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Crisis Support

988 vs. Local Crisis Lines: Which Number Should You Call?

A simple guide to help you choose between 911, 988, and local crisis lines when you or someone you love needs help.

By Southern Highlands Community Mental Health Center Published January 23, 2026 · Updated August 10, 2026

When someone is struggling, it can be hard to know what number to call. This guide gives general routing information, not a complete safety assessment. If you are unsure and immediate physical danger or a medical emergency may be present, call 911.

Call 911 if there is immediate danger

Call 911 right away if:

  • Someone has a weapon
  • Someone has taken an overdose or is unresponsive
  • There is immediate risk of harm to self or others
  • There are severe medical symptoms (trouble breathing, chest pain, seizures)

Dial 988 for immediate emotional support

Dial 988 when:

  • You need immediate emotional support
  • You’re having thoughts of suicide or self-harm
  • You’re overwhelmed and need to talk to someone right now

988 connects callers, texters, and chat users to the Suicide & Crisis Lifeline. Contacting 988 is free. The Lifeline describes contacts as confidential, but not anonymous: the service may receive the phone number or IP address used, document the contact, and use or disclose information in the circumstances described in its confidentiality statement. Emergency services may be contacted when the counselor determines there is imminent risk or when law otherwise requires it.

Call a local crisis line for local guidance and services

Depending on current staffing, location, capacity, and the assessment, local crisis services may help with:

  • Guidance on where to go locally
  • Connecting to crisis stabilization or walk-in options
  • Coordinating follow-up care
  • Helping family members understand next steps

If you are in Southern West Virginia, you can also use our local crisis resources page:

If you’re supporting a loved one

It’s common to feel unsure about “overreacting.” If safety is uncertain, it’s okay to err on the side of getting help. You can also review caregiver guidance:

Important Numbers and Websites

24/7 Crisis Line

1-800-615-0122

Available 24 hours a day, 7 days a week

Crisis Stabilization Unit (CSU)

(304) 431-2869

Direct line for crisis assessment

Mobile Crisis (Adult & Adolescent)

(304) 308-9293

988 Suicide/Crisis Lifeline

988

Crisis Text Line: Text HOME to 741741

988lifeline.org / crisistextline.org

National Sexual Assault Hotline

(800) 656-4673/HOPE rainn.org

National Runaway Safeline

(800) 786-2929/RUNAWAY 1800runaway.org

WV Safe Schools Helpline

(866) 723-3982/SAFEWV wvde.us

SAMHSA National Helpline

(800) 662-4357/HELP samhsa.gov

DHHR Centralized Intake for Abuse/Neglect

(800) 352-6513 dhhr.wv.gov

WV State Police

(304) 746-2100 wvsp.gov