How to show up for someone in crisis

A mental health crisis can unfold suddenly or build over time, often when someone feels trapped, hopeless, or unable to cope. In these moments, the person may feel alone or believe their pain will never end. 

You can be a steady, grounding presence when the world feels unsafe or out of control for someone. Recognizing the early warning signs and knowing how to respond helps you stay calm, supportive, and ready to act when it matters most.
 

Need help right now?

Call or text the Suicide and Crisis Lifeline at 988 to talk with trained counselors, available 24/7. Support is available whenever you need it.

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What to do in an emergency

Your steady presence and quick action can save a life. If someone is talking about suicide, has made a plan, or is at immediate risk of harm:

  • Call 911 or take them to the nearest emergency room.
  • Keep yourself safe — don’t put yourself in danger.
  • Remove items that could be used for self-harm (such as firearms or medications).
  • Call or text the 988 Suicide & Crisis Lifeline for free, confidential support 24/7/365.
  • Text HOME to 741-741 to connect with a counselor from the Crisis Text Line.
  • If outside the United States, visit iasp.info for international helplines.
  • Stay with the person until help arrives.
     

Recognizing warning signs

During a mental health crisis, a person is under intense emotional distress and may be at risk of harming themselves or others. A crisis can be triggered by stress, illness, trauma, violence, or major life changes.

Sometimes there are warning signs that suggest someone may be thinking about suicide. One of the most common is a sudden or dramatic change in behavior, such as:

  • Talking about feeling hopeless or having no future 
  • Intense or unpredictable mood swings
  • Noticeable changes in sleep patterns
  • Poor personal hygiene
  • Staying home for long periods
  • Withdrawing from usual activities or friends

If you notice these warning signs, reach out as soon as possible. You can help connect the person with a doctor, therapist, or mental health professional.
 

Talking with someone in crisis

When someone is struggling, how you speak and listen matters. A calm, caring approach can help de-escalate the situation. Try these strategies when speaking with someone in crisis:

  • Ask how you can help or support them.
  • Encourage them to contact their health care provider or therapist.
  • Gently ask if they are thinking about suicide.
  • Keep your voice steady.
  • Let them know you care and that their life matters to you.
  • Listen closely without interrupting.

If the situation doesn’t improve or you feel unsure, contact a mental health professional for guidance.

Resources & tools

Building a Support System (PDF)

Building a Support System (PDF)

Learn how to build and maintain a strong network of people who can help during difficult times.

Calm Breathing (PDF)

Calm Breathing (PDF)

Practice deep, steady breathing to keep yourself steady and reduce anxiety during crisis situations.

Five Senses Mindfulness (PDF)

Five Senses Mindfulness (PDF)

Learn grounding techniques to stay present when emotions feel overwhelming.