Recognising a Mental Health Crisis

How to Tell When Someone Is Having a Mental Health Crisis

Recognising a mental health crisis is important because it helps you provide quick support and get professional help if needed. A mental health crisis means a person’s emotions or behaviour suddenly become so difficult that they need urgent help to keep safe. This could happen to anyone, and knowing the signs can save lives.

People in a crisis may act differently from usual. They might feel very scared, confused, or unable to think clearly. Sometimes, they may talk about hurting themselves or others. It is important to spot these changes early and take action.

Signs That Show Someone Might Be in a Mental Health Crisis

• Extreme Mood Changes: Sudden anger, sadness, or fear that does not go away.
• Confused Thinking: Not making sense, trouble talking, or difficulty focusing.
• Withdrawing: Avoiding friends, family, or normal activities.
• Talking About Death or Suicide: Saying things like “I want to die” or “It’s better if I’m dead.”
• Risky or Dangerous Behaviour: Taking big risks without caring about the consequences.
• Hallucinations or Delusions: Seeing or hearing things that are not real.
• Physical Symptoms: Extreme tiredness, changes in eating or sleeping, or unusual body movements.

If you notice one or more of these signs, it is important to act fast. Stay calm and talk gently with the person. Show them you care and want to help. Avoid judging or arguing with them.

You can also ask simple questions like, “Are you feeling safe?” or “Do you want to talk about what’s happening?” This can help the person feel supported and understood. If the person says they want to harm themselves or others, do not leave them alone. Call for immediate help from a trusted adult, healthcare worker, or emergency services.

Knowing how to recognise a mental health crisis means you can keep someone safe until professional help arrives. Always remember that mental health crises are medical emergencies that need quick attention, just like physical injuries.

In South Africa, you can contact helplines like the South African Depression and Anxiety Group (SADAG) on 0800 21 22 23 for advice and support.