“Teen Mom” was always real … but it just got real. Emergency personnel responded to Amber Portwood‘s house in Anderson, Indiana, on Tuesday morning after a call from Gary Shirley’s mother claimed the 21-year-old mother was depressed and threatening to kill herself. According to Star magazine, police arrived to find Portwood lying face-up on a couch with a rope “loosely knotted around her neck.” She was apparently fading in and out of consciousness and needed an oxygen mask to help stabilize her before she was taken to a local hospital. Amber Portwood’s life, as chronicled on MTV and in the tabs, has always been a hot mess — from her boy drama to her arrest for assaulting Gary Shirley, the father of her kid — and I’m sorry to see how it’s affecting her. Mental illness is not something that can be ignored in hopes that it just goes away. I hope Amber Portwood and MTV take this suicide attempt seriously and get her the help she needs.