Conversations and contact
Keeping in touch
Keeping in touch, respecting privacy and knowing when to involve someone else.
You can keep ordinary contact going without managing their treatment or becoming their only support. If you regularly help them, you can also look into a carer’s assessment and financial support for caring; eligibility and routes vary across the UK.
Keeping in touch with depression? See talking and keeping in touch when they are depressed.
Starting a conversation
Start a conversation
Pick a moment when you have time to listen. Say what you have noticed without guessing a diagnosis. You do not need to solve everything in this conversation.
Words you could use
You’ve seemed a bit quiet lately. How are you doing?
They don’t want to talk
You could say: “No pressure. Want some company anyway?” Give them time, and ask later whether they would prefer a chat, a text or some space.
Keep the things you usually talk about in the mix. Being their friend does not mean taking charge of their treatment.[1]
They’re not replying
Think about what is unusual for them
An unanswered message or a read receipt cannot tell you whether they are safe. Try calling if their silence worries you. For an ordinary check-in without other worrying signs, keep it familiar.
A worrying message, then silence? If you believe their life is at risk, call 999. If you cannot establish that they are safe, seek urgent advice. What to do when you are not with them.
Words you could use
Fancy some company on Saturday? No need to reply now.
They haven’t opened the door
If they reply, ask what kind of contact suits them. Talk about things you would usually share: something you watched, a shared interest or a photo you would normally send.
If they have not opened the door for two days: the time alone cannot tell you how urgent it is. Try calling. Consider what is unusual for them, when anyone last heard from them and any worrying messages or signs of illness. If safe and appropriate, ask someone they trust nearby whether they have had contact, sharing only what is needed. If you still cannot establish that they are safe, seek urgent advice; you do not have to wait another day. Call 999 if you believe their life is at risk. Do not put yourself at risk trying to get inside.[2]
Someone is missing
If you cannot find someone and are worried about their safety, you do not have to wait 24 hours to contact police. See when to call, what to say and what the police may ask.
They’re annoyed with me
Take the pressure off
If they snap or ask you to stop, you do not have to defend every word. Pause the conversation and return to it when things are calmer.
Words you could use
I didn’t mean to push. We can leave it for now.
What if I’m still worried?
When things are calmer, ask whether they would prefer ordinary messages or some space. You do not have to tolerate threats or abuse. If you still think they may be unsafe, seek advice; an angry response does not tell you they are safe.[3]
Keeping in touch over time
Keep doing things together
Invite them to spend time with you without making every conversation about recovery. Ask whether they would like you to keep inviting them, even when they say no.
Words you could use
I’m going for a walk on Saturday. Fancy joining me?
I’m becoming their only support
If you have become their only support, discuss what you can keep doing and who else could help, with their agreement. During a calmer spell, agree a crisis-team contact or urgent-help route for times you are unavailable. Keep it somewhere you can both find it. You could say: “I can’t talk tonight, but I can give you a ring tomorrow.” Choose a time you can keep.
Ideas to share or do together · When depression lasts for months · Setting limits · Support for you[4]
They’re away at university
Read the full guide to supporting a student away at university: healthcare, raising university concerns, trusted contacts and study difficulties.
Ask what kind of contact helps and what they would like you to do when things are difficult. Listen before moving into problem-solving. You might offer to look up support together or stay on a call while they arrange it.
Check their university’s student services, wellbeing and disability support pages together. Names and services vary. The students’ union may also offer advice. If they live at university for most of the year, a GP near their term-time address can help them access local healthcare. Student Minds has guidance for people supporting a student from a distance.
Ask about trusted contacts. Check the university’s own policy: who can be named, when they may be contacted, what consent is requested and how details can be updated. A trusted contact can be someone the student chooses; do not assume it must be a parent or that every family relationship is safe. Being listed does not mean receiving routine updates.
Universities UK recommends clear arrangements for involving trusted contacts, including decisions in emergencies. These are recommendations for universities, not a promise about an individual institution. Staff may be limited in what they can tell you.
If you are worried, use the university’s published route for raising a welfare concern. For urgent concerns, use the urgent-help route where the student is and the advice for when you are not with them. If they are missing, see reporting a missing person.
Telling someone else
Ask who they want involved
When there is no immediate safety concern, ask what they are comfortable sharing and with whom. A partner or relative is not automatically the safest person to tell.
Words you could use
Is there anyone else you’d like me to tell? We can work out what to say together.
Privacy and safety
If you are worried about abuse or coercion, get safeguarding advice before contacting the person they fear. You can seek advice about your own concerns without broadcasting private messages to a group.[5]
If you are worried about their safety, see passing on a concern.
Passing concerns to a professional
You can pass on your concerns
A GP or care team can listen to your concerns even if they cannot discuss their care. Describe what you have seen or heard, with dates and their own words where possible.
Do not rely on an unread letter or email when help cannot wait. Use the urgent route, or call 999 if life is at risk.
Words you could use
I’m worried enough that I need to call someone. I’d rather do it with you.
How to contact their GP
Respect their privacy, but do not promise secrecy if someone may be in danger. If serious safety concerns mean you need help, share the relevant information with a professional or emergency service. Tell them what you are doing if it is safe; do not delay emergency help to get permission.
GMC guidance says doctors should not refuse to listen on confidentiality grounds. You can pass on your concerns; staff may still be unable to discuss the person’s care.
Confidentiality: what you can tell the care team and what they may share.
- Identify the person you are worried about. Give their name, date of birth or address if known, and your contact details.
- State the concern first. Describe what you saw or heard, with dates and exact words where possible. Say what you do not know.
- If staff say they cannot discuss it: “I understand. I’m calling to give you information I’m worried about. How can I get it to a clinician?”
- Ask what happens next. Ask for the concern to be recorded and passed on, and how to follow up if you remain worried. Keep a note of the call.
Use the GP-letter tool for a written concern. For a non-urgent concern, ask your friend which surgery they use and whether they want help contacting it. If help cannot wait, use the urgent help for their UK nation; you do not need their GP details to call. Do not rely on an unread letter or email in a crisis.
Staff may need to tell your friend what you shared. Explain any risk to you; do not assume your identity or message can be kept secret.[6]
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Advice for your relationship (optional)
The main guidance applies whoever you are supporting. Choose a relationship for advice about conversations and what you can take on.
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Sources and how this guide was written
Starting a conversation
Samaritans: listening to someone you are worried about and Mind: supporting a friend. The example phrases are ours; adapt them to suit your friendship.Back to the adviceWhen messages go unanswered
Back to the adviceListening and asking about safety
See Samaritans' listening guidance, Rethink Mental Illness and Samaritans: supporting someone with suicidal thoughts.Back to the adviceOffering support and looking after yourself
Back to the adviceHelping someone seek support
Back to the advicePassing concerns to a professional
Back to the advice
Last full source check: 25 September 2026
Missing-person reporting advice checked: 7 October 2026.
Independent information, not a medical or crisis service. This guidance has not been clinically reviewed. How we use sources.