A Perez Hilton hospital update says the celebrity blogger’s first reported words after an apparent self-harm crisis were: “I need help.” A family source told the Daily Mail that Hilton was stable, alert and able to speak with his mother, Teresita Lavandeira, but remained in significant emotional distress.

“He’s a man in a lot of pain,” the source said. “I think right now he’s focused on the physical, but it’s all tied together. No one deserves the torment he’s going through.”

The insider said Hilton, 48, could express himself but might not yet fully understand what had happened. “He’s still in a dark place as I understand it. Just very, very sad.”