In Crisis? Call Suicide and Crisis Lifeline at 988

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How do I know if someone is in crisis?

When someone is in crisis, they are experiencing intense mental and emotional distress. They may or may not be in life-threatening danger, and typically need immediate intervention and extra support. 

How do you know if someone is in crisis?

Sudden changes in behavior and mood, as well as a lack of self-care, are often signs someone is struggling. 

Warning signs that a mental health crisis is developing*:

  • Sudden changes in behavior
  • Impulsive behavior and acting out
  • Isolation and withdrawal
  • Talk of hurting oneself 
  • Taking steps towards self-harm
  • Visible signs of self-harm
  • Decline in functioning and hygiene
  • Irritability
  • Numbness
  • Mood swings
  • Excessive energy or no energy
  • Eating/sleeping too much or too little
  • Grades or work performance deteriorating 

How can I help someone in crisis? 

First and foremost, remember there is power in simply staying by someone’s side during a crisis. Showing up is the first step. 

1. Listen First

  • Ask them about their current experience. You could use open ended statements like, “I’ve noticed you have been very tired lately.” 
  • Validate their thoughts and feelings – It’s okay not to be okay.
  • Ask directly – are you having thoughts of hurting yourself? (If the crisis is related to suicide, use the 5 Steps: https://www.bethe1to.com/bethe1to-steps-evidence/)

2. Problem-Solve

  • Offer to help them contact their mental health provider, doctor or pediatrician. If they don’t have a provider to contact, you can offer to help them find services.
  • Contact emergency services (911) if they are making immediate threats to hurt themself.
  • Contact a mobile crisis unit.

3. What Not to Do

  • Don’t put pressure yourself to say the right thing
  • Don’t put pressure on yourself to find an immediate solution
  • Don’t jump to problem-solving
  • Don’t judge or minimize
  • Don’t share advice or personal anecdotes, unless asked

Crisis Contacts

If you or someone you know is in crisis or having thoughts of suicide, help is available. National Suicide Hotline: 988. You can also call 911, or visit Mind the Gap’s Crisis Resources in our Hub.

*Sources:

All content has been reviewed by Mind the Gap’s Clinical Advisory Committee.

Content Contributor(s)
Elise Comber, M.A., LCMHC
Elise Comber, M.A., LCMHC
Licensed Clinical Mental Health Counselor, Comber Counseling
Elise Comber, MA, LCMHC is a counselor for women and teens, practicing at Comber Counseling, PLLC in Charlotte, NC. She specializes in helping individuals overcome trauma, anxiety, OCD and disordered eating through evidence-based treatments and trauma-informed care.
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Content Contributor(s)
Elise Comber, M.A., LCMHC
Elise Comber, M.A., LCMHC
Licensed Clinical Mental Health Counselor, Comber Counseling
Elise Comber, MA, LCMHC is a counselor for women and teens, practicing at Comber Counseling, PLLC in Charlotte, NC. She specializes in helping individuals overcome trauma, anxiety, OCD and disordered eating through evidence-based treatments and trauma-informed care.

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