Crisis Services

Crisis Services

Crisis services are an integral component of addressing mental illness in communities across the state. The mental health crisis lines listed below are available for all people in Washington regardless of your income or whether you have insurance or not.

For immediate help: call 911 for a life-threatening emergency or 988 for a mental health emergency.

You may call your local county crisis line to request assistance for you or a friend or family member (24/7/365) regardless of whether you have insurance. Crisis line phone numbers by county

What happens if you call a crisis line?

Mobile Response and Stabilization Services – what you should know

988

Call, text, or chat 988 to be connected to the National Suicide Prevention Lifeline (NSPL). It will be confidential, free, and available 24/7/365.

Services are available in Spanish, along with interpretation services in over 250 languages. For people who are deaf, hard of hearing, and TTY users: Use your preferred relay service or dial 711 then 1-800-273-8255.

You can dial 988 if you are having:

  • Thoughts of suicide
  • Mental health crises
  • Substance use concerns
  • Any other kind of emotional distress
  • You can also dial 988 if you are worried about a loved one who may need crisis support.

988 does not replace any crisis call centers in Washington state. It is an addition to the state’s network of crisis center providers. The ten-digit NSPL number, 1-800-273-TALK (8255), is still active along with 988.

For questions about the 988 programs, please email 988ProgramInfo@doh.wa.gov. Do not use this inbox if you or someone you know needs crisis support. Instead, call, text, or chat 988.

Native and Strong- 9-8-8 line

One of our state’s three 988 crisis centers, this line is available for people who call the 988 Suicide & Crisis Lifeline and is specifically for Washington’s American Indian and Alaska Native communities. Calls are answered by Native crisis counselors who are tribal members and descendants closely tied to their communities. The Native and Strong Lifeline counselors are fully trained in crisis intervention and support, with special emphasis on cultural and traditional practices related to healing.
Nation’s first Native and Strong Lifeline Launches as Part of 988 | Washington State Department of Health

NAMI Family Caregiver HelpLine

Available Monday Through Friday, 10:00 AM – 10:00 PM ET
You Are Not Alone. We are here to help.
Whenever caregiving for a loved one with mental illness feels overwhelming, a simple call, text, email, or letter to the NAMI Family Caregiver HelpLine will connect you to a community of support grounded in lived experience.
Call: 1-800-950-NAMI (6264) Press “4”
Text: Text Family to 62640
Email: helpline@nami.org

Naseeha Mental Health Muslim 24 hr Helpine: 866-627-3342

Deaf LEAD: Deaf Crisis Line: 321-800-3323

Psychiatric Urgent Care – Seattle Childrens

Seattle Children’s Psychiatric Urgent Care Clinic offers same-day in-person and virtual (video) visits for children and teens ages 4 through 17 in Washington state who need urgent mental health support but do not need the services of an emergency department (ED).

The Trevor Project (Ages 13-25)

  • Call, text, or chat with us anytime you need support. If you are thinking about suicide, or feeling lonely, we’re here to listen.
  • Trevor Lifeline Hotline: 1-866-488-7386. 24 hours, 7 days/week
  • Trevor Text Line: Text “START” to 678678
  • thetrevorproject.org

HearMeWA

If you or a friend are experiencing stress, anxiety, violent threats, sexual abuse—or anything that makes life hard—HearMeWA can help. Get secure, free support any time from professionals who are ready to listen by submitting a tip through the “Get help” button, calling, texting, or using the app.
Call  or  Get help online
Text HEARMEWA to 738477 to get a link to our help form.

Teen Link

You’re not alone. There is someone that’s willing to listen to you without judgment. Teen Link is a program of Crisis Connections that serves youth in Washington State.

Our teen volunteers are trained to listen to your concerns and talk with you about whatever’s on your mind – bullying, drug and alcohol concerns, relationships, stress, depression, or any other issues you’re facing. No issue is too big or too small! Calls and chats are confidential. Talk it out!

Teen Link:
1.866.TeenLink ( 866.833.6546)
www.teenlink.org
Teen Link Flyer

Trans Life Line (all ages)

  • Peer support, advocacy and micro grant information ‘run by and for trans people.’
  • translifeline.org
  • Call: 1-877-565-8860, Available: 7am-1am, everyday.

National Poison Help Hotline: 1-800-222-1222

Poisonings and overdose attempts are on the rise- the best prevention in case of exposure is to have the hotline number handy.

Safe Medication Return’s new website and toll-free number

    • Secure storage and safe disposal of medication helps reduce overdoses, poisonings, and suicide attempts. Safe Medication Return lets people appropriately dispose of unwanted household over the counter and prescription medications (including medications for household pets).
    • Call (844) 482-5322 or visit the site for more information or to order mail-back supplies.

Out-of-home firearm storage interactive map

The goal of Harborview’s Injury Prevention & Research Center and University of Washington’s Firearm Injury & Policy Research Program is to reduce firearm injury and death and prevent suicide and domestic violence. This interactive map found here shows local businesses and law enforcement agencies willing to consider requests for temporary, voluntary firearm storage.

For Providers

Mental Health Acronyms and Definitions

Introduction to Diagnosis Overviews

What to look for common medications, and alternative treatments.

Types of Disorders and Treatments article from Drug Watch

Depression Symptoms, Types, Causes, and Symptoms article from Drug Watch