In the AID LIFE framework, what is the first recommended action when you suspect someone may harm themselves?

• A. Intervene immediately
• B. Ask directly if the person is thinking of hurting or killing themselves
• C. Don't keep it a secret
• D. Locate help

Answer: (B)

Directly asking about suicidal thoughts is the most important initial action when you’re concerned someone may harm themselves. Opening with a direct, calm question communicates care and seriousness, and it helps you gather essential information about their risk level. People often fear that asking about suicide might plant an idea, but asking directly actually lowers fear, gives the person a chance to talk, and clarifies whether there is an immediate danger that requires urgent action.

Once you’ve asked, you can assess what comes next: if they’re thinking about hurting themselves, stay with them, listen nonjudgmentally, and arrange immediate help (calling emergency services if there’s imminent danger or enlisting trusted people to stay with them). If they’re not at immediate risk but open up about distress, you can encourage professional support and plan steps to stay safe. Other actions, like trying to intervene without understanding risk, keeping the issue unspoken, or only locating help without first confirming risk, aren’t as effective because they miss the crucial information you gain from a direct, compassionate check-in.