• Increased or excessive substance (alcohol or drug) use
• Feeling unbearable pain
• Feeling like a burden to others
• Feeling as if one has no sense of purpose in life or expressing no reason for living
• Increased anxiety, agitation, and being unable to sleep or sleeping all of the time
• Feeling trapped-like there is no way out; resistance to help
• Feeling worthless
• Feelings of intense shame
• Feeling hopeless about the future
• Withdrawing from friends, family, and society, including feeling misunderstood based on factors involving culture or identity
• Rage, uncontrolled anger, seeking revenge
• Acting reckless or engaging in risky activities, seemingly without thinking
• Losing interest in personal appearance or personal hygiene
• Saying goodbye to friends and family
• Giving away prized possessions
• Changes in eating and/or sleeping patterns
• Dramatic mood changes

Some behaviors may clearly indicate that an emergency is happening or that a person is experiencing a mental health crisis. In particular, if you are observing the following behaviors, you should immediately strive to connect the person with professional help via one of the crisis resources listed below.

• Talking about immediate harm to oneself or others 
• Threatening to hurt or kill oneself or others
• Planning to attempt suicide (e.g. searching online for information on how to attempt suicide, writing or asking about how to kill oneself, recent increased discussion of suicide or fascination with death)
• New or increased engagement in self-harm behaviors (e.g. cutting, burning, or hitting self)
• Acting in an unexpected or erratic manner that leads you to be concerned for their safety

• 911: If you or someone you know is in danger, or you are in an emergency situation, call 911
• 988 Suicide and Crisis Lifeline: The 988 Suicide and Crisis Lifeline is a national network of local crisis centers that provides free and confidential emotional support to people in suicide crisis or emotional distress 24 hours a day, 7 days a week in the United States. You can call, text, or chat online. 
• UI Support and Crisis Line: The UI Support and Crisis Line is available any time via chat, phone or text at 844-461-5420. In partnership with CommUnity Crisis Services in Iowa City, the University of Iwa provides around-the-clock mental health crisis and support for all UI students, staff, and faculty. 

• University Counseling Service: Primary mental health resource on campus, offering free, short-term, and confidential mental health counseling services to all UI students. Also has a new online Community Provider Database available for those seeking private longer-term mental health care providers in the community. 
• Student Health Services: Delivers quality healthcare on campus to all UI students from providers in family medicine, gynecology, and psychiatry services. 
• Employee Assistance Program: Confidential, short-term counseling and referral service for UI faculty and staff. 

• GuideLink Center: Open 24/7/365 in Iowa City and offers onsite assessment and crisis stabilization for those experiencing mental health and/or substance use crises.
• Mobile Crisis Outreach: Dispatches mental health counselors to your location in Johnson or Iowa County within the state of Iowa. 

• Student Care and Assistance: Supports all UI students to overcome challenges to be successful and continue towards graduation and can assist in managing crisis situations. 
•  Threat Assessment Team: Supports campus safety by assessing, monitoring, and providing support for people exhibiting on usual distress, fixated grievances, and troubling behaviors. 
• Student Wellness: Offers appointments, group workshops, events and other programming for students on nutrition, fitness, stress management, alcohol and drugs, tobacco/e-cigarettes, sexual health and sleep.