988 launched in 2022 as the nationwide suicide and crisis lifeline. 988 suicide and crisis lifeline made crisis services more accessible by replacing the longer 1-800 number.
How 988 works
- Call or text 988 from anywhere in US
- Routed to local crisis center based on area code
- Trained crisis counselors answer
- Free, confidential
- 24/7 availability
What to expect when calling
- Brief recorded greeting
- Choice of services (English, Spanish, Veterans Press 1)
- Possible brief wait
- Counselor introduces self
- You share what’s going on
- Counselor listens, helps explore feelings
- Discusses safety planning
- Provides resources
- Can connect to local services
What to expect texting
- Initial automated response
- Connected to crisis counselor
- Conversation via text
- Generally longer wait than calling
- Useful when can’t speak
What 988 is for
- Suicidal thoughts
- Mental health crises
- Substance use crises
- Emotional distress
- Help finding mental health resources
- Concerns about loved ones
Anonymity and privacy
- Anonymous (no name required)
- Calls not traced unless imminent danger
- Confidential — not shared with employers, family, etc.
- Counselor may ask location for emergency response if needed
When 988 may dispatch help
If imminent danger and unable to keep yourself safe, counselor may:
- Coordinate with local crisis services
- Sometimes mobile crisis team
- Sometimes EMS
- Generally last resort, not default
988 vs 911
988 designed for mental health crises specifically:
- Crisis counselors trained in mental health
- Less likely to result in police involvement
- Better outcomes for mental health emergencies
- Mobile crisis teams when available
911 still appropriate for medical emergencies, immediate safety threats.
Frequently Asked Questions
Is 988 free?
Yes, free regardless of insurance.
Will I get connected immediately?
Usually yes. Brief wait possible during high call volume.
Can I call 988 if I’m not suicidal?
Yes — for any mental health crisis or distress.
What if I’m worried about a friend?
Can call 988 for guidance even if you’re not in crisis yourself.
Is 988 better than 911?
For mental health crisis, generally yes. For immediate safety, 911.
The bottom line on 988
Free, confidential 24/7 mental health crisis service. Use call or text. Available throughout US. Save in phone for easy access.