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← How to Break Bad News: The SPIKES Protocol

Lesson

The six SPIKES steps: the big picture

Remember the order of the six steps and the logic “listen first, then speak, then support.”

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An overview of the six steps

The six steps at a glance

SPIKES is made up of the first letters of the six steps — the whole ladder is in the diagram below, and after this each step gets a lesson of its own. The core logic: listen first, then speak, then support. Two of the six steps — P and I — are questions you ask BEFORE you say the news: you find out what the person already knows and how much they want to know. A common mistake is to jump straight to K, dumping the facts on someone who isn't prepared. SPIKES protects you from that.
The SPIKES ladder
  1. 1
    S — Setting

    Set the scene: privacy, time, sit down, put your phone away.

  2. 2
    P — Perception

    Ask first: what does the person already know, and how do they understand the situation?

  3. 3
    I — Invitation

    Find out how much detail they want to know. Details come when they're ready.

  4. 4
    K — Knowledge

    Deliver the news: a warning, plain words, small chunks.

  5. 5
    E — Emotions

    Respond to emotions with empathy — the most important and most often skipped step.

  6. 6
    S — Strategy & Summary

    Map out a plan and give a brief recap.

Lesson notes
The six steps at a glance
SPIKES is made up of the first letters of the six steps — the whole ladder is in the diagram below, and after this each step gets a lesson of its own. The core logic: listen first, then speak, then support. Two of the six steps — P and I — are questions you ask BEFORE you say the news: you find out what the person already knows and how much they want to know. A common mistake is to jump straight to K, dumping the facts on someone who isn't prepared. SPIKES protects you from that.
The six SPIKES steps: the big picture — How to Break Bad News: The SPIKES Protocol