Mental Health First Aid: How to Support Someone in Crisis

Mental health crises can happen to anyone, anywhere, at any time. Whether it’s a panic attack, suicidal thoughts, severe anxiety, or emotional distress, knowing how to respond effectively can make a significant difference. Mental Health First Aid (MHFA) is a crucial skill that empowers individuals to support those experiencing a mental health crisis.

What is Mental Health First Aid?

Mental Health First Aid is a structured approach to helping someone experiencing a mental health challenge or crisis until professional help is available. Similar to physical first aid, MHFA does not replace professional care but provides immediate, short-term assistance.

Common Mental Health Crises

Mental health crises can take various forms, including:

• Panic Attacks - Intense fear, shortness of breath, chest pain, dizziness

• Suicidal Thoughts - Expressing hopelessness, talking about death, self-harm

• Psychotic Episodes - Hallucinations, delusions, confusion

• Severe Anxiety or Depression - Withdrawal, extreme sadness, difficulty functioning

• Substance Use Crises - Overdose, erratic behavior, unconsciousness

  
  

Steps to Provide Mental Health First Aid

Assess the Situation and Ensure Safety

• Check if the person or others are in immediate danger.

• If there is a risk of self-harm or harm to others, call emergency services.

• Stay calm and create a safe environment.

  
  

Approach and Listen Without Judgment

• Use open body language and a calm tone.

• Listen actively without interrupting or minimizing their feelings.

• Avoid saying things like “Just calm down” or “It’s not that bad.” Instead, say, “I’m here for you” or “It’s okay to feel this way.”

  
  

Offer Reassurance and Support

• Validate their feelings and let them know they are not alone.

• Offer words of encouragement, such as “I care about you” or “You are not alone.”

• Avoid making promises you cannot keep, such as “Everything will be fine.”

  
  

Encourage Professional Help

• Suggest reaching out to a doctor, therapist, or crisis hotline.

• Offer to help them find resources or accompany them to an appointment.

• In cases of suicidal thoughts, contact crisis support immediately.

  
  

Follow Up and Stay Connected

• Check in on them later to see how they are doing.

• Encourage healthy coping mechanisms, such as exercise, meditation, or social support.

• Remind them that seeking help is a sign of strength, not weakness.

  
  

How to Prepare Yourself for Mental Health First Aid

• Get Trained - Consider taking an official Mental Health First Aid course.

• Know Emergency Contacts - Save crisis hotline numbers in your phone.

• Stay Informed - Learn about common mental health conditions and symptoms.

• Practice Self-Care - Supporting others can be emotionally draining, so take care of your own well-being too.

  
  

Resources for Mental Health Support

• Crisis Text Line - Text HOME to 741741 (U.S.)

• National Suicide Prevention Lifeline - Call 988

• Mental Health First Aid Training - www.mentalhealthfirstaid.org

  
  

Supporting someone in a mental health crisis requires patience, empathy, and awareness. By learning Mental Health First Aid, you can provide immediate support, help connect individuals to professional resources, and potentially save a life. Your kindness and understanding can make all the difference.