Mental-health crisis — urgent
If you are in immediate suicidal crisis, you are not alone, and free help is available right now from a trained, multilingual counsellor. This topic is the urgent-action page; for general mental-health support see the broader Mental Health topic. The numbers below are 24/7 and confidential. Your owner, master, and flag state are not notified unless you ask for that escalation.
Step-by-step
- Right now: call ISWAN SeafarerHelp +44 800 012 1004 (free, 24/7, multilingual) or WhatsApp +44 7909 470732. They will not contact your employer.
- If you cannot call: text 'SHOUT' to 85258 (UK, free, 24/7, anonymous). Or use findahelpline.com to find your country's crisis text line.
- On board: tell one person you can trust (master, chief mate, chief engineer, or DPA — Designated Person Ashore is confidential under ISM Code). DPA contact is on the SMS poster in the messroom.
- Move yourself to a low-risk space: messroom, bridge wing, with another person. Do not be alone in your cabin during acute crisis. Hand any potentially-dangerous items to a trusted person.
- Request emergency medical evacuation if you believe you are in imminent danger. The master MUST make the request to MRCC under SOLAS V/4.1. This is not a career-ending event — the IMO 2022 guidelines on fitness for duty explicitly recognise mental health.
- After the immediate crisis: the operator's P&I cover normally pays for crisis counselling and repatriation if needed under MLC Reg. 4.3. Insist on it. ITF, Sailors' Society, and Mission to Seafarers all have post-crisis follow-up.
- Returning to sea after a crisis: medical fitness re-certification is required. Most flag states accept psychiatric and GP letters; some require flag-state Medical Officer review. This is a normal process — many seafarers return successfully.
Evidence to save
- Time + location of the crisis event
- Who you spoke to (DPA / master / ISWAN / Samaritans / national line)
- Any onboard incident log or near-miss filing (for the post-event review)
What NOT to sign
- Any document declaring you "unfit for duty" without an independent medical review
- Voluntary sign-off paperwork while in active crisis — wait until stable
Legal basis
MLC 2006 Reg. 4.3 (health and safety protection). SOLAS V/4.1 (search and rescue obligation). IMO 2022 Guidelines on Fatigue (incorporates fitness-for-duty mental-health considerations). ISM Code (DPA confidentiality). National crisis frameworks: UK Mental Health Act 1983 + Mental Capacity Act; Norway helsepersonelloven; Philippines RA 11036 (Mental Health Act).
Primary sources
- ISWAN SeafarerHelp 24/7 · seafarerhelp.org
- Samaritans 116 123 (UK; international callbacks) · samaritans.org
- ISM Code — DPA confidentiality (IMO) · imo.org
- MLC 2006 Reg 4.3 · normlex.ilo.org
Related terms
Organisations that can help
- Global · 24/7
- Europe · 24/7📞 116 123
- Americas · 24/7📞 988
- Global · 24/7
- Europe · Crisis Response Network 24/7
- Europe · 24/7 emergency
- Asia-Pacific · 24/7📞 13 11 14
- Asia-Pacific · 24/7
- Asia-Pacific · 24/7
- Global · 24/7
- Asia-Pacific · Mon-Fri 9-18 SGT
- Americas · Mon-Fri 9-17 CT, port chaplains 24/7
- Asia-Pacific · Mon-Sat 9-17 PHT
- Europe · 24/7📞 116 123
- Europe · 24/7
- Europe · 24/7📞 182
- Global · 24/7 crisis line
- South-East Asia · Mon–Sat
- Global · CrewHelp 24/7
- Africa · Mon–Sat
- South Asia · Mon–Sat
- Global · 24/7 emergency line
- Africa · Mon–Sat
- Global · Refer to ISWAN 24/7
- Americas · Office hours
- Europe · Office hours
- Americas · Office hours
- Global · 24/7
- Asia-Pacific · Office hours
- Global · Online
- Asia-Pacific · 24/7 front desk
Disclaimer. Crisis information only. If you or someone onboard is in immediate danger, call the master + the nearest national emergency line FIRST, then ISWAN +44 800 012 1004.