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What to do in a crisis

Changes Bristol is not a crisis or acute mental health service.

However, if you are going through an acute bout of mental illness involving distress such as:

  • Suicidal behaviour or intent
  • Panic attacks/extreme anxiety
  • Psychotic episodes (loss of sense of reality, hallucinations, hearing voices)
  • Other behaviour that seems out of control or irrational and that is likely to endanger yourself or others

These situations may require access to crisis services provided by the NHS.

If you or someone you are concerned about or care for is in an emotional or mental health crisis and feel that an urgent response is required:

  • Contact the person’s GP or the GP out of hours service
  • Phone NHS on 111 
  • you can contact the recovery team on 01225 325 680 (Mon-Fri 8am-8pm) or if it is out of hours you can contact the Bristol Intensive team (BIT) on 0300 555 0334

  • People that use mental health services may have a crisis card or an Advance Directive in their bag or pocket that provides information about who to contact in a crisis.

  • Most people who use mental health services will also have a Care Plan and a named professional responsible for their care. Ask them for these details.

If you have serious concerns for someone’s immediate safety then they can go to Accident and Emergency or phone the Emergency Service 999 for assistance. There is an on call Psychiatrist at the Bristol Royal Infirmary who you can ask to see in an emergency.

Alternatively you can contact one of the following national help lines:

Telephone: 0117 983 1000
National number: 08457 90 90 90
Text Service: 07725 90 90 90

Open 8pm to 12pm Wednesday to Sunday
Telephone: 0808 808 0330

Sane Mental Illness HelpLine
Telephone: 0845 767 8000
Open every day 6pm - 11pm

Other sources of information about dealing with a mental health crisis:

MIND - Mind Guide to a Crisis

SANE - Crisis page

Other information and Links page