The Deputy Government Spokesperson advised the public to observe five warning signs of individuals with mental health abnormalities who may be in dangerous conditions: insomnia, abnormal pacing, talking to themselves, irritability, and paranoia. Immediate reporting to the police is urged.
On 21 Feb 2026 GMT+7, Ms. Airin Panrit, Deputy Spokesperson of the Prime Minister’s Office, revealed that recent news has reported cases of individuals suspected of having mental health issues combined with substance abuse, exhibiting behaviors that cause public concern and undermine confidence in public safety.
The government emphasizes the importance of observing symptoms through the SMI-V Scan (Serious Mental Illness – Violence Scanning), a key tool for assessing the risk of violent behavior, especially when continuous treatment is lacking or substance abuse is involved.
The public can watch for five key warning signs: insomnia, abnormal pacing, talking to oneself, irritability, and paranoia. If any of these symptoms are observed, people should promptly report them.To police officers or local administrative officials,or local health officials, to arrange referral to nearby state medical facilities for initial evaluation. If the case qualifies as a “dangerous condition” or “requires treatment” under Section 22 of the Mental Health Act B.E. 2551 (2008), rapid access to medical care can reduce the risk of harm. Families and communities play a crucial role in monitoring, especially for those with previous histories. It is essential to ensure medication compliance, medical follow-ups, and avoidance of triggers such as substance abuse or accumulated sleep deprivation. The government also urges society to avoid stigmatizing or generalizing patients, as this may discourage seeking treatment and negatively impact long-term safety.
“In emergencies threatening life or property, people can call the hotlines 191 or 1669 anytime, 24 hours a day. For psychiatric consultations or initial assessments, the mental health hotline 1323 is available for advice and assistance coordination, helping communities return to safe environments for all,” Ms. Airin said.