If you may be in danger right now
You do not have to work out your whole life right now. The immediate goal is smaller: stay safe through this crisis and get another person involved.
If you think you may act on suicidal thoughts, have already harmed yourself, have made a suicide attempt or do not trust yourself to stay safe, do not remain alone.
Use the emergency services for the country you are physically in right now.
🇪🇸 If you are in Spain
Immediate danger: 112
Suicidal crisis support: 024, free, confidential and available 24/7.
🇬🇮 If you are in Gibraltar
Mental health crisis: GHA Crisis Team on 111, available 24 hours a day.
If there is an immediate threat to life or urgent physical injury, contact the emergency services.
🇬🇧 If you are in the UK
Immediate danger: call 999 or go to A&E.
Urgent mental health help: call NHS 111 and choose the mental health option.
Key point: having suicidal thoughts does not mean that you have to act on them. A suicidal crisis can narrow your attention until very few alternatives feel visible. For now, the task is to create distance between thought and action, move towards other people, make your surroundings safer and get help.
If you arrived here after typing “I want to kill myself” into Google, you may be experiencing pain that currently feels impossible to carry, a sense that you cannot continue or the belief that dying is the only way to make the pain stop.
I am not going to tell you simply to “think positively”, “remember how much people love you” or promise that everything will be fine. When someone is at breaking point, those words can feel very far away from what they are actually living through.
Instead, we are going to focus on something practical: what you can do during the next few minutes and hours to become safer and reach real human support.
This guide also includes what to do after a suicide attempt, a downloadable safety plan, phrases you can copy when you cannot find the words to ask for help, and guidance for relatives and friends who are worried about someone.
I want to kill myself: what should I do right now?
During an acute suicidal crisis, your attention can become extremely narrow. The mind can start treating the pain you feel now as though it will last forever. At the same time, options that might normally be visible can become much harder to see.
You do not need to prove to yourself that everything will improve. For now, focus on three things: time, safety and connection.
1. Move towards another person
If you are alone, go somewhere you can be with someone you trust. You do not need to prepare a perfect explanation first.
2. Say clearly what is happening
You can simply say: “I am having suicidal thoughts and I do not feel safe being on my own.”
3. Create distance from anything unsafe
Move away from anything you might use to hurt yourself. Where possible, ask another person to help make the environment safer.
4. Contact crisis support
Use the emergency or urgent mental health service for the country you are currently in. The numbers are listed above and again near the end of this guide.
If you can only think about the next five minutes
When the future feels unbearable, making a plan for tomorrow can be too much. Reduce the time frame.
Move
Go towards another person or a safer shared space.
Tell someone
Say or send: “I am not safe on my own right now.”
Reduce access
Put distance between yourself and anything you might use to hurt yourself. Ask someone else to help if possible.
Call
Contact an emergency or crisis service where you are.
Stay with someone
You do not need to solve everything before the crisis eases. Stay connected while the intensity changes.
You do not have to decide about the rest of your life today
A thought can arrive with enormous force without having to become a decision. You can postpone any irreversible action and focus only on the next safer step.
Instead of asking “How can I possibly live like this forever?”, try asking: “What do I need to do to stay safe through this moment?”
I have attempted suicide: what should I do now?
If you have just made a suicide attempt, you need urgent medical assessment. This remains important even if you now regret what happened, feel calmer, believe it “was not serious enough” or currently feel physically well.
Do not wait to see what happens
Contact emergency medical services or ask someone to take you to an emergency department. Tell the healthcare team clearly that you have attempted suicide.
If you still have thoughts of harming yourself or dying, tell them that as well. You do not need to minimise what happened because you feel embarrassed, frightened or worried about how other people will react.
After an attempt, people can experience very different emotions: fear, shame, confusion, relief at having survived, guilt, emotional numbness or continuing suicidal thoughts.
There is no single “correct” way to feel afterwards. Whatever you are experiencing, it is important that the healthcare professionals looking after you know about it.
A safety plan for suicidal thoughts
A safety plan is a personal guide that helps you know what to do when you notice that your risk is increasing.
It is not a contract and it is not a promise that you will never harm yourself. It gives you practical steps to follow when clear thinking becomes much harder.
Recognise your warning signs
What tends to happen when things begin to get worse for you? Think about thoughts, emotions, situations, withdrawal, changes in behaviour or particular feelings that you recognise.
Identify things that may help you get through a few minutes
Think about simple actions that have previously lowered the intensity even slightly: changing rooms, walking with somebody, having a shower, writing, listening to something familiar, spending time with a pet or deliberately noticing what is around you.
These strategies do not replace asking for help. Their purpose is to help you reach the next step.
Choose people and places where you can be less isolated
Whose home could you go to? Who could come to you? Where could you be around other people even if you are not ready to explain everything?
Decide who you can tell when you are in crisis
Write down two or three names and phone numbers before you need them. Do not rely on remembering everything when you are overwhelmed.
Save professional and crisis contacts
Keep the appropriate emergency number, crisis service, your GP or health centre and the professionals involved in your care somewhere easy to reach.
Make your surroundings safer
During a crisis, increase the distance between yourself and anything you might use to harm yourself. Where possible, involve another person in doing this.
Write down your next action
For example: “I will call my sister”, “I will go and sit with my partner”, “I will call the crisis team” or “I will ask someone to take me to A&E”.
Download the Ocnos Safety Plan
We have prepared an English-language printable safety plan where you can record your personal warning signs, coping strategies, supportive people, professional contacts and the practical steps that can make your environment safer.
Whenever possible, complete it with a mental health professional and let somebody you trust know where you keep it.
Download the Safety Plan PDFHow to ask for help when you cannot find the words
From the outside, asking for help can sound simple. During a suicidal crisis, forming a sentence can feel remarkably difficult.
You do not have to explain everything. You can copy one of these messages exactly as it is.
Psychological tools for getting through the most intense part of the crisis
These tools are not a reason to manage suicidal thoughts on your own. They are ways of creating a little time and psychological space while help arrives or while you remain with another person.
Choose the next safer action, not the perfect solution
When everything feels impossible, shrink the horizon. You do not need to solve a relationship, your job, financial problems, grief or your entire mental health tonight.
Ask yourself: “What is the next action that makes me slightly safer?”
It might be opening the door, leaving the room, sitting beside somebody, making one phone call or handing your phone to another person and asking them to call for you.
Change “this is true” into “I am having the thought that...”
If your mind says “there is no way out”, try wording it like this: “I am having the thought that there is no way out.”
You are not trying to force yourself to believe the opposite. The wording simply creates a little distance between you and what your mind is saying. A thought can feel intensely convincing without becoming an instruction you must follow.
Bring your attention back to the room you are in
Once you are accompanied and there is no immediate danger, you may find it helpful to deliberately notice concrete details: your feet against the floor, objects in the room, the temperature of the air or sounds around you.
Héctor has also recorded a guided grounding audio to help you return to the present . Use it only as an additional support. It does not replace contacting urgent help when there is a risk of suicide.
“They would be better off without me”: when your mind tells you that you are a burden
During a suicidal crisis, you may become convinced that other people would be better off without you, that you have disappointed everybody or that asking for help will only create more problems.
You do not have to win an argument with those thoughts right now. You can notice something simpler:
“My mind is turning unbearable pain into a permanent conclusion. I do not have to make a permanent decision while I am in this state.”
You also do not need to feel completely certain that you want to live before you allow somebody to help you.
You can be unsure about the future and still allow another person to help you get through tonight.
What to do if someone you care about says they want to die
Hearing somebody say that they want to kill themselves can be frightening. Your first instinct may be to convince them that they should not feel that way.
Helping, however, is not about winning an argument.
You can ask directly: “Are you thinking about suicide?”
Asking directly about suicide does not put the idea into somebody's head. It can make it easier for them to stop hiding what is happening and allow you to help with safety.
Things you can say
“Thank you for telling me. You do not need to convince me that this feels unbearable.”
“I care about keeping you safe. We are going to get help together.”
“You do not have to explain everything right now. I can stay with you.”
“What would help make the next few minutes safer?”
Try to avoid responses such as: “Don't be silly”, “think about your family”, “you have so much to live for”, “other people have it worse” or “promise me you won't do anything”.
These responses can increase shame or make the person less likely to continue talking.
If there is immediate danger
Stay with the person. Bring in other trusted adults where appropriate, make the environment safer and contact the emergency service for the country you are in.
Do not turn the situation into a secret that you have to manage alone.
Stay in contact after the immediate crisis
Support does not end simply because the intensity falls. Checking in the following day, helping the person attend appointments, looking at the safety plan together or simply keeping contact can all matter.
If you are supporting a teenager who is also self-harming, you may find our guide for parents about self-harm in teenagers useful.
After a suicidal crisis: what happens next?
Surviving a crisis does not mean that you have to return to normal immediately. It also does not mean that the underlying problem has disappeared simply because suicidal thoughts have eased for a few hours or days.
What comes afterwards may involve understanding what was happening before the crisis, identifying your own warning signs and vulnerabilities, treating psychological or medical difficulties, strengthening support and preparing for what to do if suicidal thoughts return.
Suicidal thoughts can occur in many different circumstances. You do not need to know your diagnosis or fully understand why this is happening before you are entitled to professional help.
If you are also experiencing persistent low mood, loss of interest, hopelessness or other depressive symptoms, you can read more about depression and psychological treatment .
When to seek psychological help after a suicidal crisis
If the immediate danger has passed but suicidal thoughts keep returning, you have recently experienced a crisis or attempt, or you feel that you have fewer and fewer ways of coping, professional follow-up is important.
At Ocnos Psychology Clinic we can provide psychological assessment and work with you on the factors contributing to your distress, within the limits of an outpatient psychology service.
Important: Ocnos Psychology Clinic is not an emergency or crisis service. If you are in immediate danger, do not wait for a therapy appointment and do not use WhatsApp as an emergency contact. Contact the appropriate emergency or crisis service where you are.
Once the immediate situation is stable, you can learn more about Héctor Lozano Jiménez , book a psychology appointment or read about online therapy .
Frequently asked questions about suicidal thoughts
What should I do if I am thinking “I want to kill myself” right now?
If you think you may act on the thoughts, move towards another person, make your surroundings safer and contact urgent help. Use the emergency or mental health crisis service for the country you are physically in.
Can I go to A&E or an emergency department even if I have not attempted suicide?
Yes. You do not have to wait until you have harmed yourself before seeking urgent care. If you cannot trust yourself to remain safe or your suicidal thoughts are escalating, seek urgent professional assessment.
Should I tell my psychologist that I am thinking about suicide?
Yes. It is important that your psychologist knows about suicidal thoughts so that they can understand your current level of risk and work with you on appropriate safety measures and treatment.
Can asking someone about suicide make them more likely to do it?
No. Asking someone directly whether they are thinking about suicide does not increase suicidal thoughts or behaviour. It can make it easier to begin an honest conversation and get help.
What is a suicide safety plan?
A safety plan sets out practical steps to use when risk increases: recognising warning signs, using short-term coping strategies, contacting supportive people and professionals and making the environment safer. It does not replace medical or psychological care.
Can relatives or friends call crisis services for advice?
Yes. Several crisis and listening services also support relatives or people who are worried about somebody else. If there is an immediate danger to life, contact emergency services.
Suicide and mental health crisis contacts: Spain, Gibraltar and the UK
Use the services for the place where you are physically located. This is particularly important for British residents or visitors living between Gibraltar and the Campo de Gibraltar.
Spain
Emergency services — 112
Call 112 when there is an immediate threat to life or urgent medical attention is needed.
Call 112Suicide helpline — 024
Spain's national service for people experiencing suicidal thoughts or behaviour, as well as relatives and those close to them. Free, confidential and available 24 hours a day.
Gibraltar
GHA Mental Health Crisis Team — 111
The Gibraltar Health Authority's Crisis Response Service operates 24 hours a day. Call 111 for urgent specialist mental health support.
Call GHA 111GibSams — 116 123
A free and confidential listening service for anyone experiencing distress, despair, self-harming thoughts or suicidal feelings. Telephone support is currently available every day from 6pm to 11pm.
United Kingdom
Emergency — 999
If you or somebody else is in immediate danger, has seriously harmed themselves or needs urgent medical attention, call 999 or go to the nearest A&E department.
Call 999NHS 111 — urgent mental health support
If you need urgent mental health help but there is not an immediate threat to life, call NHS 111 and choose the mental health option.
Call NHS 111Samaritans — 116 123
Free confidential emotional support, available day or night, 365 days a year.
Call 116 123Ocnos Safety Plan
A practical English-language document to prepare your warning signs, support contacts and next steps.
Open Safety Plan PDFYou do not have to be completely certain that you want to live before you accept help
Part of you may desperately want the pain to stop, while another part of you has reached this page looking for another possibility.
You do not need to resolve that conflict before somebody helps you.
We can begin with the part of you that has made it this far.
If you are in immediate danger, use the crisis or emergency service for the country you are currently in. If the immediate risk has passed and you need help understanding what brought you to this point, psychological support can be part of what comes next.
Clinical guidance and crisis resources
- Spanish Ministry of Health — Suicide Helpline 024
- Gibraltar Health Authority — Mental Health Services and Crisis Team
- GibSams — Gibraltar emotional support service
- NHS — Help for suicidal thoughts
- NHS — Where to get urgent help for mental health
- Samaritans — Emotional support in the UK
- NICE NG225 — Self-harm: assessment, management and preventing recurrence
- National Institute of Mental Health — Helping someone having thoughts of suicide
- Stanley B, Brown GK et al. — Safety Planning Intervention with follow-up
Clinical notice: This article provides psychoeducational information and does not replace individual medical, psychiatric or psychological assessment. Ocnos Psychology Clinic is not an emergency or crisis service. If you are in immediate danger or have made a suicide attempt, seek urgent medical attention.