If you need help now
You can get help right now.
We're not a crisis service, and we can't respond urgently or out of hours. If you or someone else is in danger, call 911.
If you're in immediate danger, call 911. If you can, say that it's a mental health emergency and ask for a crisis-trained responder.
If a spiritual opening has become destabilising
A sudden mystical experience, a kundalini activation or a difficult ceremony can tip into genuine crisis, with sleeplessness, terror and an inability to manage ordinary life. If you're not safe, call 911 first. They'll help you whether or not they understand how you'd describe it. Once you're steadier, integration work is one of the things this practice exists for.
If you're supporting someone else
If someone else is in danger, call 911 for them. You don't need their permission, and you're allowed to be worried without being sure.
Stay with them if you can. Ask them directly whether they're thinking about suicide, using the actual word rather than talking around it. The evidence on this is clear: asking doesn't put the idea in someone's head, and it very often opens a door. If they're in danger, call 911 with them rather than leaving them to make the call alone.