1. Recognizing a Mental Health Crisis

A mental health crisis occurs when someone is unable to cope with their emotional state, potentially leading to harmful behaviors. Common signs include:

  • Expressing thoughts of self-harm or suicide.
  • Sudden withdrawal or isolation.
  • Severe mood swings or emotional distress.
  • Risky or dangerous behavior.
  • Hallucinations or delusions.

If you notice these signs in yourself or others, it’s essential to take immediate action.

2. Steps to Take in a Crisis

Stay Calm and Assess the Situation

  • Take a deep breath and try to remain composed.
  • Evaluate the immediate danger. If someone is at risk of harming themselves or others, call emergency services immediately.

Contact Emergency Services

  • For Immediate Danger: Call 911 or your local emergency number. Clearly explain the situation, including any immediate threats.
  • Suicide or Self-Harm: Reach out to a crisis hotline, such as:
    • National Suicide Prevention Lifeline (U.S.): 988
    • Crisis Text Line: Text HOME to 741741
    • Emergency Helplines Worldwide: Check this resource for global crisis hotlines.

Provide Immediate Support

  • Stay with the individual (if safe to do so) until help arrives.
  • Offer reassurance, such as, “I’m here for you, and we’ll get through this together.”
  • Avoid arguing or trying to “fix” the situation. Focus on listening and providing comfort.

3. Supporting a Friend or Loved One

If a friend or loved one is in crisis, your support can make a significant difference. Here’s how you can help:

  • Be Present: Stay with them, either in person or on the phone, until professional help is available.
  • Listen Without Judgment: Allow them to express their feelings without interruption or criticism.
  • Encourage Professional Help: Suggest contacting a therapist, counselor, or doctor and offer to help make the call if needed.

4. Creating a Crisis Plan

Being prepared can make a crisis less overwhelming. A crisis plan might include:

  • Emergency Contacts: Write down key numbers, such as a trusted friend, family member, or therapist.
  • Safe Spaces: Identify a place where the individual feels safe.
  • Helpful Tools: Include calming activities like breathing exercises, music, or a journal.

5. Follow-Up Care

After the immediate crisis is managed:

  • Stay Connected: Check in regularly to offer ongoing support.
  • Encourage Resources: Help them find therapy, support groups, or hotlines for continuous care.
  • Take Care of Yourself: Supporting someone through a crisis can be emotionally draining. Seek support for your own well-being as needed.

Important Emergency Contacts

  • National Suicide Prevention Lifeline (U.S.): 988
  • Crisis Text Line: Text HOME to 741741
  • SAMHSA’s Helpline: 1-800-662-HELP (4357)
  • International Helplines  Befrienders Worldwide

By staying calm, seeking professional help, and offering compassionate support, you can help someone in crisis find the path to safety and healing.