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Anne Daly

AnneD@cciu.org

Adrienne Dever

AdrienneD@cciu.org

Kathleen Eckinger

KathleeenE@cciu.org

Krista Kapczynski

KristaK@cciu.org

Beth Saggers

BSaggers@shanahan.org

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Youth Mental Health First Aid Trained Staff (24)

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Youth Mental Health First Aid Trained Staff (24)

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Stephanie Belefonte

Betsy Bennati

Mary Kay Duncan

Erin Gallagher

Lisa Hart

Nicholas Ireland

Mary Beth Kilpatrick

Sr. Marianne Lallone

Carol Loffredo

Paul Meyers

Janis Michels

Fr. Monica

Janet Moore

Dr. Robert Moran

Margaret Murtha

Nicole Kardine

Matthew Pawlik

Nancy Riccardo

Beth Saggers

Ken Schmidt

Keith Sheridan

Deborah Snyder

Brett Weinhardt

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Introduction

Congratulations! You have finished the teen Mental Health First Aid (tMHFA) course! We hope this course taught you how you can help your friends with a mental health or substance use challenge or crisis. We would like you to take this evaluation again to tell us about what you've learned about mental health. You will also have the chance to share your thoughts on the course.

Note: If you are an Instructor or Coordinator entering data on behalf of your participants, please verify with your co-Instructor or Coordinator that they have not already entered the evaluations.

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Web survey powered by SurveyMonkey.com. Create your own online survey now with SurveyMonkey's expert certified FREE templates.

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Crisis Center in Chester County/Warm Line (Certified Peer Specialists)

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Crisis Center in Chester County/Warm Line (Certified Peer Specialists)

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Mental Health Emergency | Chester County, PA - Official Website

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If you or someone you care about is experiencing a mental health or emotional crisis in Chester County, call 610-280-3270. Valley Creek Services: Telephone crisis counseling Walk-in crisis service Mobile crisis outreach Short-term (up to 10 days) voluntary residential care to h…

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If you or someone you know is experiencing a mental health or substance use problem, there are several mental health resources that can help.

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Share the Stigma-Free Tool and encourage self-assessment of stigma perceptions. Join us in promoting awareness and understanding of mental health.

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Mental Health America is the nation's leading national nonprofit dedicated to the promotion of mental health, well-being, and condition prevention.

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Skip to main content

We can all help prevent suicide. The 988 Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals in the United States.

988

¡Los servicios de texto y chat de 988 Lifeline ya están disponibles en español!
Haga clic aquí para obtener información sobre cómo acceder a todos los servicios en español.

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Stock photo by iStock.

The 988 Lifeline is a national network of local crisis centers that provides free and confidential emotional support to people in suicidal crisis or emotional distress 24 hours a day, 7 days a week in the United States. We're committed to improving crisis services and advancing suicide prevention by empowering individuals, advancing professional best practices, and building awareness.

About The Lifeline

Anyone could be struggling with suicide. Find more specific resources below.

I'm Struggling With Individuals with Neurodivergence

We understand that every struggle is different. Experience the stories of people like you, and how they overcame crisis to find hope and recovery.
read stories of hope & recovery

First, you'll hear an automated message featuring additional options while your call is routed to your local 988 Lifeline network crisis center.

We'll play you a little music while we connect you to a skilled, trained crisis worker.

A trained crisis worker at your local center will answer the phone.

This person will listen to you, understand how your problem is affecting you, provide support, and get you the help you need.

988 Lifeline Center calls are free and confidential, and we're available 24/7.

Show What Happens When You Call The Lifeline

Everyone Plays A Role In Suicide Prevention

Get in touch

Call the Lifeline

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Skip to main content We can all help prevent suicide. The 988 Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals in the United States. 988 ¡Los servicios de texto y chat de 988 Lifeline ya están disponibles en español!

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When you’ve decided to seek help, knowing what resources are available and where to start can be tricky. Answer the questions below to help you figure out your options for getting help.

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If this is an emergency, call 911!

TO KEEP YOUR SCHOOL SAFE...WE NEED YOUR HELP.

Click here to view the 2023 Middle School Poster Winners! Thank you for all that participated.

Safe2Say Something is a school safety tool that will save lives.

Safe2Say Something is a youth violence prevention program run by the Pennsylvania Office of Attorney General. The program teaches youth and adults how to recognize warning signs and signals, especially within social media, from individuals who may be a threat to themselves or others and to "say something" BEFORE it is too late.
Continue Reading >

Submit a tip without being named. We'll make sure the right people know. That's it.

Crisis Center may ask a few questions to understand what's going on.

Within seconds the right people will be notified.

Get the facts:

1,000,000 students reported being harrassed, threatened or subject to other forms of cyberbullying

80% of school shooters told someone of their violent plans. 59% told more than one person.

70% of people who died by suicide told someone of their plans and gave some other warning sign.

in partnership with

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Safe2Say Something is a youth violence prevention program run by the Pennsylvania Office of Attorney General. The program teaches youth and adults how to recognize warning signs and signals, especially within social media, from individuals who may be a threat to themselves or others and to "say something" BEFORE it is too late.

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Transforming The Conversation Around Mental Health

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FAQs About the Difference Between 988, 911 and 211

FAQs About How 988 Addresses Diverse Populations

What is 988?

The 988 Suicide & Crisis Lifeline, previously known as the National Suicide Prevention Lifeline, offers 24/7 call, text and chat access to trained crisis counselors who can help people experiencing suicidal, substance use, and/or mental health crisis, or any other kind of emotional distress. People can also call, text or chat 988 if they are worried about a loved one who may need crisis support.

The 988 Lifeline is a direct connection to immediate support and resources for anyone in crisis. Here are some of the many reasons people might decide to connect with the 988 Lifeline (MP4 | 19 MB).

Are 988/the Lifeline/the National Suicide Prevention Lifeline/Hotline the same?

Yes. 988 is the easy-to-remember number that reaches what is commonly referred to as the 988 Lifeline-a network of more than 200 state and local crisis contact centers funded by the U.S. Department of Health and Human Services through the Substance Abuse and Mental Health Services Administration and administered by Vibrant Emotional Health.

What happens when I call 988?

When someone calls 988, they first hear a greeting message. You are given choices of who to connect with in the greeting; the 988 Lifeline has specially trained counselors for Veterans (through the Veterans Crisis Line, operated by the Veteran's Administration), Spanish speakers and LGBTQI+ youth and young adults. Your call is then routed to one of the national networks or a local 988 Lifeline network crisis center based on your selections and then based on your phone's area code.

A trained crisis counselor answers the phone, listens to you, works to understand how your problem is affecting you, provides support, and shares resources, if needed. If your local crisis center is unable to take your call, you are automatically routed to a national backup crisis center. All these services are available in English and Spanish. The 988 Lifeline uses Language Line Solutions to provide translation to callers in more than 240 additional languages.

What happens when I chat via 988?

Chat is available in both English and Spanish through the Lifeline's website at 988lifeline.org/chat and linea988.org/chat. People seeking chat services are provided with a pre-chat survey before connecting with a counselor, who identifies the main area of concern. If there is a wait to chat with a crisis counselor, a wait-time message will appear. If demand is high, people are encouraged to look at the 988 Lifeline's "helpful resources" while waiting. Once you are connected, a crisis counselor listens to you, works to understand how your problem is affecting you, provides support, and shares resources that may be helpful. Chat service is currently expanding so that an increasing number of chats are routing to local 988 Lifeline network crisis centers based on the information that you choose to supply in the pre-chat survey.

Where can I find 988 promotional materials?

The 988 Store simplifies the experience for our partners who order and use print materials. Partners can order multiple packages of our print materials from the 988 Store. If those amounts do not meet your needs, you can send an email to the Government Publishing Office 988 team at 988SAMHSA@gpo.gov.

Once you place your order, you will receive a confirmation email with your order number from GPO. When the order ships, you will receive a UPS email with a tracking number. Orders take up to three weeks to arrive.

You can also visit the 988 Partner Toolkit, for all 988 digital materials, social media, photos, logo and branding, and more.

How is 988 different from 911?

The 988 Lifeline was established to improve both accessibility of crisis services and to meet the nation's growing suicide and mental health-related crisis care needs. The 988 Lifeline provides easier access to mental health crisis care through a 200+ network of crisis call, text, and chat centers, separate from the public safety purposes of 911, where the focus is on dispatching emergency medical services, fire, and police, as needed.

SAMHSA is working towards a long-term vision of strong coordination between the two services so people in crisis get to the most appropriate care needed in that moment. SAMHSA is actively working with 911 counterparts at the federal, state, and local levels as our country continues to improve crisis care systems.

Currently, a small percentage of 988 Lifeline callers require activation of the 911 system, and most of those are done with the consent and cooperation of the caller. This occurs when there is an imminent risk to someone's life that cannot be reduced during the 988 Lifeline call. In these cases, the crisis counselor shares information with 911 that is crucial to saving the caller's life.

Are 988 crisis counselors trained in cultural competency?

There are ongoing efforts to improve cultural competency training for 988 Lifeline crisis counselors. Some examples of related improvements to the 988 Lifeline are that:

Spanish-speaking crisis counselors are answering calls, texts, and chats in Spanish.

LGBTQI+ trained crisis counselors answer calls, texts, and chats in a specialized LGBTQI+ youth and young adult service.

Deaf and Hard-of-Hearing people can communicate with counselors in American Sign Language.

The 988lifeline.org website has improved information related to mental health wellness in the Black community.

The 988 Lifeline has specific tools for crisis counselors, such as Spanish-language clinical guidance resources, Deaf and Hard of Hearing best practices for callers/chat visitors, an LGBTQI+ guidance document, and an American Indian/Alaskan Native tip sheet.

Do people living on reservations and tribal land have access to the 988 Lifeline?

Anyone who needs support for a suicidal, mental health and/or substance use crisis, or who has a loved one in distress, can connect with a trained counselor by calling, chatting, or texting 988 (if telephone, cellular, or internet service is available). This is true for Tribal nations, as well.

SAMHSA recognizes the unique implementation barriers and challenges facing Tribal nations and is supporting coordination efforts with the existing 988 Lifeline infrastructure. SAMHSA expects states and territories to coordinate with Tribal nations to ensure a supportive response for tribal contacts to the 988 Lifeline, while maintaining respect for Tribal nation sovereignty.

Additional efforts are underway to partner with Tribal nations to expand the 988 Lifeline in these communities, including training counselors who are culturally and linguistically aware. SAMHSA is supporting a crisis center academy for Tribal grantees who are building or enhancing crisis services for their community. We've also expanded the 988 Lifeline partner network to include Tribal communities as part of SAMHSA grantmaking.

What other funding - either from SAMHSA or elsewhere in the federal budget - can states use to support 988 planning and operations in their state?

There are several existing federal resources that can be leveraged to support 988 implementation. Examples from SAMHSA include 988 Lifeline grants to states, territories, and tribes; the 988 Lifeline crisis center follow-up grant; the crisis set-aside through the Mental Health Block Grant; and funding through the Certified Community Behavioral Health Clinic (CCBHC) program. States are also able to leverage Medicaid dollars and State Opioid Response grants. States can find descriptions of these funding sources in the 988 Convening Playbook for States, Territories, and Tribes (PDF | 1.1 MB).

Will there be a national campaign to advertise 988 to the public?

To see the latest information on SAMHSA's 988 paid marketing efforts, visit the 988 National Paid Marketing webpage. SAMHSA and Vibrant have been working to raise awareness of the 988 Lifeline through co-hosted events with state, territory, Tribal, and local partners across the country and through paid national advertising. The paid ads include information about the 988 Lifeline and its specialized services, what to expect when contacting 988 and when to use it. SAMHSA has also provided funding to 988 state, territory, and Tribal grantees for communications efforts. In addition, SAMHSA continues to work with Congress on federal funding for a comprehensive behavior change national campaign to both create awareness and to encourage use of the 988 Lifeline.

If you're looking for official materials to help spread the word about 988, social media content, branded photos, print materials, branding and logo guidelines, and other materials, are available in the 988 Partner Toolkit for anyone to use. SAMHSA-supported 988 Formative Research continues to inform 988 messaging content and efforts around the country.

Does the 988 Lifeline trace the location of people who call, text, or chat?

When you reach out to the 988 Lifeline, the crisis counselor who responds to you will know your phone number via call or your IP address if you are using chat. Beyond that, they will not know who you are or where you are located. You are not required to provide personal information to receive support from the 988 Lifeline.

If a 988 Lifeline crisis counselor makes an effort to gather information during a call, text, or chat, it will be to: 1) save lives; 2) connect people to ongoing support; and 3) evaluate 988 Lifeline services.

In rare situations when a 988 crisis counselor has to reach out to a 911 dispatcher because of concerns about an immediate risk to life, 911 may be asked to initiate a precise geolocation lookup with the Internet Service Provider or wireless carrier. This is needed because 988 does not have access to your precise location when you reach out.

What is georouting vs. geolocation?

Georouting is a way of directing phone calls locally without including the caller's precise location information in the transferred call data. If used, it would mean that when a person calls the 988 Lifeline, their call would be connected automatically to a crisis call center near their physical location. With geo-routing, the routing and service providers would not receive detailed information about the exact location of callers.

Geolocation, or automated location information, would include the precise location in the transferred call data, so that emergency responders could know where to go in case of an emergency.

What services do mobile crisis teams provide?

The main objectives of community-based mobile crisis intervention services are to provide rapid response, individual assessment, and crisis resolution by trained mental health and substance use treatment professionals, paraprofessionals and peer support workers.

Teams typically will:

Triage/screen a person's immediate needs, including explicitly screening for suicidality

Assess a person's emotional health condition

Deescalate/resolve the crisis

Provide peer support by people with lived experience in recovery from an emotional or substance use health condition

Coordinate with medical and behavioral health services for follow-up care

Create a safety plan with the person

Connect the person to community support and follow-up care

What are the different models of mobile crisis?

The two primary models are:

Mobile crisis teams, in which a team of behavioral health staff and peers respond to the person in crisis, and

Co-responder teams, in which a team including law enforcement or emergency medical staff and a mental health professional respond jointly.

The appropriate approach in a given situation in a particular community will depend in part on the assessment of risk and imminent threat, as well as the service availability, laws and regulations of the community's jurisdiction. A small community that has no mobile crisis capacity and that shares mental health staff with other communities may face different constraints than a large urban community with greater resources.

How much does the federal government help fund mobile crisis?

There are a range of federal resources available to support mobile crisis services, including the Mental Health Block Grant and State Opioid Response programs, the Certified Community Behavioral Health Clinics, and the Community Crisis Response Partnerships program. Some states also include mobile crisis services in their respective state Medicaid plans. States that choose to cover community-based mobile crisis intervention services under Medicaid and, pursuant to section 9813 of the American Rescue Plan Act of 2021, can receive an enhanced federal medical assistance percentage of 85% if the services meet certain requirements.

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These frequently asked questions are designed to help you better understand the 988 Suicide & Crisis Lifeline.

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Time to Talk:  Talking to your Parents, Guardians or Caretakers

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Time to Talk:  Talking to your Parents, Guardians or Caretakers

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Uncomfortable, But Important Starting The Conversation Talking To Your Parents

Talking To Parents

Talking to a parent about mental health can be scary for a number of reasons.

Many people report being afraid to tell their parents because they do not want to upset them. Sometimes we don't understand where troubling feelings or thoughts are coming from and feel guilty for having them. A good question to ask yourself in this situation is how would you feel if someone you love were suffering and came to you? Likely, you would be upset that they were struggling, but you would not be upset with them. You would be glad they confided in you and ready to help them in any way you could.

Here are some of the most common concerns people give for not talking to their parents and some tips for overcoming them.
"I don't know how my parents will react."
Talking can be scary, but the help available is worth it. The sooner you address things, the sooner you can feel better and the better you will be in the long-run. If you are concerned about how your parents will respond, one option is to schedule a meeting with both of them or with one parent at a time. Instead of a sudden, potentially unexpected conversation, choose a time and place where you are comfortable and plan what you want to say beforehand. You can plan by researching information online, taking a mental health screening and printing the results, or just by writing out a script for what you'd like to say.

On that note, you could also write a letter if you are not as comfortable with a conversation. A letter allows you to express exactly what you want to say without the pressure of an immediate response. Check out our sample letter on page 2. Remember, even if it seems scary or if your family never discusses these things, you are doing what is right for you. Be honest with where you are and think about the specific support you need from them. Focus on actions they can take or things they can change.
"My parents will be sad or disappointed."
It might be hard for your parents not to show that they are sad, upset or disappointed. They might be sad that you are suffering, but this does not mean they are upset with you. In fact, many parents are upset because the care about you. Parents often wonder if there was something they could have done differently that would have prevented you from struggling.

Maybe you feel that there are high expectations of you and you're afraid that having mental health problems will be a disappointment. It's important to ask where these expectations come from and whether the expectations are real (have you been told certain things are expected, or are you assuming they are expected) or reasonable. Thinking through and explaining your fears about their sadness or disappointment might help them to respond in a way that is more helpful for you.
"My parents will be angry or won't take me seriously."
Another concern many people have is that their parents will become angry or dismiss their feelings, both of which are painful experiences when you are already hurting. When dealing with a potential conflict, it is helpful to plan a meeting or to write a letter saying that you are worried about anger or dismissal. Explain to your parents that you are struggling and believe you would benefit from extra support. If they dismiss your concerns, tell them that you are trying to take care of yourself and would like to at least have a discussion with a professional. You can also support your desire for treatment with information and mental health screening results.

A lot of the time, reacting with anger or dismissal is about fear. Your parents might not know how to react or may have preconceived notions about what it means to get help for mental health concerns. Even if they do not know the best way to respond, it is important that you speak up for yourself, as we know the earlier a person gets help the better they are in the long-run. You may have to turn to other trusted adults or mental health resources if needed.
"My parents will ask too many questions."
Sometimes parents will get upset and afraid and want to know all of the details of what you are experiencing. While only you know your parents and level of comfort, do not feel that you have to share every detail of your experience. You may be unsure of how to describe what you're feeling or afraid of getting in trouble for certain behaviors. Your thoughts or concerns about how your family relates to one another might also be playing a role in what you're going through. There are reasons why you may not want to tell your parents every single detail of what is going on, and it makes sense to want some privacy when first opening up about your struggles.

It might help to plan or review what you are comfortable sharing beforehand. You can tell your parents that you would really like to speak to a mental health professional, as an outside input with knowledge and experience in what you are dealing with. While it is unhealthy to hold things in, it is important to make sure you are in a safe space when beginning to open up.
"My parents already have enough to worry about."
All adults have responsibilities and stress. While some families may be dealing with more stressful or serious situations than others, your wellbeing and health is important and deserves attention-regardless of what else may be going on with your parents. If you're worried about stressing out your parents, pick a time to talk when things are calm, and bring information about what you're going through and what kind of help you would like.
"One or both of my parents are part of why I am struggling."
If one or both of your parents contribute to your desire to seek help, there are several options for what you can do. If you trust one parent, you can explain how you are feeling and ask that they either tell or do not tell the other parent. Often parents may not be willing to keep things of this nature from one another so make sure to check beforehand.

This might be an opportunity to reach out to another trusted adult in your life. Guidance counselors in particular can be very helpful in these situations, as they have experience and expertise with students in similar situations. Other trusted adults may be able to help you as well, particularly in creating a plan to talk to your parents. While speaking with a trusted adult is not a substitute for a needed treatment program, outside resources can guide you to the help or support you need.

If you are currently experiencing physical abuse, sexual abuse, or neglect, inform a trusted adult. You can visit www.dorightbykids.org to find out more information on definitions of abuse and neglect, reporting, and what happens after you report.
"My parents do not believe me."
Even if your parents care for you, sometimes it's hard for them to see what is actually going on. This could mean they label your struggles as typical "growing up" experiences, or they dismiss the entire possibility of getting help for mental health. Ignoring problems because they are unpleasant does not make them go away, and it is important for you to continue to ask for what you need. You can explain to them that, even though you hear their beliefs, you would like the chance to speak to a mental health professional based on your experiences and research.

If it is unlikely that you will change their minds, you may have to reach out to other resources. This includes teachers, relatives, and guidance counselors. These individuals could help you talk to your parents and/ or put you in contact with resources to help. Even though your parents are not validating your struggles, it does not make them unreal or unimportant. If you need professional help, put together a list of reasons why this is the help you think you need. You can also lean on friends, online communities, and other accessible mental health resources like apps and online education.

Other Resources
For more information and resources in your area contact your local MHA affiliate. Find a affiliate near you Take the youth screen

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Many people report being afraid to tell their parents because they do not want to upset them. Sometimes we don't understand where troubling feelings or thoughts are coming from and feel guilty for having them. A good question to ask yourself in this situation is how would you feel if someone you love were suffering and came to you?

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Chester County Suicide Prevention Task Force

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Chester County Suicide Prevention Task Force

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Chester County's Suicide Prevention Task Force is a diverse group of mostly volunteers who have been working to prevent suicide since we began as an ad hoc committee in 2005. We are survivors of loss to suicide, mental health and public health professionals, educators, healthcare workers, crisis workers, concerned neighbors and friends.

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I want to help...

Friendship is all about looking out for each other.
We're in a unique position to notice when our friends are having a hard time, and to take action to support them. If you're worried that a friend is struggling emotionally, trust that instinct. Use the tips and tools below to help you recognize a problem, start a conversation, and follow through with your support.
If you or someone you know is feeling hopeless or having thoughts of suicide, text HOME to 741-741 or call or text 988 now.

JED Programs

Seize the Awkward

There are different ways to start the conversation and yet, no wrong way. Developed in partnership with the Ad Council and the American Foundation for Suicide Prevention, JED's Seize the Awkward has videos, GIFs, conversation starters, and more to help make starting the conversation, well, less awkward.

JED Storytelling

Sharing stories is a powerful way to reduce shame, prejudice, and secrecy, and inspire us to be proactive about our mental health. JED has two video series that help shine a personal light on mental health. JED Voices features intimate conversations with notable and influential mental health advocates and JED Storytelling features personal experiences of real people who've struggled with their mental health.

Want to get updates? Sign up for our newsletter.

Notice: JavaScript is required for this content.

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I Want to Help My Friend | The Jed Foundation

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To contact the NAMI HelpLine, please call 800-950-NAMI (6264), Monday through Friday, 10 a.m. - 10 p.m., ET, or send an email to [email protected]. The NAMI HelpLine is a free, nationwide peer-support service providing information, resource referrals and support to people living with a mental health condition, their family members and caregivers, mental health providers and the public.

HelpLine staff and volunteers are experienced, well-trained and able to provide guidance. The NAMI HelpLine is not a hot line, crisis line or suicide prevention line. If you or someone you know is experiencing a crisis, please see the resources below.

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To contact the NAMI HelpLine, please call 800-950-NAMI (6264), Monday through Friday, 10 a.m. - 10 p.m., ET, or send an email to [email protected]. The NAMI HelpLine is a free, nationwide peer-support service providing information, resource referrals and support to people living with a mental health condition, their family members and caregivers, mental health providers and the public.

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Montgomery County, PA Peer Support: Teen Talk Lines | Access Services

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We have a variety of teen and adult talk lines available. Connect with our great Montgomery County, PA peer support groups.

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Prevent Suicide PA - Just another WordPress site

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Prevent Suicide PA is a 501(c)3 nonprofit organization. Since the 1980/90's, Pennsylvania has made strong efforts to prevent suicide through various programs and non-profits throughout the Commonwealth. A work group was formed and began to meet in July 2005. This prevention plan is a collaborative effort between those dedicated individuals from both the public and private sectors of our state.

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988 Lifeline Chat and Text is a service of the 988 Suicide & Crisis Lifeline (formerly known as the National Suicide Prevention Lifeline), connecting individuals with crisis counselors for emotional support and other services via web chat or texting 988.

All chat and text centers in the 988 Lifeline network are accredited by either the American Association of Suicidology or the International Council for Helplines. 988 Lifeline Chat and Text is available 24/7 across the U.S. and certain territories.

The 988 Suicide & Crisis Lifeline is committed to providing individuals in emotional crisis with support, which can include connection to specialized services for different populations. Click here to learn more about these options .

Click here to access chat in Spanish.

Haga clic aquí para acceder al chat en español.

Part of the chat experience failed to load. This may be due to an ad-blocker. Please disable any ad-blockers and refresh this page.

The chat experience failed to load. Please disable any Ad Blockers and refresh this page.
Ad Blockers can prevent pages from loading, even if they do not include advertising. We do not advertise on our site.

close

Ready to Chat?

To start a text conversation instead, send a text to 988. Your conversations are free and confidential.

After you answer a few questions on the survey below, we will connect you with a crisis counselor. There may be a wait time to connect. To speak with a crisis counselor on the phone, please call 988.

ⓘ Please note if you are using an iPhone browser to chat with us you must remain on the browser chat screen to stay connected. If you navigate away from the chat or access a different iPhone application your connection may be lost. Thank you.

What Happens When I Chat or Text with the 988 Lifeline?

1. First, you'll see a wait-time message while we connect you to a crisis counselor.

2. If demand is high, you can always look at our "Helpful Resources" below, or call the 988 Lifeline at 988.

3. A crisis counselor will answer your chat or text.

4. This person will listen to you, understand how your problem is affecting you, provide support, and share resources that may be helpful.

Your conversations are free and confidential.

If you're having trouble accessing 988 Chat and the troubleshooting tips below don't resolve the issue, crisis counselors are available to support you by phone at 988. You can also Contact Us to share the technical trouble you're experiencing so we can get things fixed.
Specialized Services
988 Lifeline voice, text, and chat options are offered in Spanish. To call a Spanish-speaking crisis counselor, dial 988 and then press 2. To text with a Spanish-speaking crisis counselor, text AYUDA to 988. To chat with a Spanish-speaking crisis counselor, please click here.

Los servicios de llamada, texto, y chat de 988 Lifeline se ofrecen en español. Para comunicarse con un consejero de crisis que habla español, marque 988 y luego presione 2. Para enviar un mensaje de texto a un consejero de crisis que habla español, envié la palabra AYUDA al 988. Para chatear con un consejero de crisis que habla español, haga clic aquí.

LGBTQI+ people under 25 can access 24/7 LGBTQI+ support on both 988 Crisis Chat or Text. You'll be asked if you want to opt-in to this support before you're connected to a crisis counselor.

Veterans and active service members can reach the Veterans Crisis Line 24/7 by texting 838255, chatting here , or calling 988 and pressing 1. Learn more about the VCL here .

Deaf and hard of hearing people can access 24/7 988 Videophone here.

Helpful Resources

Explore these resources while you wait.

Get in touch

Call the Lifeline

Read Stories Of Hope & Recovery
Get stories from people who have been through a crisis and found hope.

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988 Lifeline Chat and Text is a service of the 988 Suicide & Crisis Lifeline (formerly known as the National Suicide Prevention Lifeline), connecting individuals with crisis counselors for emotional...

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Preventing and Reducing Youth and Young Adult Substance Misuse: Schools, Students, Families

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ED hosted a three-part miniseries on the opioid crisis. The first webinar looked at how the opioid crisis affected students and families, and the policies and practices that could help address the crisis in schools. The second webinar provided examples of how the opioid crisis was impacting schools and students and highlighted strategies to support students impacted by the crisis.

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Stop Bullying on the Spot

When adults respond quickly and consistently to bullying behavior they send the message that it is not acceptable. Research shows this can stop bullying behavior over time.

Parents, school staff, and other adults in the community can help kids prevent bullying by talking about it, building a safe school environment, and creating a community-wide bullying prevention strategy.

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StopBullying.gov provides information from various government agencies on bullying, cyberbullying, prevention and response.

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Crisis Text Line | Text HOME To 741741 free, 24/7 Crisis Counseling

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Crisis Text Line provides free, 24/7 support via text message. We're here for everything: anxiety, depression, suicide, school. Text HOME to 741741.

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Our work shifts the culture and conversation around mental health by focusing on two components to change and save lives: Strengthening the emotional health of teens and young adults so they can thrive today...and tomorrow. Preventing substance misuse, self-harm, and suicide as a result of emotional distress.

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JED FOUNDATION-Helping a Friend in Need.

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JED FOUNDATION-Helping a Friend in Need.

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Home | NAMI: National Alliance on Mental Illness

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NAMI, the National Alliance on Mental Illness, is the nation's largest grassroots mental health organization dedicated to building better lives for the millions of Americans affected by mental illness.

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SAMHSA: Substance Abuse and Mental Health Services Administration

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SAMHSA: Substance Abuse and Mental Health Services Administration

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Substance Abuse and Mental Health Services Administration

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Find treatment locators and helplines such as the 988 Suicide & Crisis Lifeline, FindTreatment.gov, FindSupport.gov, and others.

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What Is Vaping?

Vaping is the inhaling of a vapor created by an electronic cigarette ( e-cigarette) or other vaping device.

How Does Vaping Work?

E-cigarettes (or "vape pens") heat a liquid until it becomes a vapor, which is inhaled. The liquid (e-liquid or "vape juice") can contain nicotine or marijuana distillate or oil. E-cigarettes can be refillable or pre-filled with cartridges containing the e-liquid. The pre-filled e-cigarettes (called "Puff Bars") are designed for one-time use. After taking a certain number of "puffs," the user throws the device away.

What Are the Health Effects of Vaping?

The health risks of vaping include:

addiction: E-cigarettes contain nicotine, a drug that's highly addictive. You don't have to vape every day to get addicted.

anxiety and depression: Nicotine makes anxiety and depression worse. It also affects memory, concentration, self-control, and attention, especially in developing brains.

becoming a smoker: People who vape are more likely to start smoking regular (tobacco) cigarettes and may be more likely to develop other addictions in the future.

impotence: There is some evidence that vaping can cause sexual dysfunction in men.

sleep problems

exposure to cancer-causing chemicals

chronic bronchitis

lung damage that can be life-threatening

Other health effects are possible that we don't yet know about. Vaping hasn't been around that long, so its health risks aren't all known.

Why Should I Quit?

Wanting to be the best, healthiest version of yourself is an important reason to quit vaping. Others include:

Addiction: Addiction in the growing brain may set up pathways for later addiction to other substances.

Brain risks: Nicotine affects your brain development. This can make it harder to learn and concentrate. Some of the brain changes are permanent and can affect your mood and ability to control your impulses as an adult.

Use of other tobacco products: Studies show that vaping makes it more likely that someone will try other tobacco products, like regular cigarettes, cigars, hookahs, and smokeless tobacco.

Toxins (poisons): The vapor made from e-cigarettes is not made of water. The vapor contains harmful chemicals and very fine particles that are inhaled into the lungs and exhaled into the environment.

Sports: You want to do your best in sports, and vaping may lead to lung inflammation (irritation).

Money: Vaping is expensive! The cost of the cartridges over time starts to add up. Instead, you could spend that money on other things you need or enjoy.

To go against tobacco company advertising: Many e-cigarettes are made by the same companies that produce regular cigarettes. Their marketing targets young people by making fun flavors for e-cigarettes and showing young, healthy people vaping. They're trying to make you their next lifetime customer.

How Can I Quit?

Decide why you want to quit and write it down or put it in your phone. Look at the reason(s) when you feel the urge to vape.

Pick a day to stop vaping. Put it on the calendar and tell supportive friends and family that you're quitting on that day.

Get rid of all vaping supplies.

Download tools (such as apps and texting programs) to your phone that can help with cravings and give encouragement while you try to stop vaping. You can try:

Understand withdrawal. Nicotine addiction leads to very strong cravings for nicotine. It can also lead to:

feeling tired, cranky, angry, or depressed

trouble concentrating

trouble sleeping

hunger

restlessness

The signs of withdrawal are strongest in the first few days after stopping. They get better over the following days and weeks.

Get ready for feelings, people, and places that make you want to vape. If possible, avoid places and people that trigger the urge to vape. If you feel the urge to vape, try these things instead:

Chew sugar-free gum or drink water.

Text, call, or hang out with a friend who will support you.

Listen to your favorite playlist.

Go for a walk or jog.

Try yoga or meditation.

Take 10 deep breaths.

Keep your hands busy with a hobby, like drawing or making jewelry.

Go somewhere where smoking/vaping isn't allowed.

When Should I Call the Doctor?

Call your doctor right away if you vape and have:

coughing, shortness of breath, or chest pain

nausea, vomiting, or diarrhea

tiredness, fever, or weight loss

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E-cigarettes (or "vape pens") heat a liquid until it becomes a vapor that's inhaled. Vape juice can contain nicotine or marijuana distillate or oil. Here are the facts on vaping and its many health risks.

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A variety of drugs and drug combinations carry the risk of fatal overdose. If you suspect someone is experiencing an overdose it is critical to call 911.

However, in the case of an opioid overdose, which can be caused by heroin and prescription pain medications like Vicodin, OxyContin and Percocet, using naloxone (also known by the brand name Narcan) can potentially save someone's life - even before first responders arrive.

What is naloxone?

Naloxone is an opioid overdose reversal medication, available either as a nasal spray or an injector. An opioid overdose occurs when opioids have fully blocked the brain's opioid receptors, causing a person's breathing to slow down and ultimately stop. Naloxone works by knocking the opioids out of the receptors in the brain where they are having their effect and preventing them from returning. When enough naloxone is administered, breathing will return to normal, saving an individual from the brink of death.

Who should carry naloxone?

Anyone can carry naloxone for any reason. No doctor's prescription is required to purchase naloxone from a pharmacy. A few reasons you may consider carrying naloxone include:

A doctor has prescribed you or a loved one opioid pain medications such as Codeine, OxyContin, Percocet or Vicodin

You suspect a loved one may have an opioid use disorder or be misusing prescription or illicit opioids (heroin, carfentanil and fentanyl)

Your loved one has recently completed treatment for opioid addiction

You are concerned about opioid addiction in your community and want to be prepared to save a life

Anyone using opioids, whether for recreational purposes or otherwise, can be at risk for overdose. Having naloxone readily available does not encourage risky drug use but it does mean someone who is experiencing an overdose has a better chance of surviving and eventually getting the help they need.

It is important to note that higher doses of naloxone are becoming more common for some opioids, especially fentanyl. However, research has shown that more naloxone can also cause severe withdrawal symptoms, which can have serious and even life-threatening health effects, and that it is not necessarily beneficial to administer more.

How can I recognize an opioid overdose?

An overdose can occur anywhere from 20 minutes to two full hours after use of substances. Signs of an overdose include:

Face is clammy to touch and has lost color

Blue lips and fingertips

Non-responsive to one's name or a firm sternum rub using the knuckles

Slow or erratic breathing, or no breathing at all

Deep snoring or a gurgling sound (i.e., what would be described as a "death rattle")

Heartbeat is slow or has stopped

What do I do if I suspect an overdose?

If you suspect an overdose and your child is unresponsive, call 911. To check if your loved one is unresponsive, first, try getting their attention by calling their name or saying phrases that might alarm them, such as "I'm going to call the police." If that doesn't elicit a response, then try rubbing their chest firmly with your knuckles to wake them.

If they remain unresponsive, and you must leave them alone to make the call, it's important to put them in the recovery position - on their side with legs bent and head resting on the arm on the floor (see image below). This is to avoid aspiration if they vomit. Give the address or location and as much information as you can (e.g., unconscious, not breathing, drugs used if known, etc.).

2. Administer naloxone

Naloxone is only effective in the case of an opioid overdose. However, if you are unsure of the substance(s) involved, it's best to err on the side of caution and administer it. Naloxone is not known to cause any harm in the case of a non-opioid overdose.

3. Conduct rescue breathing

If they have labored breathing or are not breathing at all, it is vital to conduct rescue breathing. Tilt the head back, pinch the nose closed and give one slow breath every 5 seconds until they resume breathing on their own or until the paramedics arrive. Watch to see that their chest rises and falls with each breath.

4. Comfort and support

Once they are breathing on their own, place them in the recovery position until paramedics arrive. Comfort them as they may be confused, upset and going through withdrawal (feeling sick from a lack of opioids if their body is dependent on them) when revived. Do not allow them to use drugs.

5. Aftermath of an overdose

Once your loved one has been stabilized, this may be an opportunity to suggest detox and treatment.

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Naloxone: Overdose Reversal Drug | Using naloxone can potentially save someone's life â€" even before first responders arrive

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Creating Your Unique Identity And Narrative In A Neurotypical World

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NIDA.NIH.GOV | National Institute on Drug Abuse (NIDA)

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NIDA's mission is to advance science on the causes and consequences of drug use and addiction and to apply that knowledge to improve individual and public health. NIDA is one of the National Institutes of Health.