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"Given the opportunity to look the other way, most people will."

• Being embarrassed to say you are concerned about them;
• Assuming they have stopped socializing, or are skipping classes, etc. because they want it that way and/or;
• Thinking that their drunken mumbling about wanting to die was 鈥渏ust the alcohol talking鈥�

First, let鈥檚 distinguish between more ongoing and more urgent concerns. If your friend is in crisis鈥攊n danger of harming him/herself or someone else鈥攔ead 鈥淲HAT IF IT鈥橲 A CRISIS?鈥� below.

Otherwise, assuming it鈥檚 not an immediate crisis, how do you know that help is really needed? Everyone gets distressed at times. When are normal friendship and gentle advice probably not enough?

If signs like the following are continuing, more help is needed:

• Withdrawing from friends or activities;
• Chronically missing classes; 
• Major sleep or appetite change;
• Deteriorating hygiene and overall self-care;
• Declining academic performance;
• Irritability; frequent arguments and conflicts;
• Binge drinking or drug use;
• Self-injurious behavior;
• Excessive worry, anxiety, fear, or panic;
• Feelings of hopeless, worthlessness, and/or thoughts of suicide;
• Loss of energy, motivation, interests;
• Risky sexual activity;
• Mood swings and/or; 
• Expression of thoughts about dying or suicide

• Speak up.  Find or make a time, and express your concerns. It shows you care!
• Use 鈥淚鈥� statements.  Without judging your friend, express how you feel. Be specific:  鈥淚鈥檓 concerned about your drinking lately.鈥�  鈥淚鈥檓 worried about how sad you seem.鈥�  鈥淚 want to be able to offer you my support.鈥�
• Listen.  Once you鈥檝e expressed your feelings, encourage your friend to talk. Then really listen.
• Clarify.  Reflect back what you are hearing. Help clarify the problem.
• Offer your support.  For now and in the future.
• Brainstorm.  Help your friend look for ways forward, and ways you can be helpful.
• Help them expand their support network.  Urge your friend to talk to other friends and family, and to try some of the University鈥檚 resources. The Counseling Center is the ideal place to start. 
• Don鈥檛 take it on alone.  You may not feel qualified to help your friend with their problems. Learn about resources on campus such as counseling, health services, mentoring, and spiritual guidance. The Counseling Center can educate you about these resources, and guide you in helping your friend. And please consider talking with us about getting you some support. Helping others can be stressful.
• Stay in touch.  Don鈥檛 speak up once and then let it drop. Even if your friend is not receptive at first, mention your concerns again.
• The 'A friend asks' website linked below is maintained by the Jason Foundation, which is dedicated to the prevention of suicide through educational and awareness programs.  There are Apple and Android apps for suicide prevention tips available here also.  Please see the emergency contact information page in the case of a crisis.

If your friend won鈥檛 listen, isn鈥檛 trying other resources, or otherwise seems stuck, recommend that they 鈥渏ust try one 惫颈蝉颈迟鈥� to the Counseling Center. It doesn鈥檛 commit them to counseling. They can just see how it feels, see what the counselor recommends, and then think about it. Tell them to check out our website. Here, they can even take a virtual tour of what a first visit would be like. You might even offer to accompany them, if that would help.

What, though, if they won鈥檛 even try one visit? Then you should consider speaking with a counselor, to see what else might be tried. Over the phone or in person, you can say what has been happening and get some advice on how to proceed.

If your friend is so impaired that they are at risk of harming themselves or someone else, immediate action is required to help them. See emergency contact information.

If they are in emotional turmoil and confusion, not thinking clearly, not perceiving things clearly, or behaving bizarrely, this too constitutes an emergency and immediate action is necessary. This is true as well for any statements or behavior reflecting thoughts of self-harm or of harming someone else. In all these cases, follow the crisis directions above.

So often in our society we tend to reflexively think that others do not want us to pry. But we all know that when someone reaches out to us, it can make a huge difference. Check in with one another when you notice that someone鈥檚 mood or behavior seems to have changed, take the time to have the conversation and, when necessary, help the person you are reaching out to get the support he or she might need. We want all members of the community鈥攆aculty, staff, administrators, and students鈥攖o do this for each other, and help individuals who need some extra support plug into the wonderful resources that Loyola offers.