</li>\n<li><strong>If you are in different countries:</strong> Ask the person to call their local emergency services if they can, or ask a safe person near them to make the call. A short emergency number dialled from your country may not connect you to services in theirs. If they cannot call or refuse, and you do not know anyone nearby, try to contact the emergency service responsible for their location through an official contact channel, and keep trying to reach them.</li>\n<li><strong>If you only know their online account:</strong> Use the platform's <a href=\"https://www.samaritans.org/how-we-can-help/if-youre-worried-about-someone-else/supporting-someone-you-know-online-who-might-be-at-risk-of-self-harm-or-suicide/\" target=\"_blank\" rel=\"noopener noreferrer\">reporting tool for suicide or self-harm</a> concerns, and try to find out their location or someone who can reach them. Reporting is an additional step; it does not replace emergency help when you have information about immediate danger.</li>\n</ul>\n<p><strong>If contact stops after words suggesting imminent danger, do not wait for another reply before getting help.</strong> Tell the service you contact what the person said and <a href=\"https://rightdecisions.scot.nhs.uk/media/kgla3yay/suicide-safety-guidance-final-hv-and-cmw-june-2025.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">their last known location</a>, and be clear about what you do not know. The service or platform may be unable to locate or reach them; do not assume this will happen automatically.</p>\n<div dir=\"ltr\">\n<h3 id=\"remote-call-reminder\">During the call: useful information when getting help</h3>\n<p>For immediate danger, call an ambulance on 997 if you are both in Saudi Arabia. Otherwise, <a href=\"https://tatmeen.sa/en/blog/How-to-assist-person-experienc-suicidal-ideation/#remote-help\">follow the steps for contacting emergency services responsible for their location</a>. Do not wait to gather every detail before getting help.</p>\n<ul>\n<li><strong>Where they are now:</strong> An address or nearby landmark; their last known location if you cannot establish where they are now.</li>\n<li><strong>How to reach them again:</strong> A phone number or other contact method if the call ends.</li>\n<li><strong>Who can reach them:</strong> A safe person nearby, if known.</li>\n<li><strong>What you know and do not know:</strong> What they said or what has happened, without guessing.</li>\n</ul>\n<p>If contact stops when there is imminent danger, get help with the information available and keep trying to reach them. Do not wait for another reply.</p>\n</div>\n<h2 id=\"article-section-if-the-person-is-a-child-or-teenager\" data-toc-heading tabindex=\"-1\"><span id=\"if-the-person-is-a-child-or-teenager-6\" aria-hidden=\"true\"></span>If the person is a child or teenager</h2>\n<p>If you are their parent or carer, listen calmly, ask directly and take what they say seriously. If they are thinking about ending their life now, seek immediate professional mental health assessment. If you cannot reach it immediately and safely, seek emergency-department care. Stay if it is safe, and <a href=\"https://www.nimh.nih.gov/research/research-conducted-at-nimh/asq-toolkit-materials/youth-outpatient/youth-outpatient-brief-suicide-safety-assessment-guide\" target=\"_blank\" rel=\"noopener noreferrer\">remove access to things</a> they could use to harm themselves if you can do so safely. If their life or safety is in danger now, call an ambulance on 997 in Saudi Arabia. Do not wait for an appointment or for school to reopen. <a href=\"https://www.kentmedwaymentalhealth.nhs.uk/information-and-advice/suicide-prevention/support-for-children-young-people-and-families/\" target=\"_blank\" rel=\"noopener noreferrer\">Contact their doctor, treating team</a> or a health service promptly about other concerning thoughts too.</p>\n<p>If you are a teenager worried about a friend, <a href=\"https://www.kentmedwaymentalhealth.nhs.uk/information-and-advice/suicide-prevention/support-for-children-young-people-and-families/\" target=\"_blank\" rel=\"noopener noreferrer\">involve a safe adult</a> who can act, even if your friend asks you to keep it secret. This might be a parent, relative or teacher you trust. If the first adult cannot help, ask another adult or a healthcare professional. Do not tell someone your friend fears or who may hurt them simply because they are family. Tell the health service or emergency services about these concerns.</p>\n<h2 id=\"article-section-help-them-reach-care-even-if-they-seem-calmer\" data-toc-heading tabindex=\"-1\"><span id=\"help-them-reach-care-even-if-they-seem-calmer-7\" aria-hidden=\"true\"></span>Help them reach care, even if they seem calmer</h2>\n<p>The person may seem calmer by the end of the conversation, but that does not mean their need for care has ended. Follow the assessment step their situation calls for, and offer to go with them or help explain the thoughts they have described. If they are already receiving treatment, tell the team about worrying changes and ask for guidance instead of simply waiting for the usual appointment.</p>\n<p><strong>For medical advice in Saudi Arabia, call the Ministry of Health on 937, where doctors provide consultations around the clock.</strong> Explain that the concern involves suicidal thoughts and <a href=\"https://www.moh.gov.sa/937/pages/default.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">ask for guidance on appropriate care</a>. Do not delay immediate assessment or emergency help while waiting for telephone advice or a session through an app.</p>\n<p>An assessment determines suitable care and whether the person needs urgent protection or follow-up and treatment. <a href=\"https://www.nimh.nih.gov/health/publications/suicide-faq\" target=\"_blank\" rel=\"noopener noreferrer\">Treatments can help</a>, and the choice should fit their circumstances. Do not promise a set number of sessions or a fixed time for the thoughts to disappear.</p>\n<h2 id=\"article-section-after-the-crisis-agree-on-support-they-can-rely-on\" data-toc-heading tabindex=\"-1\"><span id=\"after-the-crisis-agree-on-support-they-can-rely-on-8\" aria-hidden=\"true\"></span>After the crisis: agree on support they can rely on</h2>\n<p>Once urgent help is in place, the person can make a safety plan with a professional and the people they choose to involve. This is a written set of steps to turn to when distress increases, not a promise that they will never harm themselves. It can cover:</p>\n<ul>\n<li>What they notice when the thoughts become stronger, and what helps them cope with distress early on.</li>\n<li>Whom they can talk to or have stay with them, and an alternative if the first person does not answer.</li>\n<li>Their care service and contact numbers, and when to call an ambulance or go to an emergency department.</li>\n<li>How to <a href=\"https://www.nimh.nih.gov/research/research-conducted-at-nimh/asq-toolkit-materials/adult-outpatient/adult-outpatient-brief-suicide-safety-assessment-guide\" target=\"_blank\" rel=\"noopener noreferrer\">reduce access to things</a> they could use to harm themselves, with safe help and <a href=\"https://www.nimh.nih.gov/health/topics/mental-health-medications\" target=\"_blank\" rel=\"noopener noreferrer\">without stopping a prescribed medicine</a> or changing its dose on their own.</li>\n</ul>\n<p>Do not delay calling an ambulance to finish this plan or try steps to calm the person. After discharge from care or once the crisis has passed, <a href=\"https://www.nimh.nih.gov/health/publications/5-action-steps-to-help-someone-having-thoughts-of-suicide\" target=\"_blank\" rel=\"noopener noreferrer\">keep in touch</a> in a way you have agreed and can maintain: a call at a set time, company at a follow-up appointment, or help with something that makes treatment hard to access. Share follow-up with the people they choose for support. If danger returns, get help again.</p>\n<h2 id=\"article-section-do-not-carry-this-alone\" data-toc-heading tabindex=\"-1\"><span id=\"do-not-carry-this-alone-9\" aria-hidden=\"true\"></span>Do not carry this alone</h2>\n<p>Fear for someone close to you can be exhausting. Ask a trusted person or professional for support, and share tasks according to what each of you can do. If you need to leave while you are worried about the person's safety, arrange for <a href=\"https://www.hpft.nhs.uk/media/hojf0wry/caring-for-someone-with-suicidal.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">appropriate help to be there</a> before you go. If none is available, call emergency services and explain the situation. If staying puts you in danger, move to a safe place and get help.</p>\n<p>You may be the first person they tell, but you cannot guarantee what happens on your own. Your role is to take them seriously, help them reach care and be part of support shared with others. You also deserve support and rest.</p>\n"}],"inlineCtaSignatures":[],"_experienceAliases":{"v":1,"fields":["html","bodyHtml"],"faqs":[0,1,2,3,4]}},"createdAt":"2024-01-07T21:00:00.000Z","updatedAt":"2026-10-30T19:34:32.092Z","disorderGroups":[{"id":"1e82772d-a1a7-4d29-b475-be9d6b67ae02","slug":"common-mental-issues","arName":"اضطرابات نفسية شائعة","enName":"Common Mental Issues"}],"reviewer":{"arFullName":"فريق تطمين","enFullName":"Tatmeen 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