People with mental health problems sometimes experience a crisis, such as feeling suicidal, or experiencing their own or a different reality. You may feel a sense of crisis too, but it’s important to stay calm yourself.There are some general strategies that you can use to help:

How do I respond in a crisis?

Repeat what they have said back to them to ensure you have understood it. You don’t have to agree with what they are saying, but by showing you understand how they feel, you are letting them know you respect their feelings.

6. Listen carefully to what they tell you

Let them lead the discussion at their own pace. Don’t put pressure on them to tell you anything they aren’t ready to talk about. Talking can take a lot of trust and courage. You might be the first person they have been able to talk to about this.

2. Let them share as much or as little as they want to

Ask for help or signpost if the problem is serious. If you believe they are in immediate danger or they have injuries that need medical attention, you need to take action to make sure they are safe. More details on dealing in a crisis can be found below.If it is a family member or close friend you are concerned about, they might not want to talk to you. Try not to take this personally: talking to someone you love can be difficult as they might be worried they are hurting you. It is important to keep being open and honest and telling them that you care.

8. Know your limits

You probably aren’t a medical expert and, while you may be happy to talk and offer support, you aren’t a trained counsellor. Try not to make assumptions about what is wrong or jump in too quickly with your own diagnosis or solutions.

3. Don‘t try to diagnose or second guess their feelings

It is important to provide an open and non-judgemental space with no distractions.

1. Set time aside with no distractions

Say "Why don’t you tell me how you are feeling?" rather than "I can see you are feeling very low". Try to keep your language neutral. Give the person time to answer and try not to grill them with too many questions.

4. Keep questions open ended

<ul><li>Listen without making judgements and concentrate on their needs in that moment.</li><li>Ask them what would help them.</li><li>Reassure and signpost to practical information or resources.</li><li>Avoid confrontation.</li><li>Ask if there is someone they would like you to contact.</li><li>Encourage them to seek appropriate professional help.</li><li>If they have hurt themselves, make sure they get the first aid they need.</li></ul>

Talk about ways of de-stressing or practicing self-care and ask if they find anything helpful. Exercising, having a healthy diet and getting a good nights sleep can help protect mental health and sustain wellbeing.

5. Talk about wellbeing

You might want to offer to go the GP with them, or help them talk to a friend or family member. Try not to take control and allow them to make decisions.

7. Offer them help in seeking professional support and provide 

If you are worried about someone it can be difficult to know what to do. When you are aware there is an issue, it is important not to wait. Waiting and hoping they will come to you for help might lose valuable time in getting them support.Talking to someone is often the first step to take when you know they are going through a hard time. This way you can find out what is troubling them and what you can do to help.

Talking about mental health

Advice on taking the time to help, support and guide a friend, relative or colleague with a mental health problem.

3. Don‘t try to diagnose or second guess their feelings

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