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Someone called me in Israel when it was still Shabbos by him, so I hung up on him.
When his Shabbos was over, he called me again and said that it is a matter of pikuach nefesh which is docheh Shabbos. He claimed to be sick, physically and emotionally and that talking to me made him feel better and would save his life. Since he was not shomer Shabbos in general, I did not take him seriously and insisted that he only call me when it was chol.
After a few weekday calls, he called one night and we spoke for about an hour, during which he repeated that he was very sick. I still did not believe him, since he did not go to a doctor. I thought that he was just lonely since he lived alone.
The next morning I was informed that he had died during the night.
So, we never can really know the other person’s situation.
Surely a frum psych must be consulted for practical advice.