Content warning: suicide

1. 988

The Suicide and Crisis Hotline has made it easier than ever to text in the event of a mental health crisis, shortening the number to 988. You can also call this number. You will be quickly connected to an individual trained to help deescalate you and help you think through your thoughts and feelings. And no, you don’t have to be suicidal to call or text. You can use this number for any sort of mental crisis. One question I’ve heard is, “Will they call the police on me for a wellness check if I tell them I’m suicidal?” Per their website, sometimes the police do need to be called. However, this is only in 1% of cases. Unless you are in immediate danger, they help you work through your issues by talking with you. Note that the people who take these calls are not therapists, but can help direct you to a therapist in your area.

2. Circle of Trust

One thing therapists encourage people who face mental health crises to create is a “Circle of Trust.” This can involve family, friends, clergy, a spiritual director or anyone else you find trustworthy and open to hearing about your difficulties. While therapists will encourage you to work at your own thoughts and feelings in an effort to help yourself if you’re capable, this “auxiliary” group can serve as a support network. Are you stuck and don’t know what coping skill to use? Call someone in your Circle of Trust. Need to talk it out? Text someone in your Circle of Trust. These should be people who are open to being contacted by you, possibly frequently, and have an understanding of your mental health situation.

3. Neurodivergence and crisis

Neurodivergent people can show they are in crisis in different ways that may not be as apparent as what’s usually listed as warning signs. Sudden withdrawal (or more withdrawal than usual), taking longer to self-regulate and increased communications difficulties when feeling troubled are all signs that should be taken seriously. This PDF resource includes scenarios and resources for those wanting to help neurodivergent people in crisis.

4. Dos and don’ts for support people      

If you are person supporting someone in crisis, it can be difficult to know what to do and say. Here are some dos and don’ts. Do talk directly about self-harm and suicide. There’s no link between asking direct questions and motivating someone to hurt themselves. Don’t act shocked, as this can create distance and mistrust. Do be non-judgmental, as this is not a time to get into a logical debate. Do find resources for yourself and your loved one as recovery from crisis can be a long process. Do remove things in their home that would give them access to harm themselves.

5. Finding a therapist

If you are experiencing crisis, it’s important to find a good therapist to support you on your journey to recovery. If you are LGBTQ and want to find an affirming therapist in your area, you’ll find a good resource here. The American Foundation for Suicide Prevention has a “search by zip code” option to find support groups in your area, including support groups for people who’ve lost loved ones to suicide.  Many therapists list their practices on Psychology Today’s Therapist Finder Page and you are very likely to find a therapist listed in your area.