HOW TO GET IMMEDIATE SUPPORT
“Nothing’s more important than your mental health. There’s lots of help out there, but you need to recognize that you need it, before it can help you.” – Age 46, Canada
“Nothing’s more important than your mental health. There’s lots of help out there, but you need to recognize that you need it, before it can help you.” – Age 46, Canada
The mental and emotional suffering that comes with depression can become overwhelming - unlike any other kind of pain
Fighting depression is tough and it’s not unusual to reach a point where you feel completely overwhelmed.
In times of crisis – whether that means you’re no longer able to care for yourself, are thinking of hurting yourself or ending your life, or hurting someone else – it’s critical to reach out and get support.
Just as we wouldn’t hesitate to go to the doctor or the hospital if we broke a bone or were in severe physical pain, we shouldn’t wait to reach out if we’re in danger of harming ourselves or others.
There is absolutely no shame in reaching out. In fact, it’s the only logical thing to do.
Crisis lines offer non-judgemental and confidential support via phone or text. These lines have been created specifically to support people dealing with health issues like depression and suicidality. Crisis lines are operated by volunteers trained in mental health, active listening, crisis and suicide assessment and intervention.
Depending on location, healthlines are often available 24/7. This is the case in Canada, Australia, UK, US and many other countries (1-800, 1-877, and 1-888 numbers are toll free).
Canada
988 Canada provides immediate 24/7 help over the phone and text message. Also features articles and information regarding crisis support, how to get help, and how to get help for some else.
United States
988 Suicide & Crisis Lifeline provides immediate 24/7 help over the phone, a directory for various other help-lines, and information on general lifelines and crisis support.
United Kingdom and Republic of Ireland
Samaritans provides immediate 24/7 help over the phone, and highlights information on how to get involved with a support group and how to deal with suicidal thoughts.
CALM: The Campaign Against Living Miserably provides immediate 24/7 free and confidential help over the phone. They also organize campaigns that challenge male stereotypes and encourage getting support.
Australia
MensLine Australia provides immediate 24/7 help over the phone, helpful men’s health guidelines and strategies, and free online counselling.
Beyond Blue Support Line provides immediate 24/7 help over the phone, online chat support 11 hours/day, and facilitates online chat forums hosted by community members.
Lifeline: Crisis Support and Suicide Prevention Provides immediate 24/7 help over the phone, online chat support 12 hours/day, and hosts free online chats 5 hours/day.
Outside of Canada, US, UK, and Australia
If you are feeling overwhelmed, but safe and in control:
If you feel like you’re in danger of taking your life (and/or harming others):
If you get to the point where you don’t feel safe with yourself and your ability to refrain from acting on suicidal thoughts, it’s time to seek immediate support. This can also include no longer being able to take care of yourself (e.g., feeling so depressed that you are unable to acquire, prepare, or eat food).
In these cases, the best option is to visit a hospital Emergency Room (ER) (info below). There, you can explain what is going on in your life, the thoughts you are having, and get in-person support from a mental health professional.
Reaching out for support can seem intimidating, but it’s not that different from having a friend who’s a doctor that we can call to find out what to do after spraining a knee.
Write down or save the number for your location
Write down the numbers for your area and keep them handy (add them to your phone or keep a note in your wallet). If you want or need to reach out, you’ll have the number on you and won’t need to look it up.
Let them know what’s bothering you or what you need help with
If you’re stressed, worried, or depressed and it’s affecting your life, let them know. You can say something like:
You can always try again
If you call and don’t find it useful, you can always say “thanks” and hang up, or try calling a different healthline.
There’s no need to sugar-coat things. If you’re going through some pretty rough times – let them know. The best support comes from you being honest.
Crisis lines exist to help people in times of suicidal crisis. Tell the person on the line what you are thinking and let them point you toward resources and services to get better. Suicidal thoughts are a symptom of depression and ignoring them won’t make they go away.
An emergency is any situation in which our lives (or someone else’s) are at immediate risk.
This can include:
In these kinds of cases, don’t hesitate to call 9-1-1 (or your local emergency telephone number, 112 in most European nations, or 000 in Australia) or go to the nearest hospital emergency room.
Some guys think calling 9-1-1 or going to a hospital is a signal that all is lost. But going to a hospital is the smartest thing to do if your depression is severe and overwhelming. Getting crisis support shouldn’t be construed as failure, but rather as getting the right support at the right time.
Through an ER, you will meet with an emergency room doctor and a psychiatric nurse and/or on-call psychiatrist for assessment.
What you can say if calling 9-1-1
You can say something like:
What you can say if asking a nearby trusted friend to take you to the hospital
You can say something like:
The ER can be a busy place, so it may take a while to finally be seen by someone. This can be frustrating, but keep in mind that being in an ER waiting area can help provide a sense of calm and control as you take action to safeguard your health.
Try not to let worries or fears of being ‘locked up’ prevent you from reaching out and sharing your suicidal thoughts with others. Today’s inpatient services are very different from how they are often negatively portrayed in popular media.
Like treating other illnesses or injuries, hospital care can be a crucial temporary step needed for some guys’ recovery – there is no shame in this. Many men have had to seek support at a hospital and were able to get better because they did.
Once you get to the emergency room, here’s what to expect:
Present at hospital triage
What you can say:
Follow standard hospital procedures
This includes filling out forms, a quick screening by a nurse, and waiting to see a doctor. If you wait a long time to see a doctor, be assured that you are in a safe place.
Meet with a nurse or doctor
You will meet with an emergency room doctor and a psychiatric nurse and/or on-call psychiatrist for assessment. Your admittance to hospital often depends on how much space the hospital has. Unless you have a clear plan to harm yourself or others and are at immediate risk to act on such plans, you may not be admitted. If you have a family doctor, they may try to contact them to ask for more information. It’s really important to be honest and let them know how you are feeling and what you are thinking.
Admitted to inpatient services
If admitted, steps from here can vary widely depending on where we live, whether or not our visit was voluntary (for example, after an attempted drug-overdose a person will be incapacitated and not capable of providing consent), and what space is available in hospital. Most hospitals that offer inpatient services have specific acute crisis wards, but in practice they will fit you in wherever possible. Hospital stays can last anywhere from a couple of weeks to several months, depending on the speed of your recovery. Learn more about emergency and inpatient services.
Referred to additional outpatient resources
If not deemed a threat to yourself or others, you will not be admitted to hospital and instead will be referred to other outside resources. In this case, it’s important to follow up with the referred supports, and also with a family doctor.