Skip to main content

4 Psychiatric warning signs to watch for before taking you kid to the ER

Occasional moodiness is normal at any stage for children, and changes in emotions and how they’re expressed go along with the territory of growing up and trying to establish one’s own identity. Even a small tiff between siblings or between you and your child will happen periodically. However, what do you do when his or her behavior becomes impossible to control? How do you deal with the revelation that your child may have been partaking in self-harm? We’ve done the searching and brought you some signs to watch for to help you determine when to take your child to the ER for behavior.

What qualifies as a psychiatric emergency?

As noted by the American Academy of Child and Adolescent Psychiatry, some signs that tell you right away to bring your child into the emergency room include:

  • Signs or threats to harm him or herself.
  • Signs or threats to harm others.
  • Profound and sudden changes in behavior that can’t be explained.
  • A reaction to changes in psychotropic medications or changes in the dosage of prescriptions for treating conditions that have already been diagnosed.

One specific sign that your child is pondering self-harm involves giving away treasured belongings that you know he or she wouldn’t normally try to pass on to someone else or if your son or daughter writes a “will” that outlines who will get his or her possessions in the event of anything happening to him or her.

Likewise, you should also look for signs that your child might cause harm to others. Some of these signs include diary entries or drawings outlining this type of plot, a list of people who the child might want to harm, or increased violent outbursts.

Also, if you notice changes in your child’s behavior and demeanor, such as persistent crying or angry outbursts, then you should seek help right away. These changes could be brought about by external factors, like alterations in the family dynamics or being bullied at school. Or if your child has been placed on medication for a condition that’s already been diagnosed, you might keep an eye out for dramatic changes in mood and behavior, as this could signal a reaction to the new medicine or dosage.

sad teenage girl sitting by window
Anthony Tran / Unsplash

How do I know my child is in crisis?

Along with the previously mentioned signs, a change in behavior that’s out of control, any attempts at self-harm, or harm to others point towards a crisis. Also, if your child experiences hallucinations or delusions, you’ll need to seek help immediately. According to the National Alliance on Mental Illness, other signs that tell you when to take your child to the ER include:

  • Expressing suicidal thoughts — overtly or even just dropping hints.
  • Expressing an inclination toward harming people, animals, or both.
  • Isolating from friends and family.
  • Displaying aggression.

If you see any of these behaviors, or if any staff members from your child’s school tells you about observing these behaviors, your child will need to be stabilized, protected, and evaluated as soon as possible.

What might constitute a mental health crisis or emergency in a child?

Another point to remember is that there are two types of crises. As noted by the National Alliance on Mental Illness, you can a have crisis where your child and/or others nearby are in immediate danger and a crisis can occur where your child is not in any immediate danger but needs an intervention anyway.

In a situation of immediate danger, you’ll need to call 911 and inform the dispatcher that your child is experiencing a mental health crisis. First responders are familiar with this term and are trained to deal with this type of emergency.

If you’re sure that your child is not in any immediate danger, and everyone else nearby is safe, then you should talk with your child and ask what triggered the crisis. You’ll need to reassure him or her that you’re there to provide support but let him or her know that help is needed. If your child is already seeing a mental health practitioner, then you’ll need to contact that person as soon as possible. If not, then you’ll need to contact your pediatrician for a referral to a mental health professional and to a facility that provides evaluations.

To be able to determine what type of crisis your child is experiencing and whether you can handle the situation yourself, you’ll need to watch for the following signs:

  • Talking extremely rapidly
  • Sudden mood swings
  • Rapid pacing
  • Profound changes in energy level (being “up and down” constantly with no in-between)
  • Extreme paranoia and expressing that “everyone is out to get them”
  • Being out of touch with reality and/or extremely confused or disoriented
  • Verbalizing suicidal thoughts

If you determine this situation is beyond your control, you’ll need to call 911 immediately. If the situation poses no immediate danger to your child or others — but you know you’ll need help with calming your child down — then take him or her to the ER.

Many families have dealt with emergencies related to their children’s mental health. One important thing to remember is that you and your child are not alone in this crisis, and there are resources that offer additional support and valuable information.

Editors' Recommendations

Leslie Anderson
Former Digital Trends Contributor
Leslie Anderson is a freelance writer/writing coach from Roswell, N.M. She enjoys gardening, cooking, and helping students…
How to avoid raising a spoiled child (and 3 warning signs to look out for)
What you need to know to keep your child from turning out rotten
A child and parent on the floor talking

We all say it to ourselves. We see a kid acting like a spoiled brat at the store and think there would be no way our kid would act like that. Well, it's easier said than done, but if you want to take up the challenge, there are ways to avoid raising a spoiled child and a few red flags to look out for. 

Now, we want to say there is a difference between a child being a child and a child being spoiled. Not helping to pay the bills doesn't make your child spoiled. Screaming in Target like Veruca Salt from Willy Wonka & the Chocolate Factory because they want seven chocolate bars might. Here's how to keep your child from turning into a spoiled terror.

Read more
When kids believing in Santa come to an end: At what age and why they stop
How parents can keep the magic going — or not
A surprised Santa against a red wall.

Kids believing in Santa is one of the magical times of parenthood and is a special time of childhood. Sadly, there comes a point when they outgrow it. If you grew up believing in Santa, you have happy memories of waiting for Saint Nick and you remember the moment you found out he wasn't real. For some, he drifts away, for others it is a formative moment to discover the big secret.

Guarding the secret until then is stressful, but if you know what age to expect the jig will be up, that may help. Will your kids hear it at school, from an older sibling, a cousin, on TV, or online? Should you safeguard against it or let it happen? We'll go over at what age kids stop believing in Santa, why they stop, and how to handle it.

Read more
Should you take DayQuil while nursing?
The pros and cons of taking DayQuil while breastfeeding
Mother holding infant baby

Coming down with a cold and feeling under the weather is never convenient, but it’s especially irritating when you have a nursing baby on your hands. All you want to do is take care of them, but you barely have the energy to take care of yourself. It’s also pretty challenging to take care of a child when you can’t stop coughing and sneezing leaving you to wonder if you can safely take DayQuil while breastfeeding.

Under normal circumstances, many of us gravitate towards nondrowsy cold medicine like DayQuil. But is it safe to take while you’re breastfeeding? We’ll take a look at the pros and cons of taking DayQuil and what effects it may have on the baby.

Read more