This list includes thousands of local call numbers for every state in the US. Calling a local number can help put you in contact with nearby resources like counselors or psychiatrists faster than calling a national line.
IAFF Center of Excellence
Get help 24/7: 352-771-2700
Safe Call Now
A 24/7 help line staffed by first responders for first responders and their family members. They can assist with treatment options for responders who are suffering from mental health, substance abuse and other personal issues.
24/7 crisis referral service: 206-459-3020
Share The Load (Fire/EMS Helpline)
A program run by the National Volunteer Fire Council. They have a help line, text based help service, and have also collected a list of many good resources for people looking for help and support.
Fire/Ems Helpline: 888-731-FIRE (3473)
National Suicide Prevention Lifeline
The national (USA) suicide hotline. Not first responder specific, but they can and will talk to anyone who needs help. We’ve been told by one of their founders they have a large number of first responders and veterans who volunteer.
Helpline: 800-273-TALK (8255)
Crisis Text Line
A service that allows people in crisis to speak with a trained crisis counselor by texting “Start” or “Help” to 741-741.
Run by Frontline Responder Services. Offer 24/7 coverage with first responder call-takers.
Kristin Brooks Hopeline
Another national (USA) hotline for people suffering from mental health issues.
Veterans Crisis Line
A crisis line specifically for veterans of the US armed forces.
Helpline: 1-800-273-8255 & press 1, or text 838255