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Need more urgent help?

Elsali CBT is not an urgent help or advice service, but if you are struggling with suicidal thoughts or self harm it is important that you talk to someone.



You are not alone and you do not have to manage this by yourself. Asking for help is never a weakness.



Friends and family can be very helpful in a crisis, but if you find it difficult to talk to friends or family about how you are feeling, then try one of the dedicated services below.


We encourage you to use these services anytime you need to whether you are in treatment or not.

Anytime Support

If you need to talk about anything that is affecting your mental health, then Samaritans are available 24/7, 365 days a year.

Call 116 123 (free from any phone)

Or visit

You can also use SHOUT’s free confidential service 24/7. Just text ‘SHOUT’ to 85258

Suicide Prevention

National Suicide Prevention Helpline, offering a listening service from 6pm until Midnight everyday.

Call  0800 689 5652 or

0800 689 0880


Or visit

Helpful Apps

There are helpful Apps available for those struggling with self harm or suicide thoughts.

Get the distrACT app

Get the CALM Harm app


Or for those struggling with addiction

Get the I AM Sober app

Visit your GP

If you are struggling with thoughts of self harm or suicide, then your GP is your first port of call.



Your GP has knowledge about mental health difficulties and access to the most appropriate free services to help you.



You can tell the receptionist that you are struggling with your mental health and ask for a same day appointment.

Call 111

If your GP is not available and you need support very soon but it is not an emergency, you can call NHS 111 for support with your mental health.



If you have already been given the number of a crisis team from a health professional, you should try that first.


Or visit 111 online.

Call 999

If you or someone close to you is in immediate danger. Or if you feel unable to keep yourself safe in the next few hours. You should go to A&E or call 999 if you can’t get to your nearest hospital.



If you think that someone close to you has endangered their lives or taken an overdose then call 999, even if you are not sure. You are not wasting anyone’s time.