Direct advice for overwhelming urges to kill self or use opioids

— Shut it down —

Sleep (no overdosing). Can’t sleep? Cold shower or face in ice-water (30 seconds and repeat).* This is a reset button. It slows everything way down.

— No Important Decisions —

Especially deciding to die. Do not panic. Ignore thoughts that you don’t care if you die. Stop drugs and alcohol.

— Make Eye Contact —

A difficult but powerful pain reliever. Look in their eyes and say “Can you help me get out of my head?” Try video chat. Keep trying until you find someone.

Video Guide (if you would like help following these steps)

*Not medical advice. A heart or severe eating disorder can create risks similar to that of physical exertion. Consult provider if concerned.

Text or Instant Messaging (IM)



Australia and New Zealand

Links copied with permission from Online Suicide Help (CC 3.0). Click link for complete listings and more info.

Phone Hotline Directories

USA and Canada 

Suicide Prevention Lifeline 1-800-273-TALK (8255)

Trans Lifeline 1-877-565-8860 (USA)  1-877-330-6366 (Canada)

Military Veterans 1-800-273-TALK (8255) and Press 1

Spanish Lifeline 1-800-273-TALK (8255) and Press 2


International Association for Suicide Prevention – Resources: Crisis Centers