When You’re in Crisis
You Don’t Have to Be in Crisis Alone
If you’re reading this because you’re in active crisis—suicidal thoughts, panic attack, overwhelming distress, thoughts of harming yourself or others—please reach out for immediate support.
You deserve help. You deserve to be here.
Context: November 2025
A lot of people in our community are in crisis right now. This isn’t because something is “wrong” with you - it’s normal human response to living through fascism, government shutdowns, targeting of minorities, and resource scarcity.
What looks like “extra mental health problems” is actually: trauma responses, grief, terror, exhaustion, and the strain of trying to survive while everything falls apart.
You’re not broken. The situation is.
If you need to leave the country: See Emigration Resources
Immediate Crisis Support
If You’re in Immediate Danger
Call 911 if:
- You’ve already harmed yourself and need medical attention
- You’re about to harm yourself
- You’re in immediate physical danger from someone else
If You’re Having Suicidal Thoughts or Severe Distress
988 Suicide & Crisis Lifeline
- Call or text: 988
- 24/7, free, confidential
- Trained crisis counselors
- 988lifeline.org
Crisis Text Line
- Text HOME to 741741
- 24/7, free, confidential
- Text-based support (good if you can’t/don’t want to talk)
- crisistextline.org
SAMHSA National Helpline (Substance Abuse & Mental Health)
- 1-800-662-HELP (4357)
- 24/7, free, confidential
- Treatment referrals
- samhsa.gov/find-help/national-helpline
Identity-Specific Crisis Lines
Trevor Project (LGBTQ+ youth under 25)
- Call/Text: 1-866-488-7386
- Chat: thetrevorproject.org
- 24/7 crisis support
Trans Lifeline
- US: 877-565-8860
- Canada: 877-330-6366
- Peer support by and for trans people
National Domestic Violence Hotline
- 1-800-799-7233
- Text START to 88788
- thehotline.org
RAINN (Sexual Assault)
- 1-800-656-HOPE (4673)
- Chat: rainn.org
Peer Warmlines (Alternative to Crisis Lines)
If you want peer support instead of traditional crisis lines:
Wildflower Alliance Peer Support Line
- 888-407-4515
- 7pm-9pm ET Mon-Thu, 7pm-10pm ET Fri-Sun
- Peer-run, trauma-informed
- No assessment, no police calls, no forced hospitalization
What’s different about peer warmlines:
- Run by people with lived experience of mental health struggles
- Not therapists or medical professionals
- Won’t call police or force you into treatment
- Warm, non-judgmental support
- Not about “fixing” you
Search “[your state] warmline” to find local peer support lines.
Full crisis resources: Crisis Resource Appendix
What Crisis Feels Like
Crisis can look different for everyone. You might be in crisis if:
Thoughts:
- Suicidal thoughts (passive: “I wish I weren’t here” or active: “I have a plan”)
- Thoughts of harming yourself
- Intrusive thoughts you can’t control
- Complete hopelessness
- “There’s no way out”
Feelings:
- Overwhelming panic
- Unbearable emotional pain
- Numbness/disconnection from reality
- Rage you can’t control
- Terror
Physical:
- Panic attack (heart racing, can’t breathe, feeling like you’re dying)
- Dissociation (feeling unreal, watching yourself from outside)
- Severe physical pain that won’t stop
Behavior:
- Already harmed yourself
- About to harm yourself
- Can’t function (can’t eat, sleep, move)
- Isolating completely
- Giving things away, saying goodbye
If any of these are happening, you’re in crisis. Reach out.
What to Do Right Now
If You’re Alone
- Call/text a crisis line (988, Crisis Text Line, Trevor Project, etc.)
- Don’t be alone if possible - Call a friend, family member, trusted person
- Get to a safe space - Away from means of self-harm
- Ground yourself (see grounding techniques below)
- Go to an ER if needed - Emergency rooms can help in psychiatric crisis
If You’re With Someone
- Tell them you’re in crisis - “I’m not okay. I need help.”
- Ask them to stay with you
- Ask them to help you call a crisis line or go to ER
- Don’t be alone
If You Don’t Feel Safe at Home
- National Runaway Safeline: 1-800-786-2929
- National Domestic Violence Hotline: 1-800-799-7233
- Go to a friend’s house, public place, ER—anywhere safer
- See Survival Resources for housing help
Grounding Techniques (When You’re Panicking/Dissociating)
5-4-3-2-1 Technique
Name:
- 5 things you can see (blue pen, window, tree outside…)
- 4 things you can touch (table, your jeans, cold water…)
- 3 things you can hear (traffic, birds, your breathing…)
- 2 things you can smell (coffee, soap, fresh air…)
- 1 thing you can taste (gum, water, mint…)
This brings you back to your body and the present moment.
Physical Grounding
- Hold ice - In your hand, on your face. The cold interrupts panic.
- Cold water - Splash on your face, drink slowly
- Strong physical sensation - Snap a rubber band on wrist, squeeze a stress ball hard
- Move your body - Walk, jump, shake your arms
- Breathe slowly - In for 4, hold for 4, out for 6 (repeat)
Mental Grounding
- Count backwards from 100 by 7s (100, 93, 86…)
- Name categories - “Countries starting with A: Afghanistan, Albania…”
- Describe your surroundings in detail - “I’m in a room with beige walls, a wooden desk…”
When You’re Suicidal
What You Need to Know
Suicidal thoughts are a symptom, not a character flaw. They mean you’re in unbearable pain and your brain is trying to escape it. They don’t mean you’re weak or broken.
Suicidal thoughts ≠ wanting to die. Often they mean “I want this pain to stop and I can’t see another way.”
Suicidal crises pass. The intensity you feel right now will not last forever, even though it feels permanent.
Safety Planning
Right now, in this moment:
- Remove means - Pills, weapons, anything you could use. Give to someone, throw away, lock up, leave the house.
- Call someone - Crisis line, friend, family, therapist
- Promise yourself 24 hours - Don’t make permanent decisions in temporary pain. Can you wait 24 hours? Then reassess.
- Go somewhere safe - ER, friend’s house, public place
Make a crisis safety plan (when you’re NOT in crisis):
- Warning signs (thoughts, feelings, situations that precede crisis)
- Internal coping strategies (grounding, distraction)
- People to contact (friends, family, therapist)
- Crisis lines to call
- Professionals/agencies to contact
- Making environment safe (removing means)
Template: 988lifeline.org (search for “safety plan” or ask when you call)
Going to the ER for Mental Health Crisis
When to Go
- You’re actively suicidal with a plan
- You’ve harmed yourself
- You’re experiencing psychosis (hallucinations, delusions)
- You can’t keep yourself safe
What to Expect
Good to know:
- ERs can help with psychiatric crises, not just physical ones
- You’ll be assessed by a mental health professional
- They’ll determine if you need:
- Crisis intervention and release
- Short-term hospitalization
- Connection to outpatient resources
What to bring (if possible):
- ID, insurance card
- List of medications
- Phone charger
- Trusted person for support
Your rights:
- You can usually leave unless you’re an immediate danger to yourself/others
- You have the right to refuse treatment (with exceptions for imminent danger)
- You can have someone with you (usually)
Hospitalization
If you’re hospitalized:
- Typical stay: 3-7 days
- Focus: Stabilization, safety, medication adjustment, discharge plan
- You’ll work with psychiatrist, nurses, social worker
Know: Hospitalization is about safety and stabilization, not punishment.
After the Crisis Passes
You Survived. Now What?
First: Be gentle with yourself.
Crisis takes enormous energy. You might feel:
- Exhausted
- Embarrassed
- Numb
- Confused
- Shaky
All of this is normal.
Follow-Up
- Connect with ongoing support
- Therapist
- Psychiatrist (if medication might help)
- Support group
- Crisis follow-up services
- Update your safety plan
- What worked? What didn’t?
- What warning signs did you notice?
- Tell someone you trust
- You don’t have to go through this alone
- Mutual Aid Resources
- Address root causes
- Crisis is a symptom
- What needs to change? (therapy, medication, life situation, boundaries)
Prevent Future Crises
Build your support system:
- Therapist
- Friends who understand
- Crisis lines saved in your phone
- Online communities
- Mental Health Support Resources
Identify your triggers:
- What situations, thoughts, or feelings precede crisis?
- Can you catch them earlier next time?
Practice coping skills when you’re NOT in crisis:
- Grounding
- Distraction
- Reaching out
- Self-soothing
If Someone You Know Is in Crisis
What to Do
- Take it seriously - Believe them. Don’t minimize.
- Ask directly - “Are you thinking about suicide?”
- Listen without judgment
- Don’t leave them alone - Stay with them or ensure someone else is
- Help them get help - Call crisis line together, take them to ER
- Remove means - Pills, weapons, anything harmful
- Follow up - Check in after crisis passes
What NOT to Do
- ❌ Don’t say “You have so much to live for” (minimizes their pain)
- ❌ Don’t make them promise not to hurt themselves (creates shame if they break it)
- ❌ Don’t try to solve all their problems (you can’t)
- ❌ Don’t leave them alone if they’re actively suicidal
- ❌ Don’t swear to secrecy if they’re in danger
You are not responsible for keeping them alive. You can support, but you cannot control another person’s choices. Get professional help involved.
Multiverse School & Crisis
What Multiverse Can Offer
- Listening and support from facilitators/peers
- Connection to resources
- Community
What Multiverse Can’t Offer
- 24/7 crisis support
- Professional mental health care
- Emergency intervention
- Therapy/medication
If you’re in crisis, connect with professional crisis resources first (988, crisis line, ER). Then let Multiverse know how we can support you.
Boundaries
Facilitators care about you AND have limits. We will:
- Help you connect to crisis resources
- Support you through hard times
- Check in on you
We won’t:
- Be available 24/7
- Replace your therapist
- Take responsibility for your safety
This isn’t rejection. It’s sustainability.
See: How Multiverse Works
You Matter
If you’re reading this in crisis: Please reach out.
988 - Suicide & Crisis Lifeline Text HOME to 741741 - Crisis Text Line
You deserve support. You deserve to be here. You are not alone.
See Also:
- Crisis Resource Appendix - Complete crisis resource list
- Mental Health Support - Ongoing mental health care
- Understanding Yourself - Mental health patterns
- Therapy Resources - Finding therapy
- Survival Resources - Housing, food, basic needs