Mental Health First Aid: How to Help Someone in Crisis Using ALGEE

When someone is in physical distress, we don’t hesitate to offer first aid — but what about when the crisis is emotional or mental? Many people feel unsure of what to say or do when someone is struggling with anxiety, depression, or suicidal thoughts. That’s where Mental Health First Aid (MHFA) comes in. Just like CPR teaches you how to respond to a medical emergency, MHFA equips you to respond with confidence and compassion during a mental health crisis.

The MHFA model is built around the acronym ALGEE, a simple five-step guide to help you support someone in need:

A – Approach, Assess, and Assist

The first step is to approach the person with care and concern. Choose a quiet, private space and speak calmly. If you think they may be in danger of harming themselves or others, don’t hesitate to ask directly — “Are you thinking about suicide?” This might feel uncomfortable, but asking can save a life. If they are at immediate risk, don’t leave them alone and contact emergency services or professional help right away.

L – Listen Non-Judgmentally

Listening is powerful. Let the person share their feelings without interruption or judgment. Avoid rushing to give advice or minimising what they’re experiencing. Sometimes, what people need most is simply to be heard. Use open body language, gentle tone, and reflective statements like “That sounds really tough” to show empathy and understanding.

G – Give Reassurance and Information

Offer hope. Let them know that mental health problems are common and treatable. You might say, “You’re not alone, and help is available.” Sharing accurate information about recovery and support options can reduce fear and shame.

E – Encourage Appropriate Professional Help

Guide the person toward professional support — a GP, psychologist, counsellor, or helpline. Offer to help them make an appointment or go with them if they feel nervous. Professional intervention is key to long-term recovery.

E – Encourage Self-Help and Support Strategies

Finally, help them identify healthy coping tools — connecting with trusted friends, engaging in gentle exercise, practising mindfulness, journaling, or joining support groups. Small steps can make a big difference in maintaining wellbeing.

By following ALGEE, you don’t need to have all the answers — you just need to show up with care, listen deeply, and take action when needed. Mental Health First Aid is about being a bridge to safety and hope — reminding others that even in crisis, they are never alone.