Family Resources Hub • Mental health

What a Mental Health Crisis Is and What Families Can Do

A mental health crisis is any situation that puts a person at immediate risk or prevents safe functioning. This guide explains what different crises look like, how to respond to each appropriately, and when to call 988 vs. 911.

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Medical Disclaimer: The content on this page is intended for informational purposes only and does not constitute medical advice. If you or a loved one is experiencing a medical emergency, please call 911. For addiction and mental health crises, reach the SAMHSA National Helpline at 1-800-662-4357 (free, confidential, 24/7) or the 988 Suicide & Crisis Lifeline by dialing 988. All editorial content is reviewed by licensed clinical professionals.

Family Resources Hub  ›  Mental Health Resources  ›  What Is a Mental Health Crisis?

Recognizing and Responding

What a Mental Health Crisis Is and What Families Can Do

A mental health crisis is any situation in which a person's thoughts, feelings, or behaviors put themselves or others at immediate risk, or in which a person can no longer function safely in their daily life. For families of people with addiction, crises are more frequent and more complex, because substance use can precipitate crises, mask their severity, and interact dangerously with psychiatric medications.

A mental health crisis is a medical emergency.Families sometimes hesitate to call for help because they worry about consequences or their loved one's resistance. But safety comes first. Call 988 or 911 when safety is at risk, their life is more important than their comfort with the intervention.

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Types of Crisis

What Different Mental Health Crises Look Like

Suicidal Crisis

Active suicidal ideation, thinking about suicide, making plans, or taking preparatory steps. In people with addiction, suicidal crises often occur during intoxication or in the immediate aftermath of a major loss. See related guides on warning signs and what to do if your loved one is suicidal.

Psychotic Episode

Loss of contact with reality, hallucinations, delusions, disorganized thinking or speech. Psychosis can be induced by stimulants or cannabis, can emerge during severe withdrawal, or can reflect an underlying psychiatric condition. Psychotic individuals may act in ways that feel unpredictable or threatening.

Severe Panic or Dissociation

Extreme panic attacks or dissociative episodes, feeling detached from reality or the body, that impair the person's ability to function safely. These crises are usually not immediately life-threatening but can be terrifying and may require clinical intervention to de-escalate.

Acute Intoxication as Medical Emergency

Severe intoxication, particularly from alcohol, opioids, or benzodiazepines, can produce medical emergencies including respiratory depression and overdose. Call 911 immediately for any person who is unconscious, barely responsive, or showing signs of respiratory distress.

How to Respond

What to Do During a Mental Health Crisis

Call the Right Resource

Suicidal crisis: call 988. Psychosis or violent behavior: call 911 (request a mental health crisis team if available in your area). Medical emergency,overdose, unconsciousness, respiratory distress: call 911 immediately. Acute distress without immediate danger: 988 or a crisis line.

Stay Calm and Present

Your emotional state will partially regulate theirs. Speak slowly and calmly. Do not argue with delusions or try to logic someone out of psychotic thinking. Give space while maintaining safety. Your steady presence is one of the most powerful tools you have.

Reduce Environmental Stimulation

If possible, move to a quieter environment. Reduce noise, bright lights, and the number of people present. Avoid physical touch without permission. A calmer environment reduces arousal and supports de-escalation.

Follow Up Immediately After

The period following a crisis is not a time to return to normal. Connect with treatment resources right away, crisis stabilization, inpatient psychiatric care, or intensive outpatient, and ensure that what precipitated the crisis is being clinically addressed.

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Related Guides

What to Do If Your Loved One Is Suicidal

Immediate steps and who to call when you believe someone is at risk.

Read the guide →

Warning Signs of Suicidal Thinking

The specific behaviors and statements that require immediate attention.

Read the guide →

What Is a Mental Health Crisis?

How to recognize and respond to different types of mental health crises.

Read the guide →

How to Talk About Suicide

Safe, direct approaches for having this critical conversation.

Read the guide →

What Is Dual Diagnosis?

Why addiction and mental health must be treated together.

Read the guide →

Caregiver Mental Health

How to protect your own mental health while supporting someone in crisis.

Read the guide →
Medical Disclaimer: Content is for informational purposes only. If your loved one is at immediate risk, call 911. For crisis support call or text 988 (Suicide & Crisis Lifeline, free, confidential, 24/7). For substance use support call SAMHSA at 1-800-662-4357.
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Medical Disclaimer: The content on this page is intended for informational purposes only and does not constitute medical advice. If you or a loved one is experiencing a medical emergency, please call 911. For addiction and mental health crises, reach the SAMHSA National Helpline at 1-800-662-4357 (free, confidential, 24/7) or the 988 Suicide & Crisis Lifeline by dialing 988. All editorial content is reviewed by licensed clinical professionals.