What is the first step in the ACE model when helping a buddy, per suicide prevention guidelines?

• A. Ask your buddy directly if they are thinking of killing themselves
• B. Remove any means immediately
• C. Escort to chain of command
• D. Actively listen to produce relief

Answer: (A)

Directly asking about suicidal thoughts is the first step in the ACE approach because it immediately opens a conversation and clarifies the level of risk. Asking plainly shows you care, helps reduce fear around talking about suicide, and gives you the essential information needed to decide on safety actions. Once the person has been asked, you move into showing care—listening, validating feelings, and staying connected—to build trust. Only after establishing that support and understanding do you escort them to professional help or emergency services if needed. Keeping the person safe also involves removing immediate means as part of a safety plan, but that step follows the initial conversation and assessment. Active listening fits into the care phase, reinforcing that you’re there to support and understand what they’re going through.