When to refer

When the person has:

• psychiatric illness;

• a history of previous suicide attempt;

• a family history of suicide, alcoholism or mental illness;

• physical ill-health;

• no social support.

How to refer

• The primary health worker must take the time to explain to the person the reason for the referral.

• Arrange for the appointment.

• Convey to the person that referral does not mean that the health worker is washing his or her hands of the problem.

• See the person after the consultation.

• Maintain periodic contact.

Community resources

The usual sources of support available are:

• family

• friends

• colleagues

• clergy

• crisis centers

• health care professionals.

How to approach the resources?

• Try to get the permission of the suicidal person to enlist the support of the resources, and then contact them.

• Even if permission is not given, try to locate someone who would be particularly sympathetic to the suicidal person.

• Talk to the suicidal person beforehand and explain that it is sometimes easier to talk to a stranger than a loved one, so that he or she does not feel neglected or hurt.

• Talk to the resource people without accusing them or making them feel guilty.

• Enlist their support in the actions to be taken.

• Be aware of their needs also.