Anger

Ask it plainly. Do you think you are a threat to anyone you love? A vague anger problem turns into something workable the moment it has a name attached to it.

Then keep going, because the follow up questions carry most of the weight. Has there been any thought of killing someone, or of dying. What is in the…

Imagining revenge is ordinary and on its own tells you very little. What matters is whether it has started collecting details: a particular person, a method, a time, something bought or moved.

Almost everybody who is furious has run some version of a scene in their head, and treating that as alarming only teaches people not to mention it.…

Hurting yourself is not always about coping. Sometimes it is aimed at somebody else, and until you know which it is you cannot know what would help.

This is uncomfortable to ask about and it is not an accusation. An act can be a way through an unbearable hour, or a message to someone who has…

Before anything else, take seriously what self-injury is doing for a person. Pain in the body can be easier to hold than pain in the mind, and a hurt you chose yourself can feel like control coming back.

There are other honest reasons too. It can switch the world off for a while, or hold up a kind of armour: nobody can hurt me worse than I already do,…

See what you made me do to myself. When self-harm is carrying a message like that, naming the message is not dismissing it, it is looking for the thing that could be said instead.

The question can be asked kindly and straight. Do you ever get angry enough with them to want to hurt yourself so that they feel it. People often say…

An act meant to be heard rather than to end a life can still end one. Whatever you believe about the intent, lethality is a separate question and it always gets asked.

The ways this happens are ordinary and awful. A method more dangerous than the person realised. The friend who was meant to arrive, arriving late. A…