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Instructions for helping someone else

Immediate self-harm or suicide risk

What to do

  1. If already harmed or about to act: call emergency services now. Give the location and say there is immediate danger.
  2. Ask calmly: “Are you thinking about suicide?” Listen without judgment. Take the answer seriously.
  3. Stay nearby if safe. Ask another trusted person to help. Do not promise to keep danger secret.
  4. If safe and without a struggle, help them move away from dangerous items or places. If you are threatened, keep your distance and tell emergency services.
  5. In Paraguay, 155 offers mental-health crisis support, including family advice. It is free and confidential, 24 hours. It does not replace an immediate-danger emergency call.
  6. If unresponsive: call emergency services. If breathing is abnormal, start CPR with dispatcher guidance.
  7. When help arrives, support the handover to professionals. Keep in contact afterward and help follow the agreed safety plan.
  8. If far away, ask where they are and request emergency help for that place. Keep contact if possible. If disconnected, seek help without waiting for confirmation.
  9. Child or teenager: involve a safe adult not involved in harm. Fear of a carer: tell emergency/child-protection services. Do not leave them with someone threatening them.

What to avoid

  1. Do not blame, challenge or threaten. Do not forcefully take objects away.
  2. Avoid alcohol and drugs while getting help.
Child or baby unresponsive and not breathing normally: child CPRWound with heavy bleedingAdult unresponsive and not breathing normally: CPRToo much medicine or another substance takenSwallowed substance: urgent careUnresponsive or illChild without a safe adult