“In many incidents involving a person experiencing a mental health crisis or actively harming themselves, deputies prioritize de-escalation by creating time, distance, and opportunities for communication,” Choon said. The department said deputies “tactically disengaged” while continuing to monitor the home and support Hilton’s family. The recording presents another public health riskHilton’s transportation to a hospital ended the immediate emergency at his home. No one outside Hilton’s treatment team has enough information to determine whether his physical health, mental health, personal relationships, public career, or other pressures contributed to what happened. Physical illness can place additional strain on mental health, Moutier said, but depression, anxiety, past trauma and a person’s social environment may also play a role.