11/14/2025
We talk about su***de prevention, but we never give any actual "training" on what to do. I started this idea a while ago, but I want to make it into something people can actually use. Its called Having Those Conversations (HTC): If anybody would like to participate i would appreciate it.
Meet Maya (The High Achiever)
Context: 21-year-old medical student. Sleep-deprived, perfectionist.
Statement:
"I honestly don't know why everyone is worried. I'm just tired, you know? The exams are coming up and I just... I can't get the information to stick anymore. It feels like my brain is broken. I haven't slept in three days, but when I lay down, my heart just races. I feel like I’ve tricked everyone into thinking I’m smart, and now the walls are closing in. Honestly, it would just be so much easier if I could just turn my brain off permanently. I just want the noise to stop."
1. The Verbal Clue: Maya says, "It would be easier if I could turn my brain off permanently." Why is this passive statement a major red flag for active suicidal ideation?
Your Answer:
2. Physical Assessment: Maya mentions she hasn't slept in three days. How does extreme sleep deprivation affect a person's impulse control and decision-making regarding su***de?
Your Answer:
3. Empathy & Validation: Before asking the big question, how can you validate her feelings of "Imposter Syndrome" (feeling like she tricked everyone) so she feels heard?
Your Draft:
4. The "ASK" Step: Draft a direct question that links her desire for the "noise to stop" to su***de.
Your Draft:
5. Handling Resistance: If Maya says, "Oh, I didn't mean it literally, I just need sleep," but she still seems agitated, what is your follow-up question to ensure she is actually safe?
Your Draft:
6. The "Connect" Step: Maya is a medical student and might fear ruining her career by seeking help. How do you encourage her to seek help despite this specific fear?
Your Draft:
7. Immediate Safety: She is sleep-deprived and anxious. What is one immediate, low-pressure step you can suggest for tonight? (e.g., staying with a friend, calling a helpline).
Your Draft: