Before getting into EMS full-time I worked as a Facility Manager for a Mental Health facility. So, I always get Pt. care for suicides (somehow my colleges think I am an expert). Anyways, this is how I deal with them. 1. Never judge them, or draw attention to the behavior. 2. Try to talk about other things in their life that is not stressing them out. 3. Try to use as much humor as possible. I had a girl on time who was becoming a frequent flyer. I had her at least 3x as a Pt. The last time, she had been "huffing" air freshener. She was throwing all kinds of a tantrum, until I got her alone in the back of the rig and made the comment "My, your breath sure does smell pine country fresh." She then started laughing and was very co-operative the entire call. Whatever you do minimize attention to what they did and don't lecture them. If someone really wants to kill themselves they will, and you do not see the warning signs until after it has been done.