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Information sheetSuicide and self-harm · No. 186

Means restriction and safety

Limiting access to lethal means during a crisis is one of the most effective ways to keep someone safe.

2 min read · Awareness resource · Reviewed 2026-09-15

When someone we love is at risk, it's natural to focus on their emotional state. Just as important, and sometimes overlooked, is making the physical environment around them safer in the meantime.

What it is

Means restriction is the practice of limiting access to items that could be used to attempt suicide, such as firearms, medication, sharp objects or other dangerous means, during a period of risk. Suicidal crises are often temporary and intense rather than constant. Creating distance between a person in crisis and easy access to lethal means, even briefly, gives that crisis time to pass and increases the chance that the person survives it and gets the support they need.

Signs to notice

Means restriction is worth considering when someone shows signs of active risk, such as:

  • Talking about wanting to die or not wanting to be here anymore.
  • Having a specific plan involving a particular method.
  • Recent access to, or possession of, firearms, large quantities of medication, or other means of harm.
  • A recent crisis, loss, or major setback combined with hopelessness.
  • A previous suicide attempt, which raises the importance of a safer environment going forward.

What helps

  • Firearms should be removed from the home, or securely locked away with ammunition stored separately, ideally by someone other than the person at risk.
  • Medications, including over-the-counter ones, should be stored safely, locked if possible, and only kept in the quantities needed day to day.
  • Sharp objects or other specific means the person has mentioned should be temporarily removed or secured.
  • Involve the person where possible rather than acting entirely behind their back. Framing it as "let's keep things safer together for now" tends to work better than secrecy, unless there's immediate danger.
  • Ask directly whether they have access to specific means, as part of a broader conversation about their safety.
  • Remember this is a temporary, practical step alongside emotional support and professional help, not a replacement for either.

When to reach out for help

If someone has a specific plan and access to the means to carry it out, this is an emergency. Do not leave them alone. Remove or secure the means if it's safe to do so, and get emergency help immediately. If risk feels less immediate but still present, involve a mental health professional in creating a broader safety plan.

Getting help in South Africa

Cleared Mind's EAP counsellors can help you and your family think through safety planning, including means restriction, in a practical and caring way. Reach out to them for guidance if you're supporting someone at risk.


If you or someone else is in immediate danger, reach out now. SADAG Suicide Crisis Helpline (24h): 0800 567 567 or SMS 31393. SAPS 10111, ambulance 10177, GBV Command Centre 0800 428 428.