If you need real help
If you are in immediate danger, or thinking about ending your life, stop reading this and contact one of the numbers below. Metastance is not a crisis service, is not staffed by people, and cannot help with this.
Emergency and crisis lines
- United Kingdom999 (emergency) · 111 (NHS) · 116 123 (Samaritans, free, 24/7)
- United States911 (emergency) · 988 (Suicide & Crisis Lifeline, call or text, 24/7)
- Ireland112 or 999 (emergency) · 116 123 (Samaritans, freephone, 24/7)
- Canada911 (emergency) · 988 (Suicide Crisis Helpline, call or text, 24/7) · 1 866 277 3553 (Québec — 1 866 APPELLE, 24/7)
- Australia000 (emergency) · 13 11 14 (Lifeline, 24/7) · 0477 13 11 14 (Lifeline text, 24/7)
- Most of the EU112 (emergency, everywhere in the EU) · 116 123 (emotional support — only where a country has activated it)
- Sverige112 (nödnummer) · 1177 (vårdrådgivning) · 90101 (Mind Självmordslinjen, dygnet runt)
- España112 (emergencias) · 024 (línea de atención a la conducta suicida, 24/7)
- México911 (emergencias) · 800 911 2000 (Línea de la Vida, 24/7, 365 días)
- Argentina911 (emergencias) · 135 (Línea 135 — solo CABA y Gran Buenos Aires) · 0800 345 1435 (Centro de Asistencia al Suicida — todo el país)
- Portugal112 (emergência) · 808 24 24 24 (SNS 24, 24/7 (clínico))
- Brasil190 / 192 (emergência) · 188 (CVV, 24/7)
- France112 ou 15 (urgences) · 3114 (prévention du suicide, 24/7)
- Deutschland112 (Notruf) · 0800 111 0 111 / 0800 111 0 222 (TelefonSeelsorge, kostenfrei, rund um die Uhr) · 116 123 (TelefonSeelsorge (europäische Nummer))
- Österreich112 / 144 (Notruf) · 142 (TelefonSeelsorge, kostenfrei, 24 Stunden, 365 Tage)
- Schweiz / Suisse112 / 144 (Notruf) · 143 (Die Dargebotene Hand, rund um die Uhr)
- Italia112 (emergenze) · 02 2327 2327 (Telefono Amico, ogni giorno 9:00–24:00)
This list is not exhaustive and numbers change. If your country is not here, search for your national emergency number and your national crisis line, or contact a doctor. The International Association for Suicide Prevention maintains a directory of crisis centres by country.
14 of 17 entries have not yet been confirmed against the operator. If a number does not answer, call your national emergency number.
Things Metastance is not
It is not therapy, not a substitute for it, and not care. It does not diagnose, treat, or give medical advice, and it is not monitored by anyone — nobody reads your conversation and decides you need help.
If what you are dealing with is long-standing rather than situational — something that has shaped years rather than a week — a professional is the right person, and that is not a judgement about severity. A conversation here can help you think. It is a different thing.
Talking to someone
A doctor or a health centre is a reasonable first contact almost anywhere, and can point you onward. So can a psychologist, a psychotherapist, or an occupational health service through your employer. If cost is the obstacle, ask about public services and sliding-scale fees — in most countries they exist and are under-used.