If You're in Crisis, You're Not Alone

If you are in immediate danger, call your local emergency number now. This page lists crisis lines and substance-specific guidance. It is not medical advice.

Emergency: call 911 (US) or your local emergency services if someone is unconscious, seizing, not breathing, or at risk of harming themselves or others.

Call or text now (US)

  • 988 Suicide and Crisis Lifeline (US)

    Free, confidential support 24/7. Call or text.

    988

  • SAMHSA National Helpline (US)

    Treatment referrals and information. Confidential. 24/7.

    1-800-662-4357

  • Crisis Text Line (US)

    Text with a trained crisis counselor.

    Text HOME to 741741

Alcohol withdrawal emergency

Heavy alcohol withdrawal can cause seizures, confusion, and delirium tremens. Do not stop heavy drinking alone without medical guidance.

  • Call emergency services for seizures, hallucinations with confusion, high fever, or chest pain.
  • Ask a doctor about medically supervised detox if you drink daily or have had withdrawal before.

Opioid overdose

Opioid overdose slows or stops breathing. Naloxone (Narcan) can reverse effects if given quickly.

  • Call 911 immediately. Say the person is not breathing or is unresponsive.
  • Administer naloxone if available and follow package directions.
  • Stay until help arrives. Fentanyl may require multiple doses.

Suicidal thoughts

If you are thinking about ending your life, you deserve support right now.

  • 988 Lifeline (US): Call or text 988 988
  • Tell one safe person where you are.
  • Remove immediate means if you can do so safely.
  • Go to an emergency room if you cannot stay safe.

Gambling crisis

If you are about to bet money you cannot lose, pause and contact support.

  • National Problem Gambling Helpline (US): 24/7 confidential support 1-800-522-4700
  • Self-exclude from apps and casinos where legally available.
  • Hand cards or account access to a trusted person for 24 hours.

Nicotine and vaping distress

Nicotine withdrawal is uncomfortable but rarely life-threatening. Intense anxiety still deserves support.

  • Use quitline support: 1-800-QUIT-NOW (1-800-784-8669) in the US.
  • Contact 988 if you have thoughts of harming yourself.

International resources

If you are outside the US, use local emergency numbers and national crisis lines.

  • UK and Ireland: Samaritans: Call 116 123 (free, 24/7) 116 123
  • Canada: Talk Suicide: Call 1-833-456-4566 or text 45645 1-833-456-4566
  • Australia: Lifeline: Call 13 11 14 13 11 14
  • EU: findahelpline.com: Directory of helplines by country Link

Related recovery resources