How to Help Someone in a Mental Health Crisis

Chances are you know someone who has been through a mental health crisis. Perhaps you weren’t there when things got rough, but there is a very high possibility that one day you will be around and you will need to know what to do. Think of this as a crash course in mental CPR. You may not be able to provide long-term mental therapy, but you can feel confident that you helped someone until they were able to get the care they really need.

While doing some research on this topic, I came across a site called mentalhealthfirstaid.org. Like physical first aid, their primary purpose is to train you in helping someone who may be in immediate need of help to prevent situations like suicide, self harm, harming others, and other similar scenarios. While this program is intended to do some in-depth training, which I highly recommend from any credible source, it provides some information that can be helpful now before you are able to do some formal training.

Mental Health First Aid provides the term ALGEE to help you remember the proper steps to take.

Assess for risk of suicide or harm.

Listen non-judgmentally

Give reassurance and information

Encourage appropriate professional help

Encourage self-help and other support strategies

Assessing for risk of suicide or harm sounds intimidating, but when you are in a situation of someone in a crisis they will have some pretty obvious signs. One is if the person is threatening to hurt or kill oneself. If they are looking for a way to hurt or kill oneself, talking about death or suicide, acting recklessly, increasing their use of alcohol or drugs, withdrawal from society or friends and family, and obvious or dramatic changes in mood, then they need help.

Listening non-judgmentally can be very difficult. It may even be one of the more difficult parts of this process, particularly if the person is a close family member or friend. Watching someone go through a mental health crisis can be frightening. That fear can lead to anger or defensiveness on your part, which may lead you to do something that would exacerbate the problem rather than get the person help. If you want to be prepared for any potential mental health crisis, start now. Educate yourself. The person you may need to help someday will need to know that you are their ally, so listening to what they are going through is crucial. They are much more likely to accept help when they know you are there for them.

Give reassurance and information. A friend of mine, who is also a psychiatrist, once told me that the best medication for anxiety is the right information. While giving out information probably won’t solve a mental health crisis situation, it may help convince the person to seek help. Don’t blame the person for their crisis; instead, inform them that you are there for them and that there are others who want to help.

Encouraging appropriate professional help is not the same as a referral that a doctor is licensed to give, but it is a way to help the person become aware of their resources. You can offer to help them find a doctor, social worker, or a mental health/rehabilitation facility like Lifeline Connections. Help them understand that by seeking professional help they may be able to completely heal and move on with their life free from their illness.

Encourage self-help and other support strategies. If you know of a support group that may help them get through a tough situation, give them that information or help them get the details. Even if you don’t know of any, it will help if you do a little of the research for them. I have known many women suffering from post-partum depression and anxiety that found relief through various outlets such as support groups, counseling, and medication. If you know the person loves to read, refer reliable self-help books. If you know the person enjoys exercise, offer to take them hiking or encourage a daily plan that includes some physical activity that they enjoy.

If the person seems to be in need of immediate help, contact a crisis support hotline such as 1.800.273.TALK (8255) or 911 if you or the person is in physical danger. The National Suicide Prevention Lifeline also has an online chat option. Or if you’d prefer, the Crisis Text Line has trained volunteers to get you or someone you love through a crisis via texting (741741).

At Lifeline Connections, we are dedicated to the treatment of those who are struggling with mental health and/or substance use. With our help, you or your loved one can receive the help you need through our personalized services. If you live in the Portland, OR or Vancouver, WA areas and are seeking residential treatment then give us a call or email us

Phone: 360-397-8246 ext. 7580

Email: admission_office@lifelineconnections.org

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