I work for a mental health crisis line. We are taught, with extremity, to always go for least intrusive intervention possible. We will only ever call Emergency Services after a literal check list to ensure it’s the last resort possible.
Practically the only times we ever call EMS on someone is if they tell us they are actively dying this very second, due to injury or overdose, etc. Or if they, after all of our attempts to listen, empathize, talk about what’s going on, talk about how they’re feeling tonight, work on what options there might be, who in their lives might be able to help, listing resources, and attempting to safety plan; if after all that, they say “yeah, I’m gonna kill myself specifically in this fashion and I’m gonna do it right now, and I have the means available to me.” Then hang up and don’t answer when we call back. Then we call EMS.
It’s drilled into us that EMS is expensive for the person, and potentially dangerous because police are often not great at responding to Mental Health emergencies. So always the last last last resort.
Emergency services are like the absolute worst dog shit resource for mental health issues. 99% of the time they just make shit worse, I had to learn this the hard way.
It actually makes me mad that so many people suggest it as what you “should” do if someone is in crisis because it’s just not made for that. Do not call 911 if you are having a panic attack or SI or even self harming in a non SI way, they will do nothing to help you and it will just cost a fuck load. Like you said the only time it makes sense is if you are actually dying from an attempt. Even MH practitioners say to call 911 when they should know better. I am glad your place seems to know what’s up because so many people get the wrong advice on this issue and it actively hurts people. Maybe if the healthcare and police system were different going to the emergency room or calling 911 might be a good idea, but how they are now its just not.
Firstly, this varies by region. Most people don’t live in the US, including me.
Secondly, you’re right in that it will be an unpleasant experience for most patients, but the vast majority of patients will survive the episode. Which is the point.
This might sound unsympathetic, but it’s easy to put someone else in a situation where they must call the police / ambulance.
It doesn’t really matter how close a friend is. If you say you’re at risk of harming yourself or others, they don’t have a lot of options.
I work for a mental health crisis line. We are taught, with extremity, to always go for least intrusive intervention possible. We will only ever call Emergency Services after a literal check list to ensure it’s the last resort possible.
Practically the only times we ever call EMS on someone is if they tell us they are actively dying this very second, due to injury or overdose, etc. Or if they, after all of our attempts to listen, empathize, talk about what’s going on, talk about how they’re feeling tonight, work on what options there might be, who in their lives might be able to help, listing resources, and attempting to safety plan; if after all that, they say “yeah, I’m gonna kill myself specifically in this fashion and I’m gonna do it right now, and I have the means available to me.” Then hang up and don’t answer when we call back. Then we call EMS.
It’s drilled into us that EMS is expensive for the person, and potentially dangerous because police are often not great at responding to Mental Health emergencies. So always the last last last resort.
This so much…
Emergency services are like the absolute worst dog shit resource for mental health issues. 99% of the time they just make shit worse, I had to learn this the hard way.
It actually makes me mad that so many people suggest it as what you “should” do if someone is in crisis because it’s just not made for that. Do not call 911 if you are having a panic attack or SI or even self harming in a non SI way, they will do nothing to help you and it will just cost a fuck load. Like you said the only time it makes sense is if you are actually dying from an attempt. Even MH practitioners say to call 911 when they should know better. I am glad your place seems to know what’s up because so many people get the wrong advice on this issue and it actively hurts people. Maybe if the healthcare and police system were different going to the emergency room or calling 911 might be a good idea, but how they are now its just not.
Firstly, this varies by region. Most people don’t live in the US, including me.
Secondly, you’re right in that it will be an unpleasant experience for most patients, but the vast majority of patients will survive the episode. Which is the point.
In the US, surviving the episode and immediatly going into medical debt is why the second attempt happens with them not reaching out to anyone.
Hyperbolic.