Crisis Intervention: What to Do in a Mental Health Emergency

Mind Speak Inc.
March 19, 2025
disclaimer
This article is for informational purposes only and is not a substitute for professional advice. Mind Speak Inc. is not liable for any actions taken based on this content. If you or someone you know is in crisis, seek professional help or contact emergency services immediately.

Mental health emergencies can happen unexpectedly, leaving those involved feeling overwhelmed, confused, or unsure of how to respond. Whether it’s a panic attack, a suicidal crisis, or a severe episode of distress, knowing how to act quickly and effectively can save a life.

At Mind Speak Inc., we believe that everyone—whether you’re a mental health professional, caregiver, family member, or friend—should have the tools to support someone in crisis while ensuring their safety and well-being.

Recognizing a Mental Health Emergency

A mental health crisis occurs when someone’s emotions, thoughts, or behaviors become so intense that they are unable to function safely. Some common signs include:

1. Suicidal Thoughts or Actions

  • Talking about wanting to die or expressing hopelessness
  • Making statements like “I can’t do this anymore” or “I wish I wasn’t here”
  • Giving away possessions or saying goodbye unexpectedly

2. Self-Harm or Risky Behavior

  • Cutting, burning, or harming themselves
  • Engaging in reckless behavior, such as excessive substance use or dangerous driving

3. Severe Panic or Anxiety Attack

  • Rapid breathing, chest pain, dizziness
  • Feeling disconnected from reality or experiencing extreme fear

4. Psychotic Symptoms or Disorientation

  • Hallucinations (seeing or hearing things that others do not)
  • Delusional beliefs (false ideas that are not based on reality or evidence)
  • Extreme confusion or inability to recognize familiar people or places

5. Aggression or Violent Outbursts

  • Threatening to harm themselves or others
  • Uncontrollable anger or destructive behavior

If someone is experiencing any of these symptoms, they need immediate attention and support.

Step-by-Step Guide to Handling a Mental Health Crisis

1. Stay Calm and Assess the Situation

Your response can either de-escalate or escalate the situation. If you panic, the person in crisis may become even more distressed. Take a deep breath, speak calmly and reassuringly, and avoid sudden movements.

Say this:

✔ “I’m here for you. You are not alone.”
✔ “It’s okay to feel this way. Let’s take this one step at a time.”

Avoid this:

❌ “You’re overreacting.”
❌ “Just snap out of it.”

2. Ensure Immediate Safety

If the person is at risk of hurting themselves or others, take action:

  • Remove any weapons, sharp objects, or substances that could cause harm.
  • Don’t leave them alone—stay with them or find someone who can.
  • If they are actively suicidal or homicidal, call 911 or a crisis hotline immediately.

🚨 Emergency Resources:

  • National Suicide Prevention Lifeline (U.S.): 988
  • Crisis Text Line: Text HOME to 741741
  • 911: If immediate danger is present

If they refuse help but seem to be at high risk, involve a trusted family member, friend, or mental health professional.

3. Listen Without Judgment

People in crisis need to feel heard, not judged. Let them express their emotions without interrupting or minimizing their feelings.

Active Listening Tips:

✔ Maintain eye contact and nod to show you’re listening.
✔ Reflect back what they say: “I hear that you’re feeling really overwhelmed right now.”
✔ Validate their emotions: “I can see why this feels so difficult for you.”

Don’t dismiss their feelings with statements like:

- “You’ll be fine.”
- "Other people have it worse.”
- "You just need to think positive.”

4. Guide Them to Professional Help

A crisis is a temporary situation, but professional support is essential for long-term recovery. Encourage them to reach out to a therapist, psychiatrist, or support group.

If they resist help, try this approach:

✔ “Talking to someone trained in this can really help. I can help you find the right person.”
✔ “We can call a crisis line together if that feels easier.”

If they are already in therapy, encourage them to contact their therapist or psychiatrist for emergency support.

5. Follow Up and Offer Support

Once the immediate crisis is over, don’t assume everything is okay. Check in regularly and let them know you care.

Ways to Show Support:

✔ Call or text to see how they’re feeling.
✔ Offer to accompany them to therapy or doctor’s appointments.
✔ Encourage healthy coping strategies like exercise, journaling, and mindfulness.

What If the Crisis Happens in Public?

If you encounter someone in distress in a public place (workplace, school, or community setting):

  • Move them to a quieter space if possible.
  • Find someone they trust (friend, family, HR, etc.).
  • If they’re aggressive or violent, call emergency services.

Final Thoughts: Your Role in Mental Health Advocacy

You don’t have to be a mental health professional to make a difference. Learning how to respond in a crisis can save lives and reduce the stigma around mental health.

If you or someone you know needs support, don’t hesitate to reach out to Mind Speak Inc. for professional guidance.

Need support or guidance?

We are ready to meet you where you are

connect with us on social media