8 Steps to Psychological First Aid (PFA)

Psychological First Aid (PFA) is a humane, supportive response to someone who is experiencing emotional distress. Whether it’s a crisis, personal hardship, or mental health challenge, this approach helps you respond in a safe, caring, and effective way.

1. Ensure Safety First

• Before offering support, make sure the person is in a physically safe environment.
• Is there immediate danger? If so, involve security or emergency services.

2. Approach with Empathy and Respect

• Gently approach the person. Speak calmly, with kindness.
• Say things like: “I noticed you seem upset—can I sit with you for a moment?”

3. Listen Without Judgment

• Give the person time to talk, cry, or just sit quietly. Don't interrupt or offer advice too soon.
• Use active listening: nod, maintain eye contact, and allow silence when needed.

4. Provide Comfort and Reassurance

• Help the person feel seen and supported. Normalize their reactions without minimizing.
• Say: “What you’re feeling is completely understandable.”

5. Identify Immediate Needs

• Ask if there’s anything they need in the moment—water, privacy, help getting home.
• Practical help can reduce distress significantly.

6. Connect Them to Resources

• Gently suggest support options like the Employee Assistance Program (EAP), HR, or a mental health professional.
• “Would you like me to help you contact someone from EAP or HR for support?”

7. Encourage Healthy Next Steps

• Remind them they’re not alone and encourage rest, hydration, and connection with others.
• Support small, healthy actions that promote recovery.

8. Follow Up When Appropriate

• If you’re a trusted colleague or manager, check in later to show continued care.
• A simple “How are you feeling today?” can go a long way.

Emergency Note:  If someone is at risk of harming themselves or others, call 911 or your local crisis line immediately.

Ontario Crisis Resources:

• Talk Suicide Canada: 1-833-456-4566 (24/7)
• Suicide Prevention Hotline:  9-8-8
• Text SUPPORT to 686868
•  wellnesstogether.ca

Psychological First Aid is not therapy—it's support.  You don’t need to be a mental health professional to show care and calm.