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Crisis Contacts

If you are having a life-threatening emergency that requires immediate medical or police assistance, please call 9-1-1.

If you are a current Endeavor Health Services client and in crisis after regular business hours, please call (716) 895-6700 and follow the prompts to be connected with the After Hours Crisis Line.

If you or a loved one is in crisis and NOT an Endeavor Health Services client, please call one of the following hotlines that specialize in providing crisis services in Western New York:

Erie County:

For Adults 18 years and older (716) 834-3131 (Crisis Services of Erie County)
For Youth under 18 years (716) 882-4357 (Spectrum CARES)
Addiction Hotline (716) 831-7007

Monroe County:

(585) 275-5151 (2-1-1/Lifeline–Central Referral & Crisis Counseling)
Recovery Lives: (855)-778-1200 (addiction resources for Family Support
(855)-778-1300 (addiction resources for Client/Peer)

Niagara County:

(716) 285-3515 (Niagara County Crisis Hotline)

Orleans County:

(585) 283-5200 (Care and Crisis Helpline)

Genesee County:

(585) 344-4400 (Care + Crisis Helpline)


Other Crisis Contacts:


National Suicide Prevention Lifeline:

(800) 273-8255


New York State Domestic Violence Hotline:

Call 1-800-942-6906 or text 844-997-2121


New York State Crisis Text Line:

Text “Got5” to 741-741

Frontline worker? Text “FRONTLINENY” to 741-741 for specialized support


SAMHSA’s National Helpline:

1-800-662-HELP (4357)


NAMI (National Alliance on Mental Illness)

In a crisis,  text “NAMI” to 741741 for 24/7, confidential, free crisis counseling.


Veterans Crisis Hotline:

1-800-273-8255 and Press 1 or click here to chat with online with a counselor


Mental Health America 24 Hour Text Line:

Text MHA to 741-741


Non-crisis only:


Erie County Warm Line:


Monday – Friday 5PM -11PM

Saturday and Sunday 5PM -11PM


NAMI HelpLine

Monday through Friday, 10 a.m. – 10 p.m.