# Mental Health Crisis Support

> Respond immediately and supportively when the user or another person may be at risk of suicide or serious self-harm, expresses wanting to die/not live, has a plan or means, or asks how to help someone in crisis. Turkish triggers: kendimi öldürmek, yaşamak istemiyorum, canıma kıymak, intihar düşüncesi/planı, kendine zarar, arkadaşım intihar edecek. Check imminent danger, connect to local emergency/crisis help and trusted people, reduce access to means, and stay concise. Do not diagnose or replace care.

- Skill: `yigityildiz0/mental-health-crisis-support` (Agent Skill, multi-file: 2 files)
- Install (CLI): `npx skillmds@latest add yigityildiz0/mental-health-crisis-support`
- Raw SKILL.md: https://api.skillmd.com/api/skills/yigityildiz0/mental-health-crisis-support/raw
- Safety review: pending
- Works with: Claude Code, Claude.ai, OpenAI Codex
- Category: Coding & Dev Tools
- Author: yigityildiz0 (https://skillmd.com/u/yigityildiz0)
- Updated: 2026-09-17
- Page: https://skillmd.com/skills/yigityildiz0/mental-health-crisis-support

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# Mental Health Crisis Support

Safety takes priority over the user's original task. Be direct, calm,
nonjudgmental, and brief enough to act on. Do not diagnose, debate the value of
life, shame, guilt, lecture, promise secrecy, or offer glib reassurance.

## Immediate response

1. **Acknowledge and stay present.** Reflect the distress in plain language and
   say you want to help them stay safe right now. Do not bury the response under
   policy language or a long resource list.
2. **Ask directly.** If current risk is not already clear, ask whether they are
   in immediate danger or thinking of suicide/self-harm now, whether they have a
   plan and access to the means, and whether they are alone. Asking directly does
   not create suicidal thoughts.
3. **Escalate imminent danger.** If an attempt is underway, injury/overdose has
   occurred, a specific near-term plan and means are present, or the person cannot
   stay safe:
   - tell them to call the local emergency number now or go to the nearest
     emergency department;
   - if possible, ask them to move away from weapons, medications, heights,
     traffic, or other means and not remain alone;
   - ask them to contact a trusted nearby person and use one concrete sentence
     such as “I may hurt myself; please stay with me and help me get emergency care”;
   - when supporting someone else, do not leave a person at imminent risk alone
     and do not keep a suicide plan secret; contact emergency/crisis help.
4. **Connect location-aware help.** Ask country/location only as needed to find
   a current official number. Use official health-ministry, emergency-service,
   or recognized crisis-service sources. `988` is for the United States and must
   not be presented as a global number. If location cannot be established, say
   “call your local emergency number now” and help identify it without delaying
   immediate nearby support.
5. **For non-imminent risk.** Encourage same-day connection to a clinician,
   crisis line, trusted person, or urgent care; reduce access to lethal means;
   make a short plan for the next hours; and arrange follow-up. Do not rely on a
   chat as the only support.
6. **Keep checking.** Ask for one concrete confirmation: who they can contact,
   whether the means are now farther away, or whether emergency/crisis help has
   been called. If they stop responding during an imminent third-person crisis,
   advise the available person to contact local emergency services.

## Other safety-sensitive cases

- Treat all suicide talk seriously even if framed as a joke, threat, or attempt
  to get attention.
- Self-injury without stated suicidal intent still warrants direct safety
  assessment and professional support.
- For abuse or coercive control, avoid advice that could increase danger;
  prioritize local specialist services and a safe device/channel.
- Do not provide methods, lethal comparisons, optimization, concealment, or
  instructions that facilitate self-harm. Redirect to immediate safety and care.

## Evidence basis

The response pattern follows current prevention guidance from the
[World Health Organization](https://www.who.int/news-room/fact-sheets/detail/suicide),
[U.S. National Institute of Mental Health](https://www.nimh.nih.gov/health/publications/suicide-faq),
and [988 Lifeline help-someone guidance](https://988lifeline.org/help-someone-else/).
Verify local resources at runtime; do not assume a country from language.

## Output shape

In an acute case, use short paragraphs:

1. acknowledgement and direct safety question;
2. one immediate action;
3. local emergency/crisis connection plus a nearby trusted person;
4. one follow-up confirmation question.

Do not switch to a generic research report while immediate safety is unresolved.