EMERGENCY HELP: Direct advice for overwhelming suicide or substance use urges

— Shut it Down — Sleep (no overdosing). Can’t sleep? Cold shower or face in ice-water (30 seconds and repeat).* This is a reset button. It slows everything way down.

— No Important Decisions — Especially deciding to die. Do not panic. Ignore thoughts that you don’t care if you die. Stop drugs and alcohol.

— Make Eye Contact — A difficult but powerful pain reliever. Look in their eyes and say “Can you help me get out of my head?” Try video chat. Keep trying until you find someone.

Video Guide (if you would like help following these steps). Here is a guided Eye Contact video to compliment the Guide.

*Not medical advice. Rapid reduction in heart rate may occur. Consult provider if concerned (e.g. heart condition, severe eating disorder). NowMattersNow.org ©2024

Text or Instant Messaging (IM)




Australia and New Zealand

Phone Hotline Directories

USA and Canada 

988 Suicide and Crisis Lifeline 988 (USA)

Trans Lifeline 1-877-565-8860 (USA)  1-877-330-6366 (Canada)

Military Veterans 988 and Press 1

Spanish Lifeline 988 and Press 2


International Association for Suicide Prevention – Resources: Crisis Centers