Suicidal thoughts with addiction: when needed urgent help

If person with addiction talks about death, self-harm, farewell, hopelessness or has plan harm themselves, not should wait. Needed urgent assessment safety.

  • An immediate assessment of the risk to life
  • An explanation of the steps for the family
  • Psychiatric and addiction medicine help
  • Further plan after acute crises
Suicidal thoughts
24/7, no days off +380 50 366-62-33

When to act immediately

With direct threat self-harm, attempt suicide, plan, access do dangerous objects or sharp change behavior needed contact for emergency medical help. Not leave person one in acute crisis.

24/7

Assessment urgency

Help for the family quickly describe situation and understand, whether needed emergency help.

  • risk
  • safety
  • crisis
Get a consultation
from 4 500 ₴6 000 ₴

Psychiatric consultation

Needed after stabilization or with recurring thoughts about self-harm.

  • mood
  • anxiety
  • impulsivity
Get a consultation
after consultation

Narcological support

If the crisis is related to alcohol, drugs or withdrawal, a plan for treating the addiction is needed.

  • use
  • withdrawal
  • relapse
Get a consultation
individual

Family support

Relatives receive calm procedure steps and explanation, how not remain with crisis alone.

  • contact
  • limits
  • plan
Get a consultation

How to act, if there are suicidal thoughts

Holovne — safety person now. After acute crises important assess addiction, mental condition and further support.

Discuss the situation
1

Not leave one

If there are immediate threat, person has be during supervision loved ones or medical specialists.

2

Contact for emergency help

With a plan, an attempt, access to dangerous objects or loss of control, you need to act urgently.

3

Assess contact with use

After stabilization we clarify alcohol, drugs, medications, withdrawal or binge drinking.

4

Build plan

We discuss a psychiatrist, an addiction doctor, inpatient care, rehabilitation and family support.

When you should reach out

A consultation helps you avoid acting at random: the specialist clarifies the condition, risks and symptoms and explains a safe first step.

Crisis after use

Alcohol, drugs or withdrawal can intensify impulsivity and hopelessness.

Slova about death

Even indirect phrases better perceive seriously and clarify risks.

Needed team help

Often needed psychiatrist, addiction doctor and family support.

Prices and format: Suicidal thoughts

The cost depends on the person's condition, duration of use, symptoms, coexisting conditions, and the required care format. The exact plan is discussed after the initial consultation.

All prices
Home visit by an addiction doctorfrom 1 600 ₴
Basic detox therapyfrom 3 500 ₴
Extended detox therapyfrom 5 900 ₴
Binge-drinking stabilisation in inpatient carefrom 5 000 ₴
Binge drinking stabilization, VIP formatfrom 7 000 ₴
Urgent soberingfrom 9 000 ₴
Alcohol addiction treatment in inpatient care, dayfrom 7 000 ₴
Outpatient alcohol addiction treatmentafter consultation

Prices are not medical prescriptions. The final form of help is decided after assessing the condition and the risks.

Who supervises care

The specialists who can be involved in the consultation, condition assessment, stabilisation, psychological support or further treatment plan.

Savchuk Oleh Vasylovych
15 years

Savchuk Oleh Vasylovych

Chief physician, psychiatrist-addiction specialist

Leads the medical team and oversees the care plan, detox safety, and therapy outcomes.

Romanenko Maksym Ihorovych
11 years

Romanenko Maksym Ihorovych

Addiction doctor, psychiatrist

Works with acute states, withdrawal syndrome, sleep disturbances, and medication support.

Melnyk Roman Serhiiovych
7 years

Melnyk Roman Serhiiovych

Psychotherapist, addiction specialist

Specialises in work with alcohol- and medication-related addiction, anxiety conditions and motivation for treatment.

Savchuk Oleh Vasylovych
Medical review of this page

Savchuk Oleh Vasylovych

Chief physician, psychiatrist-addiction specialist, 15 years of experience. Reviews the medical accuracy of sample about suicidal thoughts: condition assessment, inpatient indications, a safe request process, and wording without unsafe home-treatment schemes. The information on this page helps with orientation but does not replace an individual specialist consultation.

Go to the team
Medical context

Mental condition and addiction: when needed comprehensive approach

Addiction is often combined with anxiety, depressive symptoms, insomnia, panic attacks or psychosis. In such cases it is important to assess not only the use but also the mental state.

Updated: 20 May 2026 Reviews medical team Demeevka Without schemes self-treatment
Assessment of symptoms

The specialist clarifies sleep, mood, anxiety, hallucinations, suicidal thoughts and the use of alcohol, drugs or medications.

Acute risks

Psychosis, disorientation, self-harm, aggression or loss of control require an urgent medical response.

Team help

A psychiatrist, an addiction doctor, a psychologist, an inpatient format or further psychotherapeutic support may be needed.

Plan safety

The family receives an explanation of how to act in a crisis, what not to do at home and when to call emergency help.

Red flags

  • hallucinations, delusions, sharp disorientation or psychosis;
  • suicidal thoughts, self-harm or dangerous behaviour;
  • several days without sleep, a sharp worsening after stopping use;
  • a state in which the person does not control themselves or does not understand where they are.

What not to do at home

  • do not argue with psychotic beliefs during a crisis;
  • do not leave the person alone with a suicidal risk or psychosis;
  • do not choose psychiatric medications without a doctor's assessment;
  • do not postpone emergency help when there is obvious danger.

What matters for relatives

  • describe changes in sleep, mood and behaviour and any substance use;
  • remove objects with which they could harm themselves or others;
  • speak briefly, calmly and without confrontation;
  • contact us in advance for a safety plan if the episodes recur.

When inpatient care is needed

  • with psychosis, severe depression with a risk of self-harm or aggression;
  • when symptoms combine with addiction and require supervision;
  • when there are no safe conditions or support at home;
  • when a comprehensive approach with the involvement of several specialists is needed.

Safe boundary: We do not publish medication dosages, IV-drip schemes or self-treatment instructions. Medical prescriptions are possible only after assessing the person's condition.

WHO: mental healthNIDA: addiction and healthCDC: treatment and recovery

When you should not wait

Loss of consciousness, seizures, chest pain, breathing difficulty, severe hallucinations, suicidal thoughts, or suspected overdose require emergency medical care.

+380 50 366-62-33

Clinic environment

Photos help you see the space in advance: consultation room, procedure area, equipment and medical materials without patients' personal data.

Patient and family reviews

Below are recent anonymized reviews for this service. We keep the experience of care while removing private details that could identify a person or their medical situation.

Binge drinking stabilization 9 June 2026 · feedback form

They explained when a doctor was needed, and helped the family calm down

Contacted after several days of binge drinking in loved one person. It was important to quickly understand, what was dangerous, and what could be discussed during consultation. The specialist asked specific questions, did not scare us and explained the next steps without pressure.

Olena, Kyiv, Holosiivskyi district
Home addiction doctor 6 June 2026 · phone review

Quick contact without unnecessary disclosure

It was hard for me to reach out for help on my own, but the conversation went calmly. They clarified the symptoms and prior condition, what had already been taken, and explained which care format might be appropriate after the doctor's assessment.

Confidential, Kyiv
Family consultation 3 June 2026 · anonymized family review

They helped us talk to my husband without arguments or ultimatums

We had long tried to persuade my husband to start treatment, but every conversation ended in a fight. At the consultation they explained how to avoid pressure, how to present the facts, and when the family should seek urgent help.

Iryna, Kyiv, Demiivka

The Demeevka approach

Suicidal thoughts with addiction: confidential consultation Demeevka in Kyiv, condition assessment, safe care plan and family support.

We work confidentially, we explain the options and limitations of each format, and we do not use promises of a guaranteed result in one day.

What can be included in the help

  • An immediate assessment of the risk to life
  • An explanation of the steps for the family
  • Psychiatric and addiction medicine help
  • Further plan after acute crises

Questions and answers

Can I contact you confidentially?

Yes. Demeevka does not disclose the fact that you contacted us and handles personal data carefully.

Can relatives start with a consultation?

Yes. Often relatives take the first step, to understand the risks, how to approach the conversation, and the safe next steps.

Can I choose a specific treatment method right away?

The final form of help is decided only after assessing the condition, symptoms, risks and contraindications.

What should I prepare for the first contact?

It helps to briefly describe the symptoms, how long the use lasted, the current condition, chronic illnesses, and which medications have already been taken.

When is a psychiatrist needed, not just an addiction doctor?

When the addiction is joined by hallucinations, marked anxiety, depressive symptoms, insomnia, panic attacks, psychosis or suicidal thoughts.

Which mental symptoms should not be ignored?

Disorientation, sharp changes in behaviour, aggression, delusions, hallucinations, statements about self-harm or a complete refusal to sleep require a fast assessment.

Can anxiety and insomnia get worse after stopping use?

Yes. It is important to assess what is related to withdrawal and what requires separate psychiatric or psychotherapeutic help.

When is inpatient care or emergency help needed?

Inpatient care or an urgent response is needed with psychosis, a high risk of self-harm, severe behavioural disturbances, or when a person is dangerous to themselves or others.

Need a consultation?

Briefly describe the situation. We will suggest which form of help will be safe and where to start.