The Role of Empathy and Active Listening in Suicide Prevention

Written by Graduate Interns Nicole Samala & Carmina Topacio | Clinically Reviewed by Dr. Andrew Stephen Lim

Photo by Monica Garwood

Why Suicide Prevention Matters

Suicide is more than a statistic—it’s a tragedy that affects families, friends, and communities. The World Health Organization (2021) reports over 700,000 deaths by suicide each year, or one every 40 seconds. Behind each number are loved ones left with grief and unanswered questions.

Prevention isn’t just the job of professionals. Everyday people can make a difference by noticing someone’s pain, sitting with them, and listening without judgment. As the American Foundation for Suicide Prevention (2023) notes, most people who think about suicide don’t truly want to die—they want the pain to stop. Empathy and active listening can ease that burden and open the door to hope, healing, and professional support.

Understanding Empathy and its Ripple Effect to Building Hope and Connection

Empathy is about stepping into someone else’s shoes—not to fix their problems, but to feel alongside them. Unlike sympathy or pity, which can sometimes create distance, empathy builds closeness. Empathy says,  “I may not have all the answers, but I’m here with you.” Carl Rogers (1961), a pioneer of humanistic psychology, described it as one of the most powerful forces in healing relationships.

When someone feels genuinely understood, the impact can ripple outward. In that moment, they are reminded they are not alone. Over time, these small but meaningful connections help build resilience. People are more likely to reach out for help again, and stigma around mental health starts to fade.

This ripple effect goes beyond one conversation. An empathetic listener can inspire others to respond with the same compassion in their own relationships. Little by little, this creates communities where hope and openness replace silence and shame. And sometimes, that first moment of being heard is what keeps someone holding on long enough to find the help they need.

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Listening with Care: How to Practice Active Listening and Recognize When It’s Needed

Active listening is more than just hearing words—it’s showing someone that their voice matters. It means creating a safe space where they feel encouraged to share. You can practice this by:

  • Being fully present: Put away distractions, maintain gentle eye contact, and show through your body language that you care.
  • Reflecting back: Repeat or paraphrase what the person has said (“It sounds like you’re feeling exhausted and overwhelmed”).
  • Withholding judgment: Avoid phrases like “Don’t feel that way” or “Others have it worse.” Instead, validate their feelings by saying things like “It makes sense that you feel sad about that” or “I’m sorry you’re going through this”.  
  • Using nonverbal cues: A nod, a calm tone, or sitting quietly can say just as much as words.

Irvin Yalom (2002) described listening as a gift—it’s less about finding the right advice and more about offering your presence. Research with crisis hotlines has found that when listeners use these skills—pausing, asking gentle questions, and reflecting feelings—callers often report feeling relief and renewed hope (Gould et al., 2013).

But active listening also begins with noticing when someone might need it. People in distress don’t always come right out and say, “I need help.” Instead, their struggles often show up in subtle changes:

  • A friend who used to be outgoing suddenly avoids social activities.
  • A coworker who once enjoyed chatting now seems withdrawn or irritable.
  • A family member might start talking about feeling hopeless, like “Nothing will ever get better,” or give away possessions as if saying goodbye.
  • You may also notice shifts in sleep, appetite, or personal care, or an increase in drinking or substance use.

These signs don’t always mean someone is thinking about suicide, but they can be signals of emotional pain. The key is noticing what’s different from their usual self. Approaching them doesn’t require perfect words—it just requires care. Something as simple as, “I’ve noticed you haven’t seemed yourself lately—do you want to talk?” can open a door.

Even if they don’t share much right away, your concern shows them they’re not invisible. Paired with empathetic listening, these moments remind people that they matter—and sometimes, that reminder is what keeps them holding on.

Photo by Maria Fabrizio

How Empathy and Active Listening Work Together

When empathy and active listening come together, they form a powerful foundation for suicide prevention. Active listening gives empathy a voice, while empathy ensures that listening is genuine rather than mechanical. Together, they communicate: “I hear you, your pain is real, and you are not alone.”

People in crisis often feel isolated, misunderstood, or like a burden (Joiner, 2005). Empathetic listening directly challenges those beliefs by reducing aloneness and restoring a sense of belonging. It also helps ease shame—the feeling that often keeps people silent. When we listen openly, reflect feelings without judgment, and show care through tone and presence, that silence begins to break.

Studies of crisis hotlines show that callers report more relief and hope when counselors combine empathy with active listening skills like summarizing, allowing silence, and asking open-ended questions (Gould et al., 2013). Carl Rogers (1961) emphasized that healing isn’t about advice but unconditional acceptance—something active listening communicates in real time.

Even in everyday life, these skills matter. A simple response to a coworker—“That sounds really tough. Do you want to share more about what’s been weighing on you?”—can open the door to trust and connection. Small, genuine moments like this remind people that they are seen, valued, and not alone.

Taking Care of Yourself: The Importance of Boundaries and Self-Care

Providing empathetic support to someone in pain is an incredibly generous act, but it can also be emotionally taxing. Being an effective listener requires you to first take care of your own well-being. 

Setting healthy boundaries is not a sign of selfishness; it’s a sign of maturity and self-awareness. You might need to say, “I’m so glad you reached out, but I’m in the middle of something right now. Can we talk in an hour?” or “I’m not equipped to handle this alone, but I can help you find someone who is.” Knowing your own limits ensures you can continue to be a supportive person.

After a difficult conversation, it’s also crucial to engage in self-care:

  • Taking a quiet moment to decompress.
  • Talking to a trusted friend or partner about your own feelings (while maintaining the other person’s privacy).
  • Spending time in nature or doing a hobby you enjoy.

Remember, your role is not to be a professional therapist. Your primary job is to offer a caring, present connection. By setting clear boundaries and prioritizing your own well-being, you ensure that you have the emotional capacity to show up for others when it matters most.

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Small Steps, Big Impact

Empathy and active listening are not complicated skills reserved for professionals; they are everyday tools that anyone can use. Even small acts—like putting away your phone during a conversation, listening without judgment, or saying, “I’m here for you”—can have a big impact on someone who feels alone in their struggles. These gestures remind people that their lives matter and that they are not invisible.

The beauty of these tools is their accessibility. You don’t need advanced training to be empathetic or to listen well. Research shows that even brief, supportive conversations can increase a person’s willingness to seek help and reduce feelings of hopelessness (Bruffaerts et al., 2011). When practiced consistently, empathy and listening not only ease individual distress but also foster stronger, more connected communities.

Importantly, these skills are just as valuable in everyday conversations as they are in moments of crisis. By practicing empathy and listening in daily life—with friends, coworkers, or family members—we normalize talking about emotions and reduce the stigma surrounding mental health (Corrigan & Rao, 2012). In this way, each of us has the power to create a culture where reaching out for help is seen as strength, not weakness.

Ultimately, suicide prevention is not only about large systems or policies; it also starts with the choices we make in our daily interactions. Every time we choose to listen with empathy, we plant seeds of hope that can ripple outward. Small steps, practiced by many, truly can make a big impact.

References:

Bruffaerts, R., Demyttenaere, K., Hwang, I., Chiu, W. T., Sampson, N., Kessler, R. C., Alonso, J., Borges, G., de Girolamo, G., de Graaf, R., Florescu, S., Gureje, O., Hu, C., Karam, E. G., Kawakami, N., Kostyuchenko, S., Kovess-Masfety, V., Lee, S., Levinson, D., … Nock, M. K. (2011). Treatment of suicidal people around the world. The British Journal of Psychiatry, 199(1), 64–70. https://doi.org/10.1192/bjp.bp.110.084129

Corrigan, P. W., & Rao, D. (2012). On the self-stigma of mental illness: Stages, disclosure, and strategies for change. Canadian Journal of Psychiatry, 57(8), 464–469. https://doi.org/10.1177/070674371205700804 

Gould, M. S., Cross, W., Pisani, A. R., Munfakh, J. L., & Kleinman, M. (2013). Impact of Applied Suicide Intervention Skills Training (ASIST) on the National Suicide Prevention Lifeline. Suicide and Life‐Threatening Behavior, 43(6), 676–691. https://doi.org/10.1111/sltb.12049 

Joiner, T. (2005). Why people die by suicide. Harvard University Press. ISBN 9780674025493

Rogers, C. R. (1961). On becoming a person: A therapist’s view of psychotherapy (1st ed., 420 pp.). Houghton Mifflin. ISBN 9780395081341

Texas Crisis Center. (n.d.). Listening is the clearest path to empathy. https://www.sccenter.org/listening-is-the-clearest-path-to-empathy/ 

Waterloo Region Suicide Prevention Council. (2022a). What is empathy? https://wrspc.ca/what-is-empathy/ 

Yalom, I. D. (2002). The gift of therapy: An open letter to a new generation of therapists and their patients (1st ed., 263 pp.). HarperCollins. ISBN 9780066214402

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