When someone you care about experiences a mental health crisis, it can be overwhelming. You may feel unsure about how to help, or you might worry about doing the wrong thing. 

In these situations, understanding how to offer support in a compassionate, non-judgmental way can make a big difference. Here are some practical steps you can take if someone close to you is going through a mental health crisis.

Recognize the Signs of a Mental Health Crisis

Mental health crises can take many forms, and it’s important to be aware of the potential warning signs. These may include:

• Intense feelings of anxiety, depression or anger
• Severe mood swings or unusual behaviour
• Withdrawal from social activities or isolation
• Expressing feelings of hopelessness or worthlessness
• Talking about death, dying or self-harm
• Difficulty thinking clearly or making decisions
• Experiencing delusions, paranoia or hallucinations

Recognizing these signs early can help you intervene before the situation worsens. While you don’t need to diagnose what’s happening, being aware of these things can guide your response.

Stay Calm and Offer a Safe, Supportive Presence

If you notice that your friend or loved one is in crisis, staying calm is crucial. You can help diffuse the situation. Speak calmly, clearly, and without judgment. Simply being present and offering a listening ear can be very comforting.

Let the person know you’re there for them and ready to listen. Use open-ended questions like “Can you tell me how you’re feeling?” or “What can I do to help right now?” These questions encourage them to express themselves without feeling pressured.

Avoid saying things that may minimize their experience, like “You’re overreacting” or “It’s not a big deal.” Remember, even if their emotions are confusing to you, their pain is real, and they need your empathy and understanding.

Ensure Safety First

When someone is in crisis, it’s important to check if they’re at risk of harming themselves or others. If they mention suicide or self-harm, take it seriously. Ask them directly, “Are you thinking about hurting yourself?” or “Do you have a plan to hurt yourself?” Contrary to common belief, asking about suicide won’t put the idea in their head—it can actually help them open up and feel understood.

If you believe they’re in immediate danger, do not leave them alone. Call 9-1-1 or your local crisis hotline, or take them to the nearest emergency room. Be sure to inform the first responders that your loved one is in crisis so they can provide the appropriate care.

In BC, you can call 1-800-SUICIDE (1-800-784-2433), or call 310-6789 any time for emotional support.

Encourage Professional Help

In some cases, a mental health crisis requires professional intervention. Encourage your loved one to seek help from a mental health care worker, such as a counsellor or doctor. If they are hesitant, remind them that mental health workers are trained to help people with difficult emotions and situations.

If they don’t already have a mental health care provider, offer to help them find resources. You can use this website to search for support near you, or call 8-1-1 for advice on any non-emergency medical issue, including mental health. 

Sometimes, individuals may need more immediate care, such as hospitalization or crisis intervention services. If you think someone is at risk, consider taking them to the hospital or calling a crisis line for advice.

Take Care of Yourself

Supporting someone in a mental health crisis can be emotionally draining. It’s important to take care of your own mental wellbeing too. Make sure to set boundaries and reach out for help if you need it. You don’t have to handle everything alone. There are support groups, counsellors, and resources available to help you.

What to Avoid

• Don’t try to "fix" the situation. Mental health crises are complex, and while your support is crucial, professional help is sometimes needed.
• Avoid giving advice unless asked. Instead, focus on listening and validating their feelings.
• Don’t make it about yourself. Keep the focus on the person in crisis rather than bringing up your own experiences.

To support someone through a mental health crisis you need patience and empathy. It helps to know what resources are out there, too. By staying calm and guiding them towards the help they need, you can make a big difference. While it can be tough to witness someone struggling, your compassion and care can provide stability and comfort during a difficult time.