What to Do in Case of an Emergency

In rare situations, a client may disclose that they are in crisis or experiencing suicidal thoughts. It is critical to respond calmly, follow protocol, and connect them with the proper support immediately.

⚠️ Important: You are not a licensed mental health professional. Your role is to listen without judgment, ensure safety, and connect the client with appropriate professional help.

Recognizing High-Risk Situations

Be alert for clients who may be:

• Expressing hopelessness, helplessness, or a lack of future orientation.

• Experiencing depression, sleep issues, or major stress/loss (e.g., divorce, death, postpartum).

• Talking about isolation, lack of resources, or anger turned inward.

• Mentioning suicidal thoughts or having access to weapons.

The PALS Assessment (Quick Risk Check)

• P = Plan → Do they have one? How lethal is it?

• A = Attempts → Any past attempts or family history?

• L = Loss → Recent significant losses or identity stressors?

• S = Situation → What is happening in their life right now?

How to Respond

• Ask directly: “Are you having thoughts of hurting yourself?”

  • If no → Encourage professional help and provide resources (see hotlines below).

  • If yes → Determine urgency. Ask where they are, whether they have a plan, and whether they have access to means (e.g., firearms).

• If imminent risk → Call 911 and provide as much detail as possible (location, age, description, presence of weapons).

• If they begin to stabilize, encourage them to:

  • Call or text a crisis line for ongoing support.

  • Make a no-harm contract (“Can you promise me that you won’t harm yourself today?”).

Emergency Hotlines

The following hotlines are confidential, available 24/7, and current as of today:

• 988 Suicide & Crisis Lifeline: Call 988 or 1-800-273-TALK (8255) (both are active).

• Mental Health Crisis Text Line: Starting July 16, 2022, individuals in the U.S. can also text 988 to connect with a trained counselor via SMS. This service is nationwide and confidential.

• RAINN (Rape, Abuse & Incest National Network): 1-800-656-HOPE (4673)

• National Domestic Violence Hotline: 1-800-799-SAFE (7233)

• National Child Abuse Hotline: 1-800-422-4453

• Substance Abuse Treatment Referral Hotline (SAMHSA): 1-800-662-HELP (4357)

• Poison Control: 1-800-222-1222

Key Reminders

• Always distinguish between feelings and identity: “You feel depressed” is not the same as “You are depressed.”

• Ambivalence is a gift — if the client reached out, part of them wants to live.

• Your goal is to connect the client with professional help immediately.

✨ Keep this guide readily available. In moments of crisis, following these steps can help save a life.