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Published on: Sep 11, 2021
3 minute read
By: Second Medic Expert

What Should You Do If Someone Tells You They Are Thinking About Suicide?

What should you do if someone tells you they are thinking about suicide?

First, remember that suicide is almost always an impulsive decision, and it can be prevented if the person gets immediate treatment. Second, don't leave the person alone. Keep them talking, let them know you care about them and give them someone to call for help. Third, try not to make any promises to the person as they will most likely break those as well. Fourth, encourage them to seek outside professional help such as a hotline or psychiatric hospitalization-inpatient program which usually requires a referral from a physician who knows the individual well enough to feel comfortable making this recommendation.

Fifth and last but not least important- remember that everyone has good days and bad days! Sometimes things just seem impossible when you.

If someone tells you they are thinking about suicide, it's very important to understand that most suicidal people think about dying and not actually doing it. Suicide is a plan and the person with the plan is thinking through how they will do this. This means we can increase their safety by showing we care and taking practical steps to manage risk. For every "I want to kill myself" statement, there might be an underlying message of significant despair or hopelessness up for your interpretation which you need to pay attention to as these may lead you to a productive dialogue where hope can be reignited.

Being calm and reassuring and providing an emergency contact and encouraging them to call should be your first response. This may not work though so it's important you have other follow-up steps in place.

1) Educate yourself about this situation so that you know how best to help the person in crisis, talk with a specialist if necessary.

2) Avoid aggressive or hostile reactions, instead, try being empathetic while not dismissing their feelings because suicidal thoughts are always a sign of extreme emotional distress.

3) Let the person know they can trust you to listen without judgment before gradually guiding them towards professional help - offer reassurance that treatment is only temporary but necessary for their wellbeing

Suicidal thoughts may come from a sudden, strong feeling of despair and hopelessness. It can be as if an instant storm has been dumped on your head, drenching you with the cold, dark water of death. You might feel as if no one will ever or could ever understand how bad it seems to you right now. All this weight feels so heavy and out of control, that suicide starts to seem like a way out. But there is hope!

Acknowledge the person's feelings by telling them "I'm sorry that you're going through this". Trying to say their name to get their attention and then ask them how they are doing.

If the person is at imminent risk, call Emergency. Seek medical attention or go to a hospital for self-care services. Offer to stay with them or call for help if they refuse both options. Speak calmly and clearly, listen to their troubles without judgment, be patient and understanding. Let them know you want to help and that they are not alone through these challenges (or tell them anything else comforting). If they seem like they'll be OK on their own but could use some nonjudgmental support later that day or tomorrow, offer to take care of them then. If you're feeling intimidated by this situation (thinking "I can't do this!"), please remember that this person came

One of the most dangerous situations is when a suicidal person points a gun at themselves while they are sitting in front of you. In that situation, get on your knees and then slowly touch it from behind. By touching the gun from behind, there's no chance he will suddenly turn around and shoot before you have time to react. Tell him clearly that you're getting the bullet away from him, so he doesn't hurt anyone else. If he wants to talk about what's going on or if he shows any interest in giving up, try to listen calmly for a while without criticizing or interrupting them too much.

Listen to their thoughts and feelings without judgment or judgment. Reassure the person that you will do anything they need you to do if they continue with their suicidal thoughts.

Help them consider a way out of it by giving them a number for a hotline or a crisis line, as well as the option to call an emergency. Reach out to someone yourself who can help calm your nerves and may know what strategies might be helpful in this situation if it ever happens again.

1. Remove any objects that could be used in a suicide attempt from the person's reach, including guns, knives, razors, medications, and other potentially lethal items.

2. Calmly tell them they don't want to do it for any given reasons you can think of--because life is worth living no matter how difficult or painful various aspects may be at times because there are people who care about them and will miss them if they die by suicide.

3. Refuse to leave until someone else arrives who can talk with the person further and assess their mental state.

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why fatigue should not be ignored

Feeling tired occasionally is a normal response to physical exertion, lack of sleep or emotional stress. However, when fatigue becomes persistent, overwhelming or unexplained, it should not be dismissed. Fatigue is one of the most common symptoms reported in healthcare, yet it is also one of the most frequently ignored.

Understanding why fatigue should not be ignored is essential because it often acts as an early warning sign of deeper physical or mental health issues.

What Is Fatigue?

Fatigue is a state of ongoing physical, mental or emotional exhaustion that:

lasts longer than expected
interferes with daily activities
does not improve with rest or sleep

Unlike ordinary tiredness, fatigue affects motivation, concentration and overall functioning.

Why Fatigue Is Commonly Ignored

Fatigue is often dismissed because:

busy lifestyles normalise exhaustion
symptoms develop gradually
people attribute fatigue to stress or ageing
rest temporarily masks the issue

Ignoring fatigue allows underlying conditions to progress unnoticed.

Common Medical Causes of Persistent Fatigue

Nutritional Deficiencies

Deficiencies in:

iron
vitamin B12
vitamin D
magnesium

can significantly reduce energy levels and cause weakness.

Anaemia

Anaemia reduces oxygen delivery to tissues, leading to:

constant tiredness
breathlessness
dizziness

It is one of the most common yet underdiagnosed causes of fatigue.

Thyroid Disorders

Both underactive and overactive thyroid conditions affect metabolism.

Symptoms include:

fatigue
weight changes
cold or heat intolerance

Thyroid-related fatigue often persists despite rest.

Chronic Infections

Low-grade or unresolved infections keep the immune system activated, causing prolonged fatigue.

Hormonal Imbalance

Hormones regulate energy, sleep and metabolism.

Imbalance may lead to:

exhaustion
poor sleep
low motivation

Poor Sleep Quality

Even with sufficient sleep duration, poor sleep quality can cause fatigue due to:

sleep apnea
frequent awakenings
stress-related insomnia

Mental Health Conditions

Anxiety, depression and chronic stress commonly present with fatigue as a primary symptom.

Mental fatigue is as real and impactful as physical fatigue.

Lifestyle Factors That Worsen Fatigue

Certain habits intensify tiredness:

irregular meals
excessive caffeine
dehydration
lack of physical activity
prolonged screen use

Lifestyle-related fatigue often coexists with medical causes.

How Fatigue Affects Daily Life

Persistent fatigue impacts:

work performance
concentration and memory
emotional regulation
physical activity
social relationships

Over time, quality of life declines significantly.

Warning Signs That Fatigue Needs Medical Attention

Seek evaluation if fatigue:

lasts more than two weeks
worsens progressively
occurs with weight loss or fever
is associated with breathlessness
interferes with daily tasks

These signs suggest an underlying issue.

Why Early Evaluation Matters

Early identification of fatigue causes:

prevents disease progression
simplifies treatment
improves recovery time
restores normal energy levels

Delayed care often leads to chronic complications.

Diagnostic Evaluation for Fatigue

Assessment may include:

detailed history
blood tests
nutritional screening
hormonal evaluation
sleep assessment

Testing helps identify root causes rather than treating symptoms alone.

Can Fatigue Be Prevented?

Some preventive measures include:

balanced nutrition
adequate hydration
regular physical activity
consistent sleep routine
stress management

However, prevention does not replace evaluation when fatigue persists.

Fatigue and Chronic Disease Risk

Long-term fatigue may be linked to:

cardiovascular disease
metabolic disorders
immune dysfunction

This makes fatigue an important early health signal.

When Rest Is Not Enough

If energy does not return after:

adequate sleep
reduced workload
lifestyle changes

medical evaluation is essential.

The Cost of Ignoring Fatigue

Ignoring fatigue can lead to:

delayed diagnosis
worsening health conditions
reduced productivity
emotional burnout

Listening to the body early prevents long-term consequences.

Conclusion

Fatigue is not merely a sign of a busy life—it is often the body’s way of signalling imbalance or illness. Persistent tiredness that does not improve with rest should never be ignored. Whether caused by nutritional deficiencies, hormonal changes, chronic stress or underlying disease, fatigue deserves attention. Early evaluation and timely care can restore energy, prevent complications and significantly improve quality of life. Listening to fatigue is an act of self-care and preventive health.

References

Indian Council of Medical Research (ICMR) – Fatigue and Lifestyle Health Report
World Health Organization (WHO) – Chronic Fatigue and Health Guidelines
National Institute of Nutrition (NIN) – Nutrient Deficiency and Energy Research
Lancet – Fatigue as a Marker of Chronic Disease Studie
Indian Journal of Medicine – Persistent Fatigue and Diagnosis
Statista – Fatigue, Stress and Health Trend Analysis

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