Physical, verbal, or sexual abuse at any time, at any age, or in any relationship is not ok.
Call 9-1-1 or your local emergency number if you or someone you know is in immediate danger from assault or abuse. To speak to someone confidentially and to get more information, call HealthLink BC at 8-1-1(or 7-1-1 for the deaf and hard of hearing) or contact one of the services below.
Helpline for Children
If a child anywhere in B.C. needs help, call the Helpline at 310-1234 any time of the day or night to speak to a social worker, no area code is needed. If you are deaf or hard of hearing, call 1-866-660-0505 for TTY services. This is a toll-free service, and there is no charge to call the operator if you need to call from a pay phone. This helpline is available for children, parents, and other community members to report abuse. For more information, visit Reporting Child Abuse in BC.
Kids Help Phone
Children and teens can call the Kids Help Phone to speak to a counsellor day or night at 1-800-668-6868. Counsellors are available to speak to anonymously about concerns with abuse and can help children and teens call the police or child protective services. For more information about the resources and support available visit Kids Help Phone.
VictimLink BC
If you or someone you know are a victim of crime and need more information or support, call VictimLink BC at 1-800-563-0808 for toll-free, confidential, multilingual service available 24 hours a day, 7 days a week. For more information, visit VictimLink BC.
Seniors Abuse & Information Line
If you are an older adult who has been abused or mistreated call the Seniors Abuse & Information Line (SAIL) at 604-437-1940 or toll free at 1-866-437-1940, 7 days a week from 8:00 a.m. to 8:00 p.m., to get a referral to their legal advocate and other programs. For more information about their programs and resources visit Seniors First BC.
Anger signals your body to prepare for a fight. This reaction is commonly classified as "fight or flight." When you get angry, adrenaline and other hormones are released into the bloodstream. Then your blood pressure goes up, your heart beats faster, and you breathe faster.
Many people mistakenly believe that anger is always a bad emotion and that expressing anger is not okay. In reality, anger can be a normal response to everyday events. It is the right response to any situation that is a real threat. Anger can be a positive driving force behind our actions. Anger can also be a symptom of something else, depending on how often a person feels angry and how angry the person feels.
Hostility is being ready for a fight all the time. Hostile people are often stubborn, impatient, hotheaded, or have an "attitude." They are frequently in fights or may say they feel like hitting something or someone. Hostility isolates you from other people.
Teens who say they often feel angry and hostile also more often feel anxious, stressed, sad, and fatigued. They have more problems with alcohol and drugs, smoking, and eating disorders than teens who do not have high levels of anger.
Violent behaviour often begins with verbal threats or relatively minor incidents, but over time it can involve physical harm. Violent behaviour is very damaging, both physically and emotionally. Violent behaviour can include physical, verbal, or sexual abuse of an intimate partner (domestic violence), a child (child abuse), or an older adult (elder abuse).
Violence causes more injury and death in children, teenagers, and young adults than infectious disease, cancer, or birth defects. There is no single explanation for violence caused by youth.
If you are angry or hostile or if you have violent behaviour, it is important to find help. You can learn ways to control your feelings and actions.
If you have been abused or assaulted, contact your doctor as soon as possible. If you have questions about how soon you should be seen, you can check your symptoms.
Check Your Symptoms
Are you concerned about anger, hostility, or violent behaviour in yourself or someone else?
Yes
Concerned about anger, hostility, or violent behaviour
No
Concerned about anger, hostility, or violent behaviour
How old are you?
Less than 12 years
Less than 12 years
12 years or older
12 years or older
Are you male or female?
Male
Male
Female
Female
The medical assessment of symptoms is based on the body parts you have.
If you are transgender or non-binary, choose the sex that matches the body parts (such as ovaries, testes, prostate, breasts, penis, or vagina) you now have in the area where you are having symptoms.
If your symptoms aren’t related to those organs, you can choose the gender you identify with.
If you have some organs of both sexes, you may need to go through this triage tool twice (once as "male" and once as "female"). This will make sure that the tool asks the right questions for you.
Thinking seriously of committing suicide or harming someone else
No
Thinking seriously of committing suicide or harming someone else
Have you been thinking about death or suicide a lot?
Yes
Frequent thoughts of death or suicide
No
Frequent thoughts of death or suicide
Does your or another person's anger or hostility cause problems with others?
These could include problems at work or school, problems with strangers, and problems with friends or family.
Yes
Anger or hostility causing problems with other people
No
Anger or hostility causing problems with other people
Are you concerned about self-harm?
It can include acts like cutting, burning, or choking yourself on purpose, or pushing objects under your skin (like pieces of metal, glass, or wood). People doing these acts usually are not trying to kill themselves, but the results can still be dangerous.
Yes
Concerns about self-harm
No
Concerns about self-harm
Many things can affect how your body responds to a symptom and what kind of care you may need. These include:
Your age. Babies and older adults tend to get sicker quicker.
Your overall health. If you have a condition such as diabetes, HIV, cancer, or heart disease, you may need to pay closer attention to certain symptoms and seek care sooner.
Medicines you take. Certain medicines, such as blood thinners (anticoagulants), medicines that suppress the immune system like steroids or chemotherapy, or natural health products can cause symptoms or make them worse.
Recent health events, such as surgery or injury. These kinds of events can cause symptoms afterwards or make them more serious.
Your health habits and lifestyle, such as eating and exercise habits, smoking, alcohol or drug use, sexual history, and travel.
Try Home Treatment
You have answered all the questions. Based on your answers, you may be able to take care of this problem at home.
Try home treatment to relieve the symptoms.
Call your doctor if symptoms get worse or you have any concerns (for example, if symptoms are not getting better as you would expect). You may need care sooner.
You have the means to kill yourself, such as a weapon or medicines.
You have set a time and place to do it.
You think there is no other way to solve the problem or end the pain.
Call 911 Now
Based on your answers, you need emergency care.
Call 911 or other emergency services now.
Sometimes people don't want to call 911. They may think that their symptoms aren't serious or that they can just get someone else to drive them. But based on your answers, the safest and quickest way for you to get the care you need is to call 911 for medical transport to the hospital.
Seek Care Now
Based on your answers, you may need care right away. The problem is likely to get worse without medical care.
Call your doctor now to discuss the symptoms and arrange for care.
If you cannot reach your doctor or you don't have one, seek care in the next hour.
You do not need to call an ambulance unless:
You cannot travel safely either by driving yourself or by having someone else drive you.
You are in an area where heavy traffic or other problems may slow you down.
Seek Care Today
Based on your answers, you may need care soon. The problem probably will not get better without medical care.
Call your doctor today to discuss the symptoms and arrange for care.
If you cannot reach your doctor or you don't have one, seek care today.
If it is evening, watch the symptoms and seek care in the morning.
If you are angry, hostile, or violent, it is important to find help. You can learn ways to control your feelings and actions.
There are some things you can do to try to control any feelings of anger or hostility and avoid violence.
Think before you act. Take time to stop and cool down when you feel yourself becoming angry. Count to 10, or practice some other form of mental relaxation.
Recognize feelings that often lead to angry outbursts. Anger and hostility may be a symptom of unhappy feelings or depression about your job, your relationship, or other aspects of your personal life.
Come up with a reasonable explanation of why you are angry. If a person triggers your anger, suggest to yourself that perhaps the person is having a bad day.
Avoid situations that trigger your anger, such as doing errands at less-busy times if standing in line bothers you.
Express anger in a healthy way:
Go for a short walk or jog.
Draw, paint, or listen to music to release the anger.
Write in a daily journal.
Use "I" statements, not "you" statements, to discuss your anger. Say "I don't feel valued when my needs are not being met" instead of "You make me mad when you are so inconsiderate."
Take care of yourself.
Exercise regularly.
Eat a balanced diet. Do not skip meals.
Try to get 8 hours of sleep each night.
Limit your use of alcohol, and do not use illegal drugs.
Explore other resources that may be available through your job or your community.
Contact your human resources department at work to see whether you have services available through an employee assistance program.
Contact your local hospital, mental health facility, or health unit to see what types of programs or support groups are available in your area.
Symptoms to watch for during home treatment
Call your doctor to evaluate your feelings if your anger, hostility, or violent behaviour becomes more frequent or severe.
Prevention
To prevent anger and hostility and to avoid violence:
Seek positive ways to resolve problems. Arguing can be okay, even healthy, as long as it does not turn violent.
Think before you act. Take time to stop and cool down when you feel yourself becoming angry. Count to 10, or practice some other form of mental relaxation.
Take steps to lead a healthy life.
Engage in some type of regular physical activity. Exercise is one of the best ways to release all types of stress, including anger. A brisk walk is a good way to start. For more information, see the topic Fitness.
Eat a balanced diet. Remember to drink plenty of water.
Establish a healthy sleep pattern. Try to get the same amount of sleep each night.
Limit your use of alcohol, and do not use other drugs, such as cocaine, crack, or methamphetamines. Alcohol and drugs may make your feelings of anger and hostility worse and make them even harder to handle. For more information, see the topic Alcohol and Drug Problems.
Do not use physical discipline, such as spanking or other forms of corporal punishment. If you need help controlling your children, consider taking a course in parenting skills.
Limit your child's exposure to TV, movies, and video games. Watch television with your children to discuss or limit violent content.
Do not keep guns in your home. If you have guns in your home, unload them and lock them up. Lock ammunition in a separate place. Keep guns away from children.
Preparing For Your Appointment
You can help your doctor diagnose and treat your condition by being prepared to answer the following questions:
How long have you felt you had a problem with anger, hostility, or violent behaviour?
What makes you feel better or worse? What have you tried to control your feelings or actions?
Is your use of alcohol or illegal drugs leading to your feelings of anger or hostility or violence? Are you using alcohol or drugs as an attempt at "self-medication" to relieve your symptoms?
Have you or anyone else in your family ever been diagnosed with depression or other mental problems?
Do work or relationship issues contribute to your feelings of anger? Think about these issues before your visit.
Have you experienced any recent major life changes, such as a move, new job, divorce, marriage, or retirement?
What medicines do you use, both prescription and non-prescription?
Do you have access to guns or other violent weapons?
Author: Healthwise Staff Medical Review: William H. Blahd Jr. MD, FACEP - Emergency Medicine Adam Husney MD - Family Medicine Kathleen Romito MD - Family Medicine David Messenger MD
Medical Review:William H. Blahd Jr. MD, FACEP - Emergency Medicine & Adam Husney MD - Family Medicine & Kathleen Romito MD - Family Medicine & David Messenger MD
