If you’re in crisis, please reach one of these.

Upstream is a decision-making companion, not a crisis intervention service. The people below are trained for this and they are available right now.

If someone is in immediate physical danger, call 911 in the US, or your local emergency number.

  • 988 Suicide & Crisis Lifeline

    Call or text 988

    United States, 24/7, free and confidential. For suicide, mental-health or substance-use crisis — yours or someone else’s.

  • Crisis Text Line

    Text HOME to 741741

    United States, 24/7. If talking out loud isn’t possible or isn’t safe, this is a text conversation with a trained volunteer.

  • Veterans Crisis Line

    Dial 988 then press 1, or text 838255

    For veterans, service members, and their families. You don’t need to be enrolled in VA benefits.

  • The Trevor Project

    Call 1-866-488-7386, or text START to 678-678

    Crisis support for LGBTQ+ young people, 24/7.

  • SAMHSA National Helpline

    1-800-662-4357

    Treatment referral and information for mental health and substance use, 24/7, free.

  • National Domestic Violence Hotline

    Call 1-800-799-7233, or text START to 88788

    If someone is monitoring your devices, use a phone that isn’t yours where you can.

Outside the US, the International Association for Suicide Prevention keeps a directory of crisis centres by country at iasp.info.

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