– someone’s life is at risk – for example they have seriously injured themselves or taken an overdose
– you are feeling suicidal and you do not feel that you can keep yourself or someone else safe
– Rapid mood swings – jumping from ecstatic to depressed and withdrawn very quickly
– visual and auditory hallucinations – acute visions detached from reality
– highly or easily agitated – this may include verbal threats, destruction of property or violent and out of control behaviours
– Abusive to self and others – this includes substance use, and self harm such as cutting
– Intense paranoia – including suspicion and distrust of people or actions without any reason
– signs of a heart attack – pain like a very tight band, heavy weight or squeezing in the centre of your chest
– signs of a stroke – face drooping on one side, can’t hold both arms up, difficulty speaking
– severe difficulty breathing – gasping, not being able to get words out, choking or lips turning blue
– heavy bleeding – that won’t stop
– severe injuries – or deep cuts after a serious accident
– seizure (fit) – someone is shaking or jerking because of a fit, or is unconscious (can’t be woken up)
– sudden, rapid swelling – of the eyes, lips, mouth, throat or tongue