Crisis Referrals

If you or a person you are concerned about is experiencing a psychological emergency, you may request a crisis appointment.

This is similar to going to the ER for a physical health emergency. The following are examples of psychological emergencies:

  • It is your current intention or plan to attempt suicide
  • It is your current intention or plan to inflict bodily harm on someone
  • Your life is currently in danger (due to domestic violence, homelessness, or alcohol and/or other drug withdrawal)
  • Within the past week, you experienced a physical or sexual assault or another type of significant trauma
  • Within the past week, you have been hearing or seeing things when you are sober that others do not
  • Within the past 2 weeks, you were released from an inpatient psychiatric facility

Crisis counseling for mental health emergencies is available Monday through Friday between 8:30 am and 5:00 pm. Please inform our office staff if you need to be seen immediately. For after-hours emergencies, you can call our main number (415-422-6352) and follow the menu prompts to talk to a professional counselor by phone, contact one of the crisis resources below, or go to the nearest hospital emergency room.

  • Crisis Text Line: 24-hour crisis counseling by trained volunteers via text. Text “HOME” to 741741. People of color wishing to text with a counselor of color can text "STEVE" to 741741.
  • IMAlive: A live online network that uses instant messaging to respond to people in crisis. Go to and click on the "Chat" button at upper right to begin messaging with a trained volunteer counselor.
  • SF Women Against Rape: 415-647-7273; 24-hour hotline that provides support, information, and resources for survivors of rape and sexual assault and their friends, family members, and others. Assists survivors of all genders and sexual identities.
  • Suicide Prevention Hotline: 415-781-0500; 24-hour telephone counseling and referrals for people who are depressed and suicidal. Translation services available. 
  • The Trevor Project: 866-488-7386; 24/7 Suicide Prevention Resources for LGBTQ youth ages 13 to 24.
  • USF Public Safety : Call 415-422-2911 or extension 2911 from any on-campus phone when your safety or someone else's is at risk or you need other assistance from a Public Safety officer.
  • Westside Community Crisis Clinic: 415-355-0311; provides crisis and urgent mental health care on a drop-in basis to low-income San Francisco residents over 18 years and connects them with resources. Open Monday through Friday 8:00 am to 6:00 pm and Saturday 9:00 am to 4:00 pm.
  • 免費心理急助熱線(提供中文服務): 415-781-0500
  • 普通话服务的心理急助单位.pdf