Talking to someone you are worried about
Safety & Harm Reduction — Guide 22 of 25

A calm, specific conversation can make support easier to accept. You do not need to diagnose someone to express concern.

Choose the moment
Talk privately when you both have time and the person is able to take part. An emergency needs immediate action; a discussion about change can wait until the immediate danger has passed.

Try this approach
- Start with an observation: “You were difficult to wake yesterday, and I felt worried.”
- Ask permission: “Can we talk about how to make things safer?”
- Listen: “What has been going on for you?”
- Offer a choice: “Would you like help finding a service, or someone to go with you?”

Keep the door open and share what you learn
Avoid threats, labels, or debating whether the person is “bad enough” to need help. Try: “I care about you. Would a check-in or help getting to an appointment be useful?” If a conversation goes badly, reflect, correct any harmful wording, and try again when appropriate. Share general safety lessons without exposing someone’s private story.

If you are helping someone
You can express concern while respecting the person’s choices and your own boundaries.

WARN (OTHERS): After immediate care is covered, share dated advisories or observed concerns. Say what is confirmed and what is uncertain. Protect people’s privacy. Emergency care comes first. Never share someone’s name, identifying photo or private health details.

Your next step
Write a two-sentence opening based on a specific event and a caring offer.

Learn more
NIAAA — Starting the conversation
https://alcoholtreatment.niaaa.nih.gov/support-through-the-process/starting-the-conversation

Current guide: https://therealdopeproject.com/safety-guides/talking-to-someone-you-are-worried-about

The Real DOPE Project — Safety Is for Everyone.

Contact: therealdopeproject@gmail.com

Resource text updated: 2026-10-13. Earlier sources retain their individual review dates.

General education, not individual medical advice or first aid certification. In an emergency, call 911 and follow the dispatcher and your exact kit instructions.

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