MindEd课程 | 面对紧急情况，我该怎么办？
关于MindEd
据统计，四分之三的成人精神疾病在21岁以前就已经能够有所发现，因此，有效的早期干预对于预防精神疾病的发生发展至关重要。
MindEd是英国卫生部及教育部联合开放的一款线上教育课程，MindEd提供了有关300多个主题的免费在线课程，其内容均由英国和国际顶级专家撰写和编辑，适用于从医疗卫生人员到公众的各类型用户。
MindEd的目标是为英国所有国民提供有关儿童和青少年心理问题的“急救”（first aid）知识和相关基本技能，为所有从事儿童、青少年和家庭工作的成年人提供简单、明确的指导，以打破有关精神疾病的歧视，提高儿童和青少年的精神健康及福祉，为儿童和青少年创造更美好的未来。
面对紧急情况，我该怎么办？
自残
你发现你孩子的手臂上有切割的痕迹，你怀疑他们在伤害自己：
‣与你的孩子交谈，听取他们的意见。
‣联系当地医生，前往“儿童和青少年精神健康服务”（CAMHS）*就诊。
*儿童和青少年精神健康服务（CAMHS）是英国国立卫生系统（NHS）的一部分，主要帮助有精神健康问题的儿童和青少年。
如果情况很糟糕：
‣带你孩子上急诊。
‣如果他们拒绝，拨打111*寻求帮助。
*111为英国卫生系统的紧急热线，等同于中国的120。
他们把东西拴在自己脖子上
你发现你孩子把东西栓在自己脖子上，你怀疑他们想要自杀：
‣告诉你孩子你始终陪伴在他们身边，你想要多了解下你孩子所想。
‣请他们取下他们栓在脖子上的东西。
‣拨打111。
如果情况很糟糕：
‣尝试从孩子脖子上取下东西。
‣拨打999。
你的孩子藏了许多药片
你怀疑你的孩子可能偷吃了许多药片：
‣ 保持冷静，问问你的孩子是否吃了任何药片。
‣尽量和你的孩子交谈，并听取他们的意见。
如果他们确实吃了很多药片，或者他们已经昏迷不醒：
‣立即拨打999。
‣待在他们身边。
‣让他们保持在舒服的位置上，确保他们可以正常呼吸。
他们谈论起自杀
你听到你孩子说他想自杀，而且表现出了一些异样：
‣与当地医生联系。
‣与你的孩子交谈，听取他们的意见。
‣帮助他们想想别的事情。
如果他们说他们要去自杀，并且已经离开了：
‣立即拨打999。
愤怒和暴躁
我发现我孩子因为脾气暴躁而惹上了麻烦：
‣问问他们是否想与你或其他人谈谈。
‣请您的医生安排联系“儿童和青少年精神健康服务”（CAMHS）。
如果情况变得很糟糕，他们已经失控了：
‣尽量保持冷静。
‣联系当地医生和CAMHS的工作时间外服务（out-of-hours service）。
‣拿走任何可能导致危险的东西。
‣报警。
离家出走
我想我的孩子可能离家出走了：
‣给他们的朋友打电话。
‣打电话给你的孩子，并留言。
如果他们没有出现：
‣打电话给警察。
‣准备好一张近照。
‣想想他们可能去的所有地方。
‣当你在等待警察时，找个朋友陪着你。
进食障碍
我孩子经常自己催吐：
‣问问你的孩子要不要看医生，医生可以安排联系“社区进食障碍服务”（Community Eating Disorder Service）*。
*“社区进食障碍服务”（Community Eating Disorder Service）是英国社区中专门帮助有进食问题的人的专业团队。
如果情况很糟糕：
‣立即就诊。
混乱
我发现我孩子变得行动迟缓、意识混乱，而且看起来很糟糕：
‣带着你的孩子马上去看医生或者急诊。
如果情况非常糟糕：
‣立即上急诊，你可能需要警方或救护车的帮助。
重要提示
‣尝试理解你孩子的问题。
‣了解导致危机出现的原因以及你如何能提供帮助。
‣寻求专业人员和家庭成员的帮助。
‣提前设计好应急预案。
‣确保你首先照顾好自己，并且保持冷静。
‣保持希望，即便情况看起来不好。
About MindEd
With three-quarters of adult mental disorders in evidence by the age of 21, effective early intervention can be essential in preventing the development of ill health and disability.
MindEd was developed by a consortium of partner organisations and funding by the Department of Health, the Department for Education and Health Education England. It provides accessible, engaging online training in emotional and behavioural ‘first aid’ and essential therapeutic skills for all those involved in the mental wellbeing and care of children and young people in the UK.
MindEd offers free, completely open access, online education in over 300 topics. Our e-learning is applicable to a wide range of learners across the health, social care, education, criminal justice and community settings.
Its aim is to provide simple, clear guidance on children and young people’s mental health, wellbeing and development to any adult working with children, young people and families, to help them support the development of young healthy minds.
What to do in a crisis?
Self Harm
My child has marks on their arms. I think they are cutting themselves.
‣ Talk to them and listen.
‣ Contact your doctor. Ask to see the Child and Adolescent Mental Health Services (CAMHS)*.
*Child and Adolescent Mental Health Services (CAMHS) are professionals who are trained to help children and young people who have mental health problems. They are part of the NHS.
If it is really bad:
‣ Take your child to A & E.
‣ If they say no ring 111 for advice.
They tied something round their neck
Your child has tied something around their neck. You think they are wanting to kill themselves.
‣ Tell your child you are there for them and want to try to understand.
‣ Ask them to remove what they have put round their neck.
‣ Call 111.
If it is really bad:
‣ Try to remove the thing from your child’s neck.
‣ Call 999.
Your child has a stash of tablets
You think your child might have taken a lot of tablets.
‣ Stay calm. Ask your child if they have taken anything.
‣ Try to talk to your child and listen to them.
If they have taken lots of tablets, or if they become unconscious:
‣ Call 999 straight away.
‣ Stay with them.
‣ Put them in the recovery position. Make sure they can breathe OK.
They talk about suicide
Your child is saying that they are thinking about killing themself and are behaving differently:
‣ Contact your local doctor.
‣ Talk to your child and listen to them
‣ Help them to think about something else.
If they say they are going to kill themselves and have run away:
‣ Call 999.
Anger and aggression
My child is getting into trouble because they get very angry:-
‣ Ask if they want to talk to you or someone else.
‣ Ask your doctor to arrange an meeting with the Child and Adolescent Mental Health Service (CAMHS).
If it gets very bad and they are out of control:
‣ Try to keep calm.
‣ Phone your Doctor and CAMHS out of hours service.
‣ Remove anything that is dangerous.
‣ Call the police.
Running away
I think my child might have run away:
‣ Phone their friends.
‣ Phone your child and leave a message.
If they don’t turn up:
‣ Phone the police.
‣ Have a recent photo handy.
‣ Think about all the places they might have gone.
‣ Get a friend to stay with you while you wait for the police.
Eating disorder
My child is making themselves vomit:
‣ Talk with your child about seeing the doctor. The doctor can arrange a meeting with the Community Eating Disorder Service.
‣ The Community Eating Disorder Service are professionals who help people who have problems with eating.
If it is really bad:
‣ See your doctor urgently.
Confusion
My child is becoming more slow, muddled, and looking bad:
‣ Take your child to the doctor straight away - or A&E.
If it gets really bad:
‣ Go straight to A&E. You might need the help of the police, or ambulance.
Top tips
‣ Try to understand your child’s problems.
‣ Learn about the things that start off a crisis and how you can help.
‣ Ask for help from professionals and family members.
‣ Have a plan of what to do in a crisis.
‣ Make sure you look after yourself so you can stay calm.
‣ Stay hopeful - even when things are bad.
心声公益是一家致力于提高社会精神卫生意识、增强公众心理健康素质的公益组织，我们希望通过全社会的共同参与以及精神病人的赋权行动来为精神病人群体营造一个和谐、共融的社会环境，我们希望社区乃至社会即是病人之家、是康复之家，我们希望对于精神疾病的污名不再存在，而广大精神病人的权益能得到合理地伸张。