Mental health support at sea
Isolation, fatigue, family separation, and unpredictable rotations make seafaring a high-risk occupation for depression, anxiety, and suicide. Mental-health support is available 24/7 from specialised helplines that understand shipboard life — you don't need to wait until crisis. Reaching out early protects your career; a documented downward spiral is much harder to recover from than an early conversation.
Step-by-step
- Recognise the signs — sleep disruption not explained by watch pattern, loss of appetite, withdrawal from mess-room life, intrusive negative thoughts.
- Talk to someone — a trusted colleague, the Master, or one of the 24/7 helplines listed below. All calls are confidential.
- Contact ISWAN SeafarerHelp (+44 20 7323 2737 / [email protected]) or Mission to Seafarers Chaplaincy — available in most major ports.
- If you are in immediate crisis — tell the Master or Chief Officer. MLC A4.1 requires medical care to be provided; this includes mental-health first response.
- Document the contact + response — protects your MLC entitlement + shipboard medical record.
- Follow-up ashore — request that your medical repatriation, if needed, be to a specialist facility rather than a general hospital.
Evidence to save
- Dates + times + response of your contact with the Master or Medical Officer
- Copy of the shipboard medical log entry
- Any written communication with ISWAN or the P&I club
- Notes of any refusal to provide medical care or repatriation
What NOT to sign
- Any statement admitting to non-work-related mental-health history that could be used to void the shipowner's MLC A4.1 obligation
- Sign-off documents that mis-characterise a medical repatriation as "personal reasons"
- Release of medical claim in exchange for continued employment
Legal basis
MLC 2006 Regulation 4.1 covers mental health as part of medical care onboard. Chapter 4.3 covers health + safety protection including psychosocial risk factors. ISM Code 6.3 requires operators to establish procedures for the reporting of health hazards + non-conformities.
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. General information only — if you are in acute crisis or considering self-harm, call ISWAN SeafarerHelp or your local emergency number now. This is not medical or crisis advice.