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You should not be sworn to secrecy, this is a medical emergency.

Morally: As a friend you have every right to be concerned with your friend's want to attempt suicide. You need to out right ask him if he/she is planning anything, now, next couple weeks etc. You need to persuade them to see that there are people who care about them (you, Drs, family, other friends) and finally you need to refer them to get help. If it is a dire medical emergency, call 911. Under the mental health act, if a person is threatening to hurt themselves, you can get police assistance to help you get them to the hospital.

Legally:

This is a Canadian Act, but I am sure the USA has something very similar. In Canada it is against the law to share someone's personal health info with anyone unless it falls under this category: Person is in danger of hurting themselves, or others; or suspicion of child abuse,

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Q: You should not be sworn to secrecy if your friend confides in you that he wants to kill himself?
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