Suicide Risk & Crisis Care · Same-day
If you are thinking of ending it, call us before you decide.
Suicidal thoughts are a symptom — of depression, alcohol use, psychosis, chronic pain, humiliation or unbearable circumstance — and they are treatable. Most people who survive an attempt say the intense urge lasted minutes to hours. That is exactly why reaching help in those hours changes everything. If you are in that place right now, call +91 94275 60101. If you are worried about someone else, you can call us on their behalf.
Manas Neuropsychiatry Hospital · Bhavnagar
Suicidal thinking is almost always temporary. The decision it pushes you towards is not.
Symptoms
How it actually shows up.
Warning signs in someone you love
- Talking about being a burden, or that everyone would be better off without them
- Saying goodbye, giving away belongings, settling accounts or writing notes
- Searching for or acquiring pesticide, tablets, rope or a weapon
- A previous attempt — the single strongest risk factor
- Sudden calm or cheerfulness after weeks of despair, once a decision has been made
- Withdrawal, hopelessness, and 'nothing will ever change'
- Increased drinking; sleeplessness for several nights together
High-risk situations
- Severe depression, bipolar depression or psychosis with command voices
- Alcohol or drug intoxication, which removes the last restraint
- Examination failure, results day and academic humiliation in students
- Business collapse, debt, moneylender pressure and legal cases
- Marital breakdown, a broken relationship or public shame
- Chronic pain, cancer and terminal illness
- Recent discharge after a psychiatric admission — a known vulnerable window
Why it happens
Causes we look for before prescribing.
- Depression and bipolar disorder — the commonest treatable drivers
- Alcohol and substance use, present in a large share of attempts
- Psychosis with command hallucinations
- Impulsivity during an acute crisis, often with no prior mental illness
- Access to pesticide and hoarded medication in the home
- Isolation, and the belief that help would bring disgrace to the family
Our treatment approach
What treatment at Manas actually involves.
Same-day assessment
We see suicidal-risk patients urgently. The consultation is calm and non-judgemental — nobody is scolded, lectured or forced to justify themselves.
Safety planning
A concrete, written plan: who to call, where to go, what to do in the next few hours, and removal of pesticide, hoarded tablets, ropes and weapons from the home. Means restriction saves lives.
Treating the driver fast
Depression, psychosis, alcohol withdrawal or insomnia are treated aggressively and simultaneously, because the thoughts fade as the illness lifts.
Rapid-acting options
For active suicidal ideation in severe depression, ketamine infusion can reduce suicidal thinking within hours, and modified brief pulse therapy is available where the situation is life-threatening.
Rapid-acting treatmentsFamily involvement & supervision
With your consent, one or two family members are taught how to supervise medication, stay with the patient, and respond without anger or blame — which is what most families genuinely do not know how to do.
Close follow-up
Frequent reviews through the risky weeks, with phone access between visits. The first month after a crisis is when contact matters most, and it is exactly when most patients are lost to follow-up.
Please read this
If there is immediate danger, or if poison or tablets have already been consumed, go straight to the nearest emergency room or call an ambulance first — medical stabilisation comes before psychiatric care. Then call us on +91 94275 60101. Do not leave the person alone, and remove pesticides, medicines and sharp objects now.
Frequently asked
Questions we are asked every week.
Treatment begins with one consultation.
OPD Mon – Sat, 9 AM – 8 PM at Kalanala, Bhavnagar. No referral needed. Emergency support 24×7.