Chat with your friend about your worries. Reaching out can be very difficult. Kudos for speaking up on this forum! In my case, cutting seemed to alleviate the feelings. I remember my focus on angling the blade correctly served as a distraction. Ultimately, it didn't help in the slightest.

I am sorry if my words have no effect or make you feel worse. Typing this has distracted me from my own thoughts. Tell us a bit more about yourself if you're comfortable