Report Someone and save lives

report someone

Do you have a friend who has discussed committing suicide or hurting themselves in any way? This usually means that your friend is asking for help. We want to help. Please fill out the form below and we will make sure that your friend will get the help he/she needs. Don't wait until it is too late. Your friend needs you more than ever and you can help make a difference. None of your information will be exposed except to proper authorities.

Remember, you will remain anonymous!!!!

Quick note: Please do not make false reports on anyone. We are very limited in our resources and need to spend all of our time investigating the true reports. This way we can help save lives, including yours. Thank you.

Name of person talking about committing suicide

Street address of person you are concerned about

City & State of person you are concerned about

Name of school that the person attends (if student)

City and State where the school is located

How long has the person talked about hurting himself?

Has the person seemed depressed lately?

Who else has heard the person make these threats?

Give us any additional information that you believe may be helpful in assisting the person you are concerned about

We thank you for making this report. To assist this person faster we will need additional information from you. Remember, you will always remain anonymous to everyone but the proper authorities. Most likely the proper authorities will not need to contact you, but if they do we will need the following information:

What is your name?

Your contact information (telephone number or email)