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How do I help my suicidal son

39 replies

page17 · 15/12/2025 19:09

Just turned 18, autistic, anxious. On medication for depression, talks constantly about wanting to die. On waiting list for help. Organised a private therapist for him but he’s too anxious to go, just says he’d rather be dead, there’s no point etc. What do I do if he won’t engage with support?

OP posts:
Lostsoultrip · 15/12/2025 20:49

I'm so sorry. That must be so hard. Are there online alternatives for therapy or ASD groups online he could use for social connection to begin with? Does he spend any time outdoors? I genuinely think being outside can massively improve wellbeing. Is there anything he still enjoys doing or anything he'd like to try e.g. cooking.
Have you tried talking to the GP again without him for advice or the mental health team?

NooNakedJacuzziness · 15/12/2025 21:02

Have you tried YoungMinds? Youngminds.org.uk. I know it’s just another website but it might be worth a look. Sorry you’re going through this x

page17 · 15/12/2025 21:21

He will walk with me at night if there’s no one around. We are meant to go to therapy tomorrow but he just says he can’t and he would rather be dead. DH gets annoyed with him and I don’t know what to do.

I will check the website thank you.

OP posts:
Lostsoultrip · 15/12/2025 21:23

Is it maybe anxiety medication he needs too?

GooseyGandalf · 15/12/2025 21:26

It’s so hard.

Some of what has helped in our house is lots of listening, but subtly steering towards a special interest. The depression becomes a special topic of its own, so I try to listen, validate but also change the record if I can.

Paying attention to the sensory diet - reducing as much dysregulating stimuli as possible and increasing regulating input. This has been more impactful than psychological therapy,

Movement- motion changes emotion. Tossing a ball or taking a walk. I never suggest that it will make him feel better, or he would resist it, but if he wants to talk to (at) me, I invite him to follow me, to get him up and moving.

Not to minimise in any way, but it was very helpful to me to understand that he could get dangerously low quickly, but also come out of it rapidly too. Depression didn’t move as slowly and consistently as it would for a neurotypical - it was a spikier experience. It helps me not panic (as much) in the awful lows.

Watch that he’s eating (something/anything) and hydrating. Any kind of physical or sensory stress magnifies big emotions.

In terms of support, ds has needed me to advocate for him at times. I talk for him, until he’s ready to take over and then fade back. Sometimes I’ve attended sessions when he won’t and just done my best with whatever they’ve suggested

Can you identify any specific anxieties? It’s not unusual for dc with autism to find some thing unbearably hard, that might go unnoticed by us. And very often, there are alternatives, work arounds or things that can be avoided. It’s like taking rocks out of their path.

Not sure if any of that is useful as it’s quite specific. But sending solidarity,

ThankYouNigel · 15/12/2025 21:30

Stay by his side. Be there to listen. Remind him he is loved and nothing he says sounds silly or unimportant. Walk together if he is up to that. Remind him that feelings do change, he won’t always feel as bad as today, and to focus on one day at a time. There is no rush it pressure to magically feel better.

There are some fantastic online/telephone therapists who can help from the comfort of your own home. The Samaritans are a phone call away, 24/7 for either of you.

I am sorry to hear you are going through this (I was the child of a parent who committed suicide- it’s a subject that I care about deeply). 💐

Sally2791 · 15/12/2025 21:37

Thankyounigel
this is something that terrifies me- my son is very difficult to communicate with and very erratic with mood swings and behaviour. He lives with me but does always respond

ThankYouNigel · 15/12/2025 21:39

Sally2791 · 15/12/2025 21:37

Thankyounigel
this is something that terrifies me- my son is very difficult to communicate with and very erratic with mood swings and behaviour. He lives with me but does always respond

I’m sorry to hear how worrying and difficult things are for you. You being there and being so genuinely concerned will count for a great deal.

Please do reach out if you need support too.

AMDunne · 15/12/2025 21:48

Walking and talking sounds like good therapy for your son @page17. I hope he goes to therapy tomorrow. It must be heartbreaking for you. Please reach out to YoungMinds as a parent for support.

TaraC25 · 15/12/2025 21:48

Does he have a pet? A cat, dog, guinea pig etc can be a brilliant focus and comfort. Also there are many therapists that work online, would that be an option if he's currently too anxious to leave the house?

MadamNoo · 15/12/2025 22:29

Asd DS was not able to engage with therapy until he had started fluoxetine (Prozac) - it calmed the extreme distress so that he could deal with the talking and reasoning. Do look into medication, not as the cure but part of the answer.

suggestionsplease1 · 15/12/2025 22:35

If he's struggle to engage with in-person support (or video or telephone) due to anxiety, he could start with Shout, which is a text messaging based service for people in crisis:

giveusashout.org/

ChristmasStressy · 15/12/2025 22:37

My DS is 19 and the same.

If you want to chat DM me x

Ginflinger · 15/12/2025 22:47

I really recommend Papyrus, too, for advice and for you to talk to, or your DS if he ever feels he can engage: https://www.papyrus-uk.org/papyrus-hopeline247/

I'm so sorry this is happening. It's a special kind of hell.

HOPELINE247 | Papyrus

Are you having thoughts of suicide or are concerned for someone who feels suicidal? Then contact HOPELINE247 for free confidential support on 0800 068 4141.

https://www.papyrus-uk.org/papyrus-hopeline247/

LadyBlakeneysHanky · 15/12/2025 22:47

So very sorry to hear this.

Have you found the Papyrus website? It’s very helpful.

A good book is How to Listen’ by Katie Colombus.

Have you suggested to him that one option might be for you to come too, for a first chat with the therapist? Just to kind of sound it out with him & see how he feels? For support?

Another alternative - if he refuses that- might be to see if the therapist could take you on, to advise you on his best to support him (kind of therapy at one remove).

If he does take SSRIs, be very aware that they can increase suicidal ideation- a good idea to discuss this with him & with GP.

TryingAgainAgainAgain · 15/12/2025 22:49

Can his therapy be online, eg over Zoom? Since Covid it seems most therapists offer this. It might seem more manageable for him .

page17 · 16/12/2025 08:41

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NooNakedJacuzziness · 16/12/2025 11:36

I hope you’ve got some real life support around you OP, this must be taking its toll on you x

mynameisthebestone · 16/12/2025 12:09

When did he start the anti-depressants? They can make people feel worse/suicidal in the first few weeks so need to be watched like a hawk during that time. Alternatively, he may need a different AD or a higher dosage if what he's on at the moment isn't helping.

I hope you've spoken to the GP today about his purchase of helium. Taking actual steps and having a plan (as your DS did) would bump people up the waiting list for NHS support in my area. If the NHS is aware that your DS is currently a danger to himself, I hope that he gets quicker support.

Stephen Fry wrote a letter "It will be sunny one day" which you might want to google. We had it printed out in large and pinned to the wall when my DC was in a similar situation. Knowing that many, many people (even famous, successful ones) feel the same sometimes - but that they get better - helped my DC.

BestZebbie · 16/12/2025 12:23

page17 · 15/12/2025 21:21

He will walk with me at night if there’s no one around. We are meant to go to therapy tomorrow but he just says he can’t and he would rather be dead. DH gets annoyed with him and I don’t know what to do.

I will check the website thank you.

Sometimes suicidal ideation in autistic people can be a symptom of deep burnout - not so much a desire to be permanently dead but a desperate need to pause having to be alive right this second because it is just too much to deal with the constant stream of things to do and be, and people talking to you and wanting things.
I'd recommend stopping all expectations of him for an indefinite period of time - offer things like walking, talking, food etc but also, if he needs to just curl up in a ball by himself for three weeks, then let him.

kerstina · 16/12/2025 12:33

This might sound totally unhelpful in your son’s case but has he ever talked to chat GPT. I have found it extremely helpful for getting feelings out and having visited an actual therapist I found chat GPT more helpful. Is he sleeping much OP. If not that might be the first thing to look at. Does he have a pet? How does he feel about animals as I think they can bring so much comfort.

FoxLoxInSox · 16/12/2025 12:43

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Oh OP - my heart goes out to you and your DS.
I’m a snr MH practitioner who assesses risk and deals with triaging and referrals to the appropriate service…. As your DS is not only expressing passive suicidal ideation but is expressing active suicidal planning, with intent and means, this meets the threshold for crisis assessment / intervention.

If he’s not already under CMHT / doesn’t have a care coordinator you can call directly to Urgent & Crisis service via ringing 111 and selecting Option 2. Ensure to tell them that he has been buying the means to end his life and is expressing active suicidal planning and ideation, with no ambivalence, and is self-isolating and too unwell to leave the house or engage in therapy.

They need to ideally come out to see him, or at least invite him (and you) to a crisis assessment. Theyll then be able to assess his risk, and put in place a care plan - ideally involving Home Treatment Team, which is a short term intervention to assist people out of the crisis phase and enable them to be able to engage with routine MH interventions such as therapy / support groups / OT etc.

All the very best of luck OP. You’ll be in my thoughts x

TryingAgainAgainAgain · 16/12/2025 14:27

Agree with @FoxLoxInSox. This needs an immediate referral via 111, not waiting until Friday for a GP appointment.

Tcateh · 16/12/2025 14:29

Op what medication is he on and how long has he been on it.
X

Beerlzebub · 16/12/2025 14:31

kerstina · 16/12/2025 12:33

This might sound totally unhelpful in your son’s case but has he ever talked to chat GPT. I have found it extremely helpful for getting feelings out and having visited an actual therapist I found chat GPT more helpful. Is he sleeping much OP. If not that might be the first thing to look at. Does he have a pet? How does he feel about animals as I think they can bring so much comfort.

Dear god don't suggest that!! What an irresponsible post. 😡

As others have asked OP, what/any medication is he on? Fluoxetine was a disaster for us, Citalopram has been much better.

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