Ask; persuade; refer - three words that can make a difference if you think that someone you know may be suicidal. Known as the APR approach, according to suicide prevention and bereavement charity, Pieta, it can help us help a loved one or friend who is in crisis.

Today, on World Suicide Prevention Day (WSPD), we want to share the APR approach with you as it ties in well with the theme of this year's WSPD, which is, Creating Hope Through Action.

World Suicide Prevention Day is a global public-health day for raising awareness and understanding about suicide prevention, and mobilising local and international support for action.

Since the outbreak of the Covid-19 pandemic 18 months ago, the stresses and strains of life became more and more challenging as lockdowns and restrictions curtailed life as we knew it.

Our mental health has suffered, and Pieta reported increased calls to and demand on its service as a result.

In 2020, the service delivered over 52,000 hours of intervention and bereavement counselling; its crisis helpline service was open 24 hours a day and received over 70,000 texts and calls from people all across Ireland; and more than 600 households were supported after the death of a loved one by suicide.

According to the charity, "most people who talk about suicide do not want to die, they simply want to stop the pain they feel".

If you know someone who may be struggling, then the APR approach can help.

Here is what Pieta advises.

If the person is opening up to you, engage them in a non-judgemental manner with empathy and don’t be afraid to ask them directly if they are struggling with thoughts of suicide or self-harming behaviour.

Calmly and gently try to persuade the person to seek help or to allow you to assist them in getting help.

As quickly as you can, refer or guide the person you are concerned about to Pieta, or your doctor, or local mental health service.

If you are concerned about a friend or family member who may be in distress, there are warning signs to watch out for.

According to Pieta, here are some of the key signs:

PietaFreefone 1800 247 247 Text HELP to 51444Call 0818 111 126

SamaritansCall 116 123Email [email protected] (response time 24 hours)