I Need Help Now
Direct advice for overwhelming suicide or substance use urges
Shut it Down.
- Stop using drugs or drinking alcohol.
- Go to sleep. Do not overdose.
- Can’t sleep? Take a cold shower, or put your face in ice water for at least 30 seconds and repeat.*
- (Cold Water slows everything way down. *Don’t do this if you have cardiac problems or are on beta blockers.)
No Important Decisions.
- Especially about deciding to die.
- Do not panic. Suicidal thoughts can’t hurt you. Skills can help. You can get through this.
- Ignore thoughts that you don’t care if you die.
Find Support.
- Make eye contact with someone, and ask “Can you help me get out of my head?” Talk in-person or over video chat. Connect.
- Hate eye contact? Find someone that will do an activity with you, in-person or over the phone. Talk. Connect.
- No one available? Keep trying. Call or text any of the resources listed below for help right now. Use this video for eye contact. Distract yourself.
Not all of the above skills may help right away. Don’t give up. Keep following the above steps until your urges come down, or until you connect with a crisis line.
When you’re feeling emotionally overwhelmed, Stop Drop and Roll.
Watch our Video Guide for help, and use this guided Eye Contact video as needed.
*Not medical advice. Rapid reduction in heart rate may occur. Consult provider if concerned (e.g. heart condition, taking beta blockers, severe eating disorder). NowMattersNow.org ©2024
Text or Instant Messaging (IM)
USA
- Crisis Text Line (all ages, 24/7, text MATTERS to 741741)
- 988 Suicide and Crisis Lifeline (all ages, 24/7, IM, or text 988)
- Online PEER Support Chat (LGBTQ, IM, also 1-888-843-4564)
- RAINN Online Hotline (sexual assault, global access)
- Veteran’s Live Chat (global access for American vets, also text 838255)
- Teen Line Online (teen)
- Trevor (LGBTQ youth)
- National Crisis Text Line for the Deaf – (text HAND to 839863)
UK
- Crisis Text Line UK (text 85258)
- Campaign Against Living Miserably (CALM) (men)
- Childline (youth)
- The Mix (25 and under)
- Nightline Online Listening (Strathclyde and Caledonian)
- Leeds Nightline (students in Leeds)
- Samaritans (email)
- Hopeline247 (under age 35, Text: 88247)
Canada
- YouthSpace (<30)
- ConnecTeen (youth)
- Woods Homes (youth and families)
- BC211 (BC)
- Distress Centre (Calgary, AB)
- IM Alive
- Kids Help Phone (<20, Canada, French too: Jeunesse, J’écoute)
- Manitoba Farm & Rural Support Services (Manitoba)
- Northern Youth Online (Northern Canada)
- Tel-jeunes (French-Canadian)
- Youth in BC (youth, BC and Yukon)
- Youth Line (LGBTQ youth, Ontario)
Australia and New Zealand
- eheadspace (AU 1800 650 890)
- Kids Helpline (AU, youth 1800 55 1800)
- Lifeline Crisis Chat (AU)
- On the Line (AU)
- Youthline (NZ, youth)
- Beyond Blue (1300 224 636)
- Lifeline (13 11 14)
- Suicide Call Back Service (1300 659 467)
- 13 YARN (13 92 76 Aboriginal or Torres Strait Islander crisis support)
Further Resources
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
International Association for Suicide Prevention – Search by Country