We all see friends and loved ones going through rough times, but sometimes what we’re witnessing is a developing mental health problem, or a mental health crisis. In preparation for these times, we can learn to provide what’s known as ‘mental health first aid’.
Mental health first aid is the help you give to someone developing a mental health problem, experiencing a worsening of a mental health problem or in a mental health crisis. You can give this first aid until the person has received appropriate professional treatment or the crisis is resolved.
Mental health first aid can help people experiencing:
- anxiety problems
- substance use problems
- eating disorders
- gambling problems.
It can also help if a person is experiencing a mental health crisis, such as:
- suicidal thoughts and behaviours
- non-suicidal self-injury (sometimes called deliberate self-harm)
- panic attacks
- traumatic events
- severe psychotic states
- severe effects from alcohol or other drug use
- aggressive behaviours.
One in five Australian adults experiences a mental health problem in any given year, and early care can lead to better mental health outcomes.
Mental health first aid training in Australia
Mental health first aid is a universal program developed in Australia and available in 23 countries. Training is offered in Australia by instructors accredited by Mental Health First Aid Australia who develop, evaluate and disseminate the course. Courses cover:
How to use mental health first aid to help others
Mental health first aid training will teach you how to help a person developing a mental health problem or experiencing a mental health crisis. But even without training, you can help those around you by following these steps, which are provided from mental health first aid guidelines.
Know the signs
The first step is knowing the signs and symptoms of mental health problems so you can work out when it may be time to help.
Only a trained professional can diagnose someone with a mental illness, but you can stay alert to changes in a person’s mood, behaviour, energy, habits, or personality. These changes may be the sign of a mental health problem.
Some symptoms that may indicate a serious problem include:
- bizarre or unusual thinking
- hallucinations, such as hearing or seeing things that aren’t there
- extreme mood changes
- restless, agitated and disorganised behavior
- marked decrease in activity
- difficulty concentrating
- significant drop in performance at work or school
- significant withdrawal from friends and family
- neglecting self-care (such as neglecting personal appearance and hygiene, and eating poorly)
- suicidal thoughts or behaviours
- non-suicidal self-injury (deliberate self-harm)
- destructive or high-risk behaviour
- confusion and disorientation
- emotional outbursts
- sleep problems
- weight or appetite changes
- being quiet or withdrawn
- substance use problems
- feelings of guilt or worthlessness
- changes in behaviour or feelings that have lasted for longer than two weeks.
- the signs, symptoms and possible risk factors of different mental health problems
- evidence-based treatments
- where and how to get professional help and what sort of help has been shown by research to be effective
- appropriate initial help and support for someone experiencing a mental health problem
- appropriate action in a mental health crisis.
Having one or two of these symptoms usually doesn’t indicate a mental illness, but if a person is exhibiting several symptoms, they may need some professional help (particularly if the symptoms have lasted for some weeks or they’re interfering with usual activities, such as work, school or relationships).
Don’t ignore signs or symptoms that you notice in others, and don’t assume they will go away. And remember not everyone will show the same signs and symptoms.
Approach the person
- Give the person a chance to talk to you. If they don’t open up to you themselves, and you are concerned about them, initiate the conversation. Be open and honest about your concerns about their mental health.
- Make sure you approach the person in a comfortable space and at a time when you won’t be interrupted. Make sure you’re both sober and calm.
- Speak from your own perspective. Use ‘I’ statements, such as ‘I have noticed…’ and ‘I feel concerned about…’ rather than ‘you’ statements, such as ‘You seem to be withdrawn…’ or ‘You’re not eating and sleeping…’.
- Say you’re concerned and you’re here to help.
- Respect the person’s own interpretation of their symptoms.
- If the person doesn’t want to talk to you, encourage them to talk to someone else they trust.
- Use phrases that will help the person to feel listened to, understood and hopeful. Some examples are ‘I’m here for you’, ‘I can see this is a really hard time for you’, and ‘What can I do to help? Just tell me how’.
- Show the person dignity and respect.
- Don’t blame.
- Be consistent in your emotional support and understanding.
- Encourage the person to talk to you or someone else.
- Listen well.
- Give the person hope for their recovery.
- Find accurate and appropriate resources for more information if the person wants it.
Know what’s not helpful
Sometimes even with the best intentions, we can make matters worse. When reaching out to someone you suspect might have a mental health problem, avoid:
- telling them to ‘snap out of it’ or ‘get over it’
- being hostile or sarcastic
- getting over-involved or over-protective
- trivialising their experience (for example, don’t tell them to smile or get their act together)
- belittling or dismissing their feelings
- being patronising
- trying to cure them or solve their problems.
How to encourage professional help for a mental health problem
Ask the person if they need help to manage how they’re feeling. If they want help, a good place to start is a visit to their GP. You can also chat to them about their options, particularly local and online services. Encourage them to act on their options.
If the person doesn’t want help, try to find out why. They may have some mistaken beliefs about getting help or their options. Try to help them feel better about seeking help.
If the person still resists help, tell them they can contact you if they change their mind. Respect their right not to seek help unless you believe they are at risk of harming themselves or others.
Mental health first aid for someone who is suicidal
Suicide can be prevented.
Take suicidal thoughts and behaviours seriously.
Take these three actions when helping a person who is suicidal:
- If you think someone may be suicidal, ask them directly.
- If they say yes, do not leave them alone.
- Link the person with professional help. In an emergency, call ‘000’. Services such as Lifeline and MensLine Australia offer 24-hour services. The Victorian Government also provides a list of mental health services in Victoria.
Read the mental health first aid guidelines on suicidal thoughts and behaviours.
Ways to improve your knowledge about mental health
Where to get help
- In urgent mental health and crisis situations, dial ‘000’
- Lifeline – confidential telephone crisis support service (24 hours, 7 days) Tel. 13 11 14
- Suicide Call Back Service – free nationwide professional telephone and online counselling for anyone affected by suicide Tel: 1300 659 467
- Kids Helpline Tel. 1800 55 1800
- MensLine – professional telephone and online support and information service for men (24 hours 7 days) Tel. 1300 78 99 78
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