The path to suicide is usually gradual, progressing from suicidal thoughts to planning, then attempting, suicide, and finally death. Mark Harris of the Samaritans recently commented on ways of talking and listening that can help others in crisis. He said that making small talk with a stranger might save their life. Walking up to someone who seems distant or distressed and asking ‘Are you OK?’ or ‘Do you fancy a coffee?’ might be enough to break the chain of suicidal thinking and move them to seek help. He said people should not worry about saying the wrong thing. Often, someone in crisis is looking for an intervention and saying something, however small or seemingly silly, is better than walking on by. ‘By asking questions you are eliciting a response from someone, and you are at once engaging with them.’ In 2016, there were 4,941 suicide deaths in England and Wales - but a much larger number consider taking their own lives. See