Immediate Crisis Support and Emergency Resources
If you or someone you know is in crisis, experiencing suicidal thoughts, overdosing, or in immediate danger, help is available right nowā24 hours a day, 7 days a week, across Canada.
ā ļø Life-Threatening Emergency
Call 911 immediately if:
- ⢠Someone is overdosing (unconscious, not breathing, blue lips)
- ⢠Someone is attempting suicide
- ⢠Someone is threatening violence to themselves or others
- ⢠Someone is having a medical emergency related to substance use
Don't wait. Call 911. Paramedics and police are trained to handle these situations.
24/7 Canadian Crisis Helplines
šØš¦ Canada-Wide Crisis & Suicide Prevention Line
Also: Text 45645 | TTY: 1-866-277-3553
Available 24/7 in English and French. Free and confidential. For anyone experiencing suicidal thoughts, mental health crisis, or emotional distress.
Kids Help Phone (Youth Crisis Line)
Also: Text 686868 | Live chat at kidshelpphone.ca
For children, teens, and young adults (up to age 29). Professional counselors available 24/7.
Hope for Wellness Helpline (Indigenous Peoples)
Also: Online chat at hopeforwellness.ca
For Indigenous peoples across Canada. Available 24/7 in English, French, Cree, Ojibway, and Inuktitut.
Trans Lifeline
Peer support line run by and for trans people. Available daily (hours vary by region).
Overdose Emergency: What to Do
If someone has overdosed on opioids (heroin, fentanyl, prescription painkillers), immediate action saves lives:
Steps to Save a Life:
- 1
Call 911 Immediately
Tell them someone is unresponsive/not breathing. Canada has Good Samaritan Drug Overdose Actāyou won't be charged for drug possession when calling 911 for an overdose.
- 2
Give Naloxone (Narcan)
If available, give naloxone nasal spray or injection. Follow kit instructions. It's safeāwon't harm if it's not an opioid overdose. Can give multiple doses if no response.
- 3
Perform Rescue Breathing
If not breathing and you know how: tilt head back, pinch nose, give 1 breath every 5 seconds. Continue until breathing resumes or paramedics arrive.
- 4
Place in Recovery Position
If breathing resumes, place person on their side (recovery position) to prevent choking if they vomit.
- 5
Stay Until Help Arrives
Naloxone wears off in 30-90 minutes. Fentanyl can outlast naloxoneāperson may overdose again. Stay with them until paramedics arrive.
Get free naloxone: Available at pharmacies across Canada without prescription. Everyone should carry it.
Provincial/Territorial Crisis Lines
- British Columbia: 1-800-784-2433 (Crisis Centre BC)
- Alberta: 1-877-303-2642 (Mental Health Helpline)
- Saskatchewan: 1-306-933-6200 (Mobile Crisis)
- Manitoba: 1-888-322-3019 (Klinic Crisis Line)
- Ontario: 1-866-531-2600 (ConnexOntario)
- Quebec: 1-866-277-3553 (Suicide Action Montreal)
- New Brunswick: 1-800-667-5005 (Chimo Helpline)
- Nova Scotia: 1-888-429-8167 (Mental Health Crisis Line)
- PEI: 1-800-218-2885 (Island Helpline)
- Newfoundland & Labrador: 1-888-737-4668 (Mental Health Crisis Line)
- Yukon: 1-867-668-5733 (Crisis Line)
- Northwest Territories: 1-800-661-0844 (NWT Helpline)
- Nunavut: 1-800-265-3333 (Kamatsiaqtut Help Line)
When to Go to the Emergency Room
Go to the nearest hospital emergency department if:
- ⢠You're having thoughts of harming yourself or others
- ⢠You're experiencing severe withdrawal symptoms (alcohol, benzosācan be life-threatening)
- ⢠You're in a mental health crisis and can't keep yourself safe
- ⢠You need immediate detox and crisis lines/services aren't helping quickly enough
Hospital ERs can: Stabilize you medically, connect you to detox/treatment, provide psychiatric assessment, keep you safe during crisis.
Supervised Consumption Sites
If you're using drugs and worried about overdosing, supervised consumption sites provide:
- ⢠Safe space to use substances under medical supervision
- ⢠Immediate response if you overdose (naloxone, oxygen, CPR)
- ⢠Clean supplies (needles, pipes) to reduce infection risk
- ⢠Connections to treatment, housing, and health services when you're ready
- ⢠No judgment, no police
Find sites: Available in BC, Alberta, Ontario, Quebec. Search "supervised consumption site [your city]" or call your provincial addiction line.
For Family/Friends: What to Do in a Crisis
If your loved one is in crisis:
- Don't leave them alone: Stay with them or get someone to stay until help arrives.
- Remove access to means: Lock up medications, alcohol, drugs, weapons.
- Call crisis lines: Even if they won't talk, you can call and get guidance.
- Take threats seriously: If they mention suicide, believe them and get help immediately.
- Transport if safe: If they agree, drive them to ER. If they refuse or it's unsafe, call 911.
- Use police as last resort: If they're a danger to themselves/others and won't go to hospital voluntarily, police can apprehend them for mental health assessment (varies by province).
You're Not Responsible for Saving ThemāBut You Can Get Help
You cannot force someone into recovery or prevent all crises. But you CAN connect them to professional help, call 911 when necessary, and support them in seeking treatment. Your role is to be a bridge to servicesānot to carry the burden alone.
After the Crisis: Next Steps
Once immediate danger has passed:
- ⢠Follow up with treatment: Crisis is often a wake-up call. Now is the time to get into detox, residential treatment, or intensive outpatient.
- ⢠Create a safety plan: Work with counselors to identify warning signs and coping strategies for future crises.
- ⢠Build a support network: Therapist, support groups (AA/NA), trusted friends/family, crisis line numbers saved in phone.
- ⢠Address underlying issues: Mental health conditions, trauma, chronic painātreat the root causes of substance use.
Crisis Doesn't Mean Failure
Many people who are now in long-term recovery experienced a crisis that became their turning point. Crisis can be the moment when:
- ⢠Denial finally breaks
- ⢠You realize you can't do this alone
- ⢠You accept help for the first time
- ⢠Your life changes direction
Get Treatment After Crisis
Crisis stabilization is just the first step. Long-term recovery requires ongoing treatment and support.
Explore More Resources
Find additional information and support for your recovery journey.