“I’m Fine” Isn’t Always Fine: What Happens When Someone Refuses Help for Mental Health Crisis

Police responded to a concerning call at the Hisle Park Apartment Complex after a woman reportedly threatened to kill people, start fires, and take her own life. The call came from her grandmother, who was trying to connect the woman with her counselor and hoped authorities could help ensure her safety. But when officers arrived and spoke with the young woman, they determined she was not an immediate threat to herself or others and appeared to be of sound mind. She declined help, and because she wasn't exhibiting behavior that met the legal criteria for intervention, officers had no authority to force treatment. She was advised to call if she began experiencing harmful thoughts again. Why Police (and Others) Can’t Always Step In It’s frustrating, especially for family members who just want their loved one to get help. But in Ohio—as in most states—authorities can only intervene against someone’s will under very specific circumstances. Here’s why: Mental Health Holds Require Imminent Danger: A person must be clearly at risk of harming themselves or others right now to be involuntarily taken for mental health treatment. Expressing past thoughts or vague ideas isn’t legally enough. Sound Mind Means No Hold: If someone can clearly communicate, understand their situation, and isn't behaving erratically or dangerously, they’re considered to be of “sound mind.” Even if family is deeply worried, police can’t force someone into treatment just based on concern. Refusal Doesn’t Equal Crisis: Saying “I don’t want help” isn’t a crime. And unless someone poses a credible, immediate threat, authorities legally have to respect their right to make that decision—even if it's hard to watch. What You Can Do if Someone Talks About Self-Harm Take It Seriously: Always treat suicidal comments or threats as real. Don’t assume someone is being dramatic or seeking attention. Call for Help—Even if They Get Mad: If someone says they want to hurt themselves or others, call 911. It’s better to overreact than miss a chance to help. Try to Connect Them with Resources: Help them reach out to a counselor, therapist, or crisis line. Sometimes, hearing concern from someone they trust can open the door to change. Use a Mental Health Crisis Team (If Available): Some areas have crisis teams trained in de-escalation and mental health response. Ask dispatchers if one is available. Keep the Door Open: If they refuse help, don’t argue—stay supportive. Let them know you’re there for them and they can always talk to you or a professional.

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