How to Help a Loved One in Mental Crisis: A Compassionate Action Plan (UK Guide)

When someone close to you is struggling with their mental health, it can be painful and confusing to know what to do.

Whether they’re facing severe anxiety, depression, panic attacks, or suicidal thoughts, your response can make a vital difference.

This guide provides a compassionate, step-by-step action plan for families and friends across the United Kingdom — from early warning signs to professional resources available through the NHS and local mental health services.

What Is a Mental Health Crisis?

A mental health crisis happens when a person’s emotions or symptoms become overwhelming and they lose control of their ability to cope.

This could look like:

Talking about suicide or self-harm

Experiencing hallucinations or delusions

Becoming withdrawn, unresponsive, or aggressive

Refusing food, medication, or contact with others

In the UK, 1 in 4 adults experience mental health issues each year — yet many don’t receive immediate help due to stigma or lack of awareness.

Step-by-Step Action Plan to Support a Loved One

1. Stay Calm and Offer a Listening Ear

The first step is to listen without judgement. Avoid telling them to “snap out of it” or “think positive.”

Instead, you might say:

“I’m really sorry you’re feeling this way. Do you want to tell me more about what’s been happening?”

2. Make Sure They’re Safe

If you believe there’s an immediate risk of harm:

Call 999 for emergency help

Or contact NHS 111 (option 2) for mental health advice

You can also reach Samaritans free on 116 123 (24/7)

Do not leave your loved one alone if they express suicidal intent, and try to remove access to harmful items (medications, sharp objects, etc.).

3. Encourage Professional Help

Offer to help them book a GP appointment — the GP can refer them to:

Talking Therapies (IAPT services)

Community Mental Health Teams (CMHTs)

Crisis Resolution and Home Treatment Teams (CRHTTs)

You can also explore private or online counselling options, such as BetterHelp UK, Mindful Counselling, or BACP-registered therapists.

4. Provide Practical and Emotional Support

Many people in crisis struggle with everyday activities. You can:

Offer to go with them to appointments

Cook meals or help with household chores

Encourage them to stay hydrated and rest

Check in regularly via text or call

Small, consistent acts of kindness often have the biggest impact.

5. Learn About Their Condition

Understanding their mental health condition helps you respond more effectively.

Explore trusted UK resources:

Mind (mind.org.uk)

Rethink Mental Illness (rethink.org)

NHS Every Mind Matters (nhs.uk/every-mind-matters)

6. Look After Your Own Mental Health

Supporting someone through a crisis can be emotionally exhausting.

Consider:

Speaking to your GP about your own wellbeing

Joining a carer support group

Using free mental health resources like CALM (Campaign Against Living Miserably)

When to Call for Emergency Help

Call 999 or go to A&E immediately if:

Your loved one has harmed themselves or is in danger

They are violent, confused, or severely disoriented

You cannot keep them safe

Tell responders that this is a mental health emergency — many UK police and ambulance services now have Mental Health Liaison Teams trained to de-escalate crises.

Final Thoughts

You don’t need to be a professional to make a difference.

Offering empathy, staying calm, and guiding your loved one toward professional help can save a life.

Even one kind message or call can break the cycle of isolation.

“You can’t pour from an empty cup — take care of yourself while helping others heal.”

FAQ: Helping a Loved One in Mental Crisis (UK)

Q1. What number do I call if someone is suicidal in the UK?

Call 999 in an emergency or Samaritans on 116 123 for 24-hour confidential support.

Q2. Can I take someone to A&E for a mental health crisis?

Yes. A&E departments have on-call mental health liaison nurses who can assess and refer patients for urgent care.

Q3. How can I find free counselling in the UK?

You can access NHS Talking Therapies through your GP, or self-refer online in most areas.

Q4. What’s the difference between NHS 111 and Samaritans?

NHS 111 (option 2) offers mental health advice and connects you to crisis teams; Samaritans provides emotional support and a listening ear.

Q5. What should I do if they refuse help?

Stay patient and keep communication open. Let them know you’re there and ready to help when they’re ready. If you believe they’re at risk, contact NHS 111 (option 2) or 999.

UK Mental Health Helplines

Samaritans: 116 123 (24/7, free)

Mind: 0300 123 3393

NHS 111 (option 2): for urgent mental health help

Shout Crisis Text Line: Text SHOUT to 85258