The #SARyouOK? initiative by the International Maritime Rescue Federation (IMRF) presents a comprehensive guidance on mental health and wellbeing for maritime Search and Rescue (SAR) services. The initiative recognises the unique psychological challenges faced by SAR personnel, who routinely encounter high-stress, traumatic situations in their line of duty. The guidance emphasises the need for organisational commitment to mental health and wellbeing. This includes examining the organisational culture, ensuring good working conditions, and having clear policies and procedures in place. Budgeting for mental health support and fostering a culture of openness are also highlighted as key actions. Importantly, this guide addresses the management of secondary trauma — the emotional and psychological distress that can affect SAR personnel who are exposed to the traumatic experiences of others. It recognises that SAR personnel can be vulnerable to both primary and secondary trauma and provides strategies to mitigate these effects. It is also supported by real-life case studies from SAR organisations around the world, including Canada, New Zealand, Norway, South Africa, the United Kingdom, and Uruguay. These case studies illustrate the various models and best practices in use across different contexts, providing practical examples of how SAR organisations can support their staff and volunteers. The guidance offers a well-rounded approach to understanding and addressing mental health and wellbeing within this unique work environment. It helps to ensure that individuals can access the support they need to overcome the challenges of their operations. By integrating these practices into daily operations, SAR organisations can enhance the effectiveness of their operations and ensure the long-term health and wellbeing of their personnel. By adopting the practices outlined in this guidance, SAR organisations can foster a culture of support and resilience, ultimately enhancing their capacity to save lives at sea while taking care of their most valuable asset – their people.