[4] Most countries have some form of mental health legislation which allows people expressing suicidal thoughts or intent to be detained involuntarily for psychiatric treatment when their judgment is deemed to be impaired.
These laws may grant the courts, police, or a medical doctor the power to order an individual to be apprehended to hospital for treatment.
The review of ongoing involuntary treatment may be conducted by the hospital, the courts, or a quasi-judicial body, depending on the jurisdiction.
However, some people may be reluctant to discuss their suicidal thoughts, due to stigma, previous negative experiences, fear of detainment, or other reasons.
Friends and family can provide supportive listening, empathy, and encouragement to develop a safety plan.
[6]: 4 During the acute phase, admission to a psychiatric ward or involuntary commitment may be used in an attempt to ensure client safety, but the least restrictive means possible should be used.
In cases where a patient is actively attempting suicide even while in a hospital ward, a fast-acting treatment such as ECT may be first-line.
Attention should also be given to the suicidal person's cultural background, as this can aid in understanding protective factors and problem-solving approaches.
[7] According to a 2005 randomized controlled trial by Gregory Brown, Aaron Beck and others, cognitive therapy can reduce repeat suicide attempts by 50%.