Stay calm and speak to them privately
Use simple, nonjudgmental language
Focus on specific behaviors and safety concerns
Listen without arguing or trying to force agreement
Ask directly if they are thinking about hurting themselves or others
If there is immediate danger, call emergency services right away
If they may be suicidal, contact a crisis line or go to the nearest emergency room
Remove access to weapons, sharp objects, medications, or other means if you can do so safely
Reach out to trusted family members, friends, roommates, or caregivers
Encourage a same-day visit with a doctor, therapist, or urgent mental health clinic
Offer to help make the appointment and go with them
Give them a few clear choices instead of many options
Keep checking in regularly
Document concerning statements, behaviors, and incidents
Contact local mobile crisis services if available
If they are a minor, contact a parent, guardian, school counselor, or pediatrician
If they are an adult and unable to care for themselves or are a danger to themselves or others, contact local emergency or crisis services about involuntary evaluation options
If substance use is involved, seek addiction and mental health support together
Set boundaries to protect your own safety
Get support for yourself from a counselor, crisis line, or trusted person