Crisis & suicide

988 Suicide & Crisis Lifeline
Free, confidential, 24/7. Call or text. Available in Spanish. Serves the deaf and hard-of-hearing community.
Crisis Text Line
Text HOME to 741741. Trained crisis counselor within five minutes.
Veterans Crisis Line
For veterans and service members. Call 988 then press 1, text 838255, or chat online.
Trevor Project (LGBTQ+ youth)
Call 1-866-488-7386 or text START to 678-678. 24/7.

Medical emergency

911 Emergency Services
Chest pain, stroke symptoms, severe bleeding, difficulty breathing, severe allergic reaction, seizure, unconsciousness, suspected overdose.
Poison Control
Suspected poisoning, overdose, or exposure. Call 1-800-222-1222 (US). 24/7.

Domestic violence & abuse

National Domestic Violence Hotline
Call 1-800-799-7233 or text START to 88788. Confidential, 24/7.
RAINN (Sexual Assault)
Call 1-800-656-HOPE (4673). 24/7 confidential support.

Substance use

SAMHSA National Helpline
Call 1-800-662-4357. Free, confidential treatment referral, 24/7, in English and Spanish.

Outside the United States

International Association for Suicide Prevention
Directory of crisis centers by country.
Befrienders Worldwide
Emotional support across 32 countries.

This page is an always-available resource. It lives at thepivotalprotocol.com/safety. Save the link. Share it with anyone who needs it. The resources above are free, and most are available around the clock. None of them will judge you for calling.