READ THIS FIRST. If you are in immediate danger or thinking about harming yourself, please get help now. Visit a nearby emergency service, hospital, or mental health clinic immediately. If you are in crisis, consider these helplines and suicide hotlines worldwide.
Show Crisis Numbers
- Australia: Lifeline 13 11 14 | Text 0477 13 11 14
- Canada: 988 Suicide Crisis Helpline | 1-833-456-4566
- France: SOS Amitié 09 72 39 40 50 | Suicide Écoute 01 45 39 40 00
- Germany: Telefonseelsorge 0800 111 0 111
- India: AASRA 91-22-27546669 | Sneha Foundation 044-24640050
- Ireland: Samaritans 116 123 | Pieta House 1800 247 247
- New Zealand: Lifeline 0800 543 354 | Depression Helpline 0800 111 757
- South Africa: LifeLine 0861 322 322 | SADAG 0800 567 567
- United Kingdom: 111 (Option 2) | Samaritans 116 123 | Text SHOUT to 85258
- United States: 988 Suicide & Crisis Lifeline | SAMHSA 1-800-662-4357
Finding Support in a Crisis
Whatever you're going through, trained professionals are ready to listen and support you. Crisis support is available 24 hours a day, 365 days a year, and you deserve help.
Understanding Crisis Situations
A mental health crisis occurs when you feel unable to cope with your current situation, and your usual support systems aren't enough.4 Crisis intervention is most effective within 4 to 6 weeks of exposure to a stressor or crisis.3
Common Crisis Scenarios
"I'm having thoughts of hurting myself"
You're experiencing something that many people go through, and professional help is available. Suicidal thoughts don't mean you're weak or broken - they often indicate that emotional pain has become overwhelming.
Immediate steps:
- Contact a crisis helpline or emergency services immediately
- Stay with someone you trust or ask someone to stay with you
- Remove any means of self-harm from your immediate environment
- Remember that these feelings can change with proper support
If you're having a panic attack right now
Immediate grounding technique: Focus on five things you can see, four things you can touch, three things you can hear, two things you can smell, and one thing you can taste.2 This technique activates your parasympathetic nervous system and reduces acute anxiety symptoms.
Professional support available: Crisis teams can support you if you have a mental health crisis outside hospital.1 These teams provide rapid, on-site interventions to de-escalate crises and connect individuals to care.2
If you can't stop crying and feel overwhelmed
This is a normal crisis response: Crisis situations frequently involve adversity, defined by a very distressing state of uncertainty, perceived threat to core beliefs, and disruptions to daily routines.3 Your emotional response indicates your system is processing significant stress.
Immediate support: Contact your local crisis helpline for emotional and practical support.4 Crisis intervention workers are trained in active listening and providing immediate stabilisation.3
If you don't know who to talk to
Start with crisis helplines: Services like behavioural health hotlines provide immediate, accessible support as part of comprehensive crisis care systems.2 These services are designed to ensure that individuals in crisis receive timely and effective support.2
Professional guidance available: Crisis intervention workers can help you identify appropriate next steps and connect you to ongoing mental health services.3
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If you need someone to talk to immediately
If You're Helping Someone in Crisis
Immediate actions you can take
Stay calm and present: Your calm presence can help stabilise someone in crisis.4 Crises require supportive, non-judgmental responses that prioritise safety and connection to professional help.
Listen without judgment: Use active listening techniques - pay attention to verbal and non-verbal communication, avoid confrontation, debates, or arguments.3 Accept the person as the expert in their situation while guiding them toward professional support.
Assess immediate safety: If the person expresses suicidal or homicidal thoughts, or shows severe disorientation or inability to care for themselves, seek immediate professional help.3 Call emergency services if there is immediate danger.
What to say and what not to say
Helpful responses:
- "I'm here with you"
- "You're not alone in this"
- "Let's find professional help together"
- "Your feelings make sense given what you're going through"
Avoid these responses:
- "Everything happens for a reason"
- "Others have it worse"
- "Just think positive"
- "You should be grateful for what you have"
Getting professional help for someone else
Encourage professional contact: Help them access crisis helplines or emergency services.4 You can offer to stay with them while they make the call or help them find local resources.
Know your limits: While your support is valuable, professional crisis intervention workers have specialised training in crisis management and can provide resources you cannot.3
Crisis Resources & Support Types
Text-based crisis support
Alternative communication methods: Many crisis services now offer text and online chat options for those who prefer written communication over phone calls.2 Digital crisis intervention platforms ensure accessibility across different communication preferences and technological capabilities.
Online crisis chat services
Digital crisis intervention: Modern crisis care systems include digital platforms as part of comprehensive "Someone to Contact" services.2 These services provide immediate crisis intervention and support access through multiple communication channels.
Emergency room mental health services
Immediate medical attention: If you're in immediate physical danger or having severe psychiatric symptoms, emergency rooms provide immediate assessment and stabilisation.4 Emergency departments are equipped to handle mental health crises and can connect you to ongoing care.
Mobile crisis teams
On-site intervention: Mobile Crisis Teams deliver rapid, on-site interventions to de-escalate crises and connect individuals to care as part of the "Someone to Respond" element of comprehensive crisis care systems.2 These teams provide professional crisis response in community settings.
Crisis outreach services: Crisis Outreach Teams provide complementary crisis prevention and postvention services as part of integrated crisis care systems.2 These services extend beyond immediate crisis response to include ongoing support and prevention.
Immediate Coping Strategies
Breathing exercises for panic
Evidence-based technique: Controlled breathing helps activate the parasympathetic nervous system, reducing acute anxiety symptoms.4 This physiological response can help stabilise your emotional state during crisis moments.
Simple method: Breathe in for four counts, hold for four counts, breathe out for six counts.2 Repeat until you feel more stable. Focus on making your exhale longer than your inhale to maximise calming effects.
Grounding techniques for anxiety
5-4-3-2-1 technique: Identify five things you can see, four things you can touch, three things you can hear, two things you can smell, and one thing you can taste.2 This technique redirects your attention from internal distress to external, concrete sensory experiences.
Physical grounding: Feel your feet on the ground, hold a cold object, or splash cold water on your face.4 Physical sensations can help anchor you in the present moment during overwhelming emotional states.
Self-soothing strategies
Sensory comfort: Use comforting scents, soft textures, calming music, or warm beverages to help regulate your emotional state.2 These techniques engage your senses to promote emotional regulation and stability.
Safe space creation: Move to a quiet, comfortable location where you feel secure and can focus on stabilising techniques.3 Environmental factors significantly impact your ability to implement coping strategies effectively.
Distraction techniques
Cognitive redirection: Engage in activities that require mental focus, such as counting backwards from 100 by 7s, naming animals alphabetically, or describing objects in detail.2 These techniques interrupt overwhelming thought patterns and provide cognitive relief.
Physical activity: Light movement, stretching, or walking can help process stress hormones and provide emotional regulation.4 Physical activity supports both immediate crisis management and longer-term emotional stability.
Safety planning tools
Crisis planning: Develop a written plan that includes warning signs, coping strategies, people to contact, and professional resources.3 Safety planning is a collaborative process between you and mental health professionals that reduces crisis risk.
Environmental safety: Remove or secure items that could be used for self-harm during crisis periods.4 Environmental modifications are a practical component of comprehensive crisis prevention strategies.
Professional Crisis Support
Why choose independent therapists for crisis follow-up
Personalised crisis care: Independent therapists can provide individualised crisis intervention approaches without institutional constraints that may limit treatment flexibility.2 This autonomy allows for more responsive, client-centred crisis care planning.
Direct professional accountability: Independent practitioners answer directly to you and their profession, ensuring crisis care decisions prioritise your specific needs and safety.3 This direct accountability relationship supports more personalised and responsive crisis intervention.
Specialised crisis expertise: Many independent therapists develop specialised training in crisis intervention and trauma-informed care, allowing for more targeted and effective follow-up treatment.4 Specialised expertise ensures you receive evidence-based crisis intervention approaches.
Continuity of care: Independent therapists can provide consistent, long-term support following crisis intervention, without being limited by institutional policies or resource allocation constraints.2 This continuity supports sustained recovery and crisis prevention.
Understanding Crisis Response
What constitutes a mental health crisis
Clinical definition: A crisis involves a significant impact on a person's health, functioning, and general well-being, with typical outcomes including stress, worry, uncertainty, physical discomfort, and trauma-related mental health issues.3 Crises represent periods of psychological disequilibrium that exceed available coping resources.
Crisis types: Mental health professionals distinguish between Type 1 crisis (one-time, acute single event) and Type 2 crisis (more chronic state of crisis, also called complex trauma).3 Understanding crisis types helps determine appropriate intervention approaches and expected recovery timeframes.
When to seek professional help
Immediate intervention needed: If you're experiencing suicidal or homicidal thoughts, severe disorientation, or inability to care for yourself, seek immediate professional help.4 These symptoms indicate crisis severity that requires professional assessment and intervention.
Crisis intervention timeframe: Professional crisis intervention is most effective when accessed within 4 to 6 weeks of exposure to a stressor or crisis.3 Early intervention significantly improves outcomes and reduces the risk of developing chronic mental health conditions.
What to expect from crisis intervention
Professional approach: Crisis intervention workers use active listening, appropriate questioning techniques, and evidence-based stabilisation methods to help you through the immediate crisis.3 Professional crisis workers are trained to provide emotional and practical support while connecting you to ongoing care.
Confidentiality: Information is shared with others only if there is a serious concern related to the safety and security of you or relevant others.3 Crisis workers maintain professional confidentiality while prioritising safety when imminent risk is present.
TherapyRoute is not for emergencies and does not provide medical advice. All of our content is informational and cannot replace professional healthcare. In an emergency, contact a local emergency service. For immediate support, consider a local helpline.
Sources
[1] NHS England (2025). Crisis and Acute Mental Health Services. Source
[2] SAMHSA (2025). National Behavioural Health Crisis Care Guidance. Source
[3] Tripathi, A., Brahma, A., Malhotra, S., & Akula, V. (2023). Clinical Practice Guidelines for Assessment and Management of Patients Presenting with Psychosocial Crisis. Indian Journal of Psychiatry. Source
[4] WHO (2025). Mental health in emergencies. Source