24/7 Deaf Survivors ASL Hotline

Confidential. ASL-Accessible. Survivor-centric.

The Deaf Hotline is a 24/7 hotline that is ASL accessible for people experiencing abuse. With the Deaf Hotline, you can consult with a culturally-adept and trained advocate in ASL. Whether you’re in need of safety planning, crisis intervention, emotional support or have some questions, we are here for you.

855-812-1001

EMAIL US

Deaf & HoH Accessible Crisis Line

Video Phone with ASL

Available 24/7/365

Call VP (321) 800-3323

Crisis Resources and Deaf-Accessible Hotlines

The National Center for College Students with Disabilities (NCCSD) shared deaf-accessible crisis services, community resources and hotlines:

• Crisis Line for VideoPhone users who use American Sign Language (available 24/7): (321) 800-DEAF (321-800-3323)
• SAMHSA National Disaster Distress Hotline:
  • TTY Hotline: 800-846-8517   
  • VideoPhone Hotline: 800-985-5990
  • ASL NOW Button goes to link: https://vibrant.aslnow.io/app/8/10004
• National Suicide Prevention Hotline (988):
  • Link for Deaf and/or HoH information: https://988lifeline.org/deaf-hard-of-hearing-hearing-loss/ 
  • Text or Chat with a counselor 24/7
  • TTY Hotline: 800-799-4889
• Crisis text chatline:
  • free, available 24/7, sometimes has Deaf counselors available
  • text START to 741741
• National Domestic Violence Hotline:
  • E-mail: [email protected]
  • TTY: 1-800-787-3224 (24/7 hotline)
  • VP: 1-855-812-1001 (Monday to Friday 9AM—5PM Pacific Standard Time

“when the world comes crashing at
your feet
it’s okay to let others
help pick up the pieces
if we’re present to take part in your
happiness
when your circumstances are great
we are more than capable
of sharing your pain”

― Rupi Kaur, The Sun and Her Flowers

CRISIS TEXT LINE

Text Connect to 741741 for free confidential Support

Crisis Text Line serves anyone facing mental health challenges, providing access to free, 24/7, confidential support through communication channels people know and trust.

How to Cope with Self Harm

Text Connect to 741741 for free confidential Support

We all need healthy ways to cope with the hard stuff. We’re here to help you find a healthy alternative to self-harm.

Understanding Self-Harm

For some people, when depression and anxiety lead to a tornado of emotions, they turn to self-harm looking for a release. Self-harm and self-injury are any forms of hurting oneself to cope. Sometimes, when people self-harm, they do not do so as a suicide attempt. Rather, they inflict pain as a way to release painful emotions.

Common Types of Self-Harm

Self-harm can manifest differently for everyone. And, the ways people may inflict harm upon themselves extend far beyond the usual news media references such as cutting. Simply, self-harm is anything and everything someone can do to purposely hurt their body.

Here are some of the most common types of self-injury:

• Cutting
• Scratching
• Burning
• Carving words or symbols into the skin
• Hitting or punching oneself (including banging one’s head or other body parts against another surface)
• Piercing the skin with sharp objects such as hairpins
• Pulling out hair
• Picking at existing wounds

Recognizing the Signs of Self-Harm

Stigma creates shame and embarrassment, making it hard for people who self harm to get help. So, look out for yourself and for your pals. If you suspect that someone in your life is doing it, here are some warning signs to keep top of mind:

• Scars
• Fresh cuts, burns, scratches, or bruises
• Rubbing an area excessively to create a burn
• Having sharp objects on hand
• Wearing long sleeves or long pants, even in hot weather
• Difficulties with interpersonal relationships
• Persistent questions about personal identity
• Behavioral and emotional instability, impulsiveness, or unpredictability
• Saying that they feel helpless, hopeless, or worthless

Crisis Text Line can help you deal with self-injury. Text a Crisis Counselor at 741741, or use the mobile text button below.

How to Cope With Self-Harm

Emotions can be really painful sometimes. It’s totally normal to need ways to cope with and process the hard things in your life. If you are using harming yourself to manage your emotions, we’re here for you. And, we want to help keep you safe.

Here are some ways to push through, process, and cope with your emotions.

• Text someone you trust or a counselor to help you cool down. If you’re dealing with painful emotions, we’re here to help. Send us a text to connect with a real human and strategize healthy coping mechanisms to manage your emotions. Text CONNECT to 741741 to  reach a real human.
• Get creative.  Did you know that  making art can help people process emotions? So, next time you’re feeling like harming yourself, grab your sharpie and doodle your worries away. A bonus: you can totally suck at it and still reap the same rewards.
• Meditate or breathe deeply. Keeping yourself safe from self-injury is all about finding healthy alternatives to work through the hard stuff. Researchers found taking time to re-center through meditation to be a powerful way to find your cool and calm. Try using an app like Headspace to get on the meditation bandwagon.
• Talk to a professional. Self-injury of any form is serious. And, while the intention behind self-injury usually is not death, it can still be dangerous—both physically and emotionally. Talking to someone who can help you find alternatives is incredibly important. Of course, you can start by texting us. Also, consider telling someone you know who can help you connect with a professional.

Why Do People Self-Harm?

Let’s start with this: everyone needs a way to cope with their emotions. People who have turned to hurting themselves as their coping mechanism to manage their emotions.

So, people might self-harm to:

• Process difficult emotions
• Distract themselves from their negative feelings
• Feel something physical, particularly if they are feeling numb
• Develop a sense of control over their lives
• Punish themselves for perceived faults
• Express emotions that they are unable to share

Effects of Self-Harm

Self-harm can be seriously dangerous—physically, emotionally, socially, all of it.

Physical Effects of Self-Harm

• Permanent scars
• Uncontrolled bleeding
• Risk of infection or severe injury

Emotional Effects of Self-Harm

• Guilt, shame, or emotional numbness
• A diminished sense of self, including feeling helpless or worthless
• Addiction to the behavior

Social Effects of Self-Harm

• Avoiding friends and loved ones
• Becoming ostracized from loved ones who may not understand
• Interpersonal difficulty from lying to others about injuries

Recovering from Self-Harm

A lot of people who self-harm do so because they are dealing with painful emotions. If this applies to you—we believe in you and recognize your pain. Because painful emotions are at the root of it, quite often recovering involves addressing emotions.

Breaking away from the cycle of harming yourself can feel like a huge climb. It involves breaking a habit that has once brought comfort from pain. But, it is not impossible. Here are some steps to set you up for success:

• Understand your triggers. Name your reason for hurting yourself and your reason for quitting. Ask yourself: “What do I feel before, during, and after self-injury? Which of those emotions do I actively seek out, and which are harmful?”
• Replace harmful behaviors. For example, if you harm yourself for the physical sensation, seek other ways of releasing endorphins, like exercise. For real, try throwing a few punches at a kickboxing class or tapping it back in a spin class with the *perfect* playlist. If you SH to express your emotions, practice expressing them in words by writing them down. Grab a pen and your favorite notebook, or start typing away in your notes app.
• Address underlying emotions. Explore the feelings that lead you to want to hurt yourself. If it’s guilt, where is that guilt coming from? Maybe try finding a therapist—there are pros trained specifically to help with this.
• Build a support system. Let a friend, family member, or trusted adult know what you’re going through and that you need their support. Opening up to people can be easier said than done. Here’s a place to start: “I’m having a hard time processing some painful emotions and I could use your support right now.”

Getting healthy—both in your brain and in your body—takes hard work. You got this. And, we believe in you.

Text a Crisis Counselor at 741471 or use the mobile click to text button below.  Crisis Text Line is free, 24/7 and confidential. You’re not alone.

 2SLGBT+ CRISIS CALL & TEXT SERVICES GUIDE

YOUR GUIDE TO CRISIS CALL & TEXT SERVICES

Trevor Lifeline

TO CALL THE LIFELINE

Call 1-866-488-7386

TO TEXT THE LIFELINE

 “START” to 678-678

or use this link TEXT

FOR ONLINE CHAT

Click to Start Chat

HIV/AIDS Crisis and Information Lines — United States & Territories

Updated Nov 1, 2025

National (U.S.)
CDC-INFO HIV/STD Hotline — 800-232-4636
Available 24 hours / 7 days
Sponsor: U.S. Centers for Disease Control and Prevention
Website: https://www.cdc.gov/info
Provider Phone: TTY 888-232-6348

Alabama
HIV/AIDS Hotline — 800-228-0469
Available Mon–Fri, 6 AM–3 PM (PST)
Sponsor: Alabama Department of Public Health — HIV/AIDS Program
Website: https://www.alabamapublichealth.gov/hiv/contact.html
Provider Phone: (not listed)

Alaska
HIV/STD Program (Section of Epidemiology) — 907-269-8000
Available Mon–Fri, 9 AM–6 PM (PST) (8–5 AKT)
Sponsor: Alaska Department of Health — HIV/STD Program
Website: https://health.alaska.gov/dph/Epi/hivstd
Provider Phone: 907-269-8000

Arizona
HIV & Hepatitis C Program — 602-542-1025
Available Mon–Fri, 7 AM–4 PM (PST) (8–5 MT)
Sponsor: Arizona Department of Health Services (ADHS)
Website: https://www.azdhs.gov/preparedness/epidemiology-disease-control/hiv-std/index.php
Provider Phone: 602-542-1025

Ryan White Part A — 602-212-3788
Available Mon–Fri, 7 AM–4 PM (PST)
Sponsor: ADHS / Ryan White Program
Website: https://www.azdhs.gov/preparedness/epidemiology-disease-control/hiv-std/index.php
Provider Phone: 602-212-3788

ADAP (Drug Assistance) — 602-364-3610
Available Mon–Fri, 7 AM–4 PM (PST)
Sponsor: ADHS / ADAP
Website: https://www.azdhs.gov/preparedness/epidemiology-disease-control/hiv-std/index.php
Provider Phone: 602-364-3610

Arkansas
HIV Prevention Program — 800-462-0599
Available Mon–Fri, 6 AM–2:30 PM (PST) (8–4:30 CT)
Sponsor: Arkansas Department of Health
Website: https://healthy.arkansas.gov/programs-services/topics/hiv-std-hepatitis
Provider Phone: (not listed)

California
Office of AIDS — 916-449-5900
Available Mon–Fri, 8 AM–5 PM (PST)
Sponsor: California Department of Public Health (CDPH), Office of AIDS
Website: https://www.cdph.ca.gov/Programs/CID/DOA
Provider Phone: 916-449-5900

Colorado
HIV/STI Program — 303-692-2700
Available Mon–Fri, 7 AM–4 PM (PST) (8–5 MT)
Sponsor: Colorado Department of Public Health & Environment
Website: https://cdphe.colorado.gov/diseases-a-to-z/hiv-sti
Provider Phone: 303-692-2700

ADAP — 303-692-2716
Available Mon–Fri, 7 AM–4 PM (PST)
Sponsor: CDPHE / ADAP
Website: https://cdphe.colorado.gov/diseases-a-to-z/hiv-sti
Provider Phone: 303-692-2716

Connecticut
HIV Prevention Program (via CDC-INFO coverage) — 800-232-4636
Available 24 hours
Sponsor: Connecticut Department of Public Health
Website: https://portal.ct.gov/dph/aids
Provider Phone: (not listed)

Delaware
HIV/AIDS Program — 800-422-0429
Available Daily, 6 AM–6 PM (PST) (9 AM–9 PM ET)
Sponsor: Delaware Division of Public Health
Website: https://dhss.delaware.gov/dph/dpc/std.html
Provider Phone: (not listed)

District of Columbia
Pharmacy Benefits Program (ADAP) — 202-671-4815
Available Mon–Fri, 5 AM–2 PM (PST) (8–5 ET)
Sponsor: DC Health — HAHSTA
Website: https://doh.dc.gov/service/pharmacy-benefits-program
Provider Phone: 202-671-4815

Florida
Florida AIDS Hotline (English) — 800-352-2437
Available 24 hours
Sponsor: Florida Department of Health
Website: https://floridaaids.org
Provider Phone: TTY 888-503-7118

Florida AIDS Hotline (Spanish) — 800-545-7432
Available 24 hours
Sponsor: Florida Department of Health
Website: https://floridaaids.org
Provider Phone: TTY 888-503-7118

Florida AIDS Hotline (Haitian Creole) — 800-243-7101
Available 24 hours
Sponsor: Florida Department of Health
Website: https://floridaaids.org
Provider Phone: TTY 888-503-7118

Georgia
Georgia AIDS & STI InfoLine (statewide) — 800-551-2728
Available Mon–Fri, 5:30 AM–4 PM (PST) (8:30 AM–7 PM ET)
Sponsor: AID Atlanta (in partnership with GA DPH)
Website: https://aidatlanta.org
Provider Phone: 404-876-9944 (local)

Hawaii
STI/HIV Clinics (main line) — 808-733-9281
Available Mon–Fri, 10 AM–6 PM (PST) (8–4 HT)
Sponsor: Hawaiʻi Department of Health — Harm Reduction Services Branch
Website: https://health.hawaii.gov/harmreduction
Provider Phone: 808-733-9281

Idaho
HIV/AIDS Program — 800-284-2437
Available Mon–Fri, 8 AM–5 PM (PST) (9–6 MT)
Sponsor: Idaho Department of Health & Welfare
Website: https://healthandwelfare.idaho.gov
Provider Phone: (not listed)

Illinois
HIV/STD Hotline — 800-243-2437
Available Mon–Fri, 6 AM–3 PM (PST) (9–5 CT)
Sponsor: Illinois Department of Public Health
Website: https://dph.illinois.gov/topics-services/diseases-and-conditions/hiv-aids
Provider Phone: TTY 800-782-0423

Indiana
HIV Medical Services Office — 866-588-4948
Available Mon–Fri, 5 AM–1 PM (PST) (8–4 ET)
Sponsor: Indiana Department of Health
Website: https://www.in.gov/health/hiv-std-viral-hepatitis
Provider Phone: 866-588-4948

Iowa
HIV/STI/Hepatitis Program — 515-725-2838
Available Mon–Fri, 6 AM–2:30 PM (PST) (8–4:30 CT)
Sponsor: Iowa Health & Human Services
Website: https://hhs.iowa.gov/hiv
Provider Phone: 515-725-2838

Kansas
STI/HIV Section — 785-296-6174
Available Mon–Fri, 6 AM–3 PM (PST) (8–5 CT)
Sponsor: Kansas Department of Health & Environment
Website: https://www.kdhe.ks.gov/896
Provider Phone: 785-296-6174

Kentucky
Kentucky HIV Hotline — 844-294-2448
Available 24 hours
Sponsor: Kentucky Department for Public Health
Website: https://chfs.ky.gov/agencies/dph/dehp/Pages/hiv-aids.aspx
Provider Phone: 844-294-2448

Louisiana
STI/HIV Program — 800-992-4379
Available Mon–Sat, 8 AM–6 PM (PST) (10 AM–8 PM CT)
Sponsor: Louisiana Department of Health
Website: https://ldh.la.gov/page/923
Provider Phone: TTY 877-566-9448

Maine
HIV/STD Program — 800-851-2437
Available Mon–Fri, 6 AM–3 PM (PST) (9–5 ET)
Sponsor: Maine CDC (DHHS)
Website: https://www.maine.gov/dhhs/mecdc/infectious-disease/hiv-std
Provider Phone: (not listed)

Maryland
Syphilis & HIV Referral Hotline — 800-456-2323
Available Mon–Fri, 5 AM–2 PM (PST) (8 AM–5 PM ET)
Sponsor: Maryland Department of Health (MDH)
Website: https://health.maryland.gov/phpa/oideor
Provider Phone: (not listed)

Legacy/Agency Contact — 800-358-9001
Available Mon–Fri, 5 AM–2 PM (PST)
Sponsor: Maryland Department of Health
Website: https://health.maryland.gov/phpa/oideor
Provider Phone: TTY 800-232-6348

Massachusetts
AIDS Hotline — 800-235-2331
Available Mon–Fri, 6 AM–2 PM (PST) (9–5 ET)
Sponsor: Massachusetts Department of Public Health — Office of HIV/AIDS
Website: https://www.mass.gov/orgs/office-of-hiv-aids
Provider Phone: 617-983-6550

Michigan
HIV/AIDS Hotline — 800-872-2437
Available Mon–Fri, 6 AM–3 PM (PST) (9–5 ET)
Sponsor: Michigan Department of Health & Human Services
Website: https://www.michigan.gov/mdhhs/keep-mi-healthy/hivstdaids
Provider Phone: (not listed)

Minnesota
HIV Info Line (statewide) — 800-248-2437
Available Mon–Fri, 7 AM–3 PM (PST) (9–5 CT)
Sponsor: Minnesota Department of Health
Website: https://www.health.state.mn.us/diseases/hiv
Provider Phone: 612-373-2437 (local)

Mississippi
HIV/STD Program — 601-576-7723
Available Mon–Fri, 6 AM–3 PM (PST) (8–5 CT)
Sponsor: Mississippi State Department of Health
Website: https://msdh.ms.gov/page/43,0,93.html
Provider Phone: 601-576-7723

Missouri
Bureau of HIV, STD, and Hepatitis — 573-751-6439
Available Mon–Fri, 6 AM–3 PM (PST) (8–5 CT)
Sponsor: Missouri Department of Health & Senior Services
Website: https://health.mo.gov/living/healthcondiseases/communicable/stds
Provider Phone: 573-751-6439

Montana
HIV/STD Program — 406-444-3565
Available Mon–Fri, 7 AM–4 PM (PST) (8–5 MT)
Sponsor: Montana DPHHS
Website: https://dphhs.mt.gov/publichealth/hivstd
Provider Phone: 406-444-3565

Nebraska
HIV/STD Program — 402-471-3121
Available Mon–Fri, 6 AM–3 PM (PST) (8–5 CT)
Sponsor: Nebraska DHHS
Website: https://dhhs.ne.gov/Pages/HIV-AIDS.aspx
Provider Phone: TDD 800-833-7352

Nevada
HIV Prevention Program — 775-684-4200
Available Mon–Fri, 8 AM–5 PM (PST)
Sponsor: Nevada DPBH
Website: https://dpbh.nv.gov/Programs/OPHIE/HIV/HIV_Prevention_Program
Provider Phone: 775-684-4200

New Hampshire
NH CARE Program (Ryan White) — 800-852-3345 ext. 4502
Available Mon–Fri, 5 AM–1 PM (PST) (8–4 ET)
Sponsor: New Hampshire DHHS
Website: https://www.dhhs.nh.gov/programs-services/disease-prevention/hiv-std-hepatitis
Provider Phone: (not listed)

New Jersey
NJ AIDS/HIV/STD Hotline — 800-624-2377
Available 24 hours
Sponsor: New Jersey Department of Health
Website: https://www.njhivstdline.org
Provider Phone: TTY 973-926-8008

New Mexico
HIV Services — 505-476-3612
Available Mon–Fri, 7 AM–4 PM (PST) (8–5 MT)
Sponsor: New Mexico Department of Health
Website: https://www.nmhealth.org/about/phd/idb/hiv
Provider Phone: 505-476-3612

New York
HIV/AIDS Hotline (English) — 800-541-2437
Available 24 hours
Sponsor: New York State Department of Health
Website: https://www.health.ny.gov/diseases/aids/general/resources/hotline.htm
Provider Phone: (not listed)

HIV/AIDS Hotline (Spanish) — 800-233-7432
Available 24 hours
Sponsor: New York State Department of Health
Website: https://www.health.ny.gov/diseases/aids/general/resources/hotline.htm
Provider Phone: TTY 800-369-2437

North Carolina
HIV/STD Prevention Unit / ASHA Resource Center — 919-361-8488
Available Mon–Fri, 5 AM–4 PM (PST) (8 AM–6 PM ET)
Sponsor: NC Department of Health & Human Services
Website: https://epi.dph.ncdhhs.gov/cd/stds
Provider Phone: 919-361-8488

North Dakota
HIV Program — 701-328-2378
Available Mon–Fri, 6 AM–3 PM (PST) (8–5 CT)
Sponsor: North Dakota HHS
Website: https://www.hhs.nd.gov/hiv
Provider Phone: 701-328-2378

Ohio
Ohio HIV Hotline — 800-332-2437
Status: Service paused until further notice (6/25/2025). Use CDC-INFO 800-232-4636 (24/7).
Sponsor: Ohio Department of Health
Website: https://odh.ohio.gov/know-our-programs/hiv-prevention
Provider Phone: (not listed)

Oklahoma
HIV/STD Service — 800-535-2437
Available Mon–Fri, 6 AM–3 PM (PST) (8–5 CT)
Sponsor: Oklahoma State Department of Health
Website: https://oklahoma.gov/health/services/hiv-std-service.html
Provider Phone: (not listed)

Oregon
Oregon AIDS/STD Hotline (English) — 800-777-2437
Available 24 hours
Sponsor: Oregon Health & Science University / OHDC (Statewide)
Website: https://www.ohdc.org/aids-hotline
Provider Phone: (not listed)

Oregon AIDS/STD Hotline (Spanish) — 800-499-6940
Available 24 hours
Sponsor: Oregon Health & Science University / OHDC (Statewide)
Website: https://www.ohdc.org/aids-hotline
Provider Phone: (not listed)

Pennsylvania
PA AIDS Fact Line — 800-662-6080
Available Mon–Fri, 5 AM–2 PM (PST) (8–5 ET)
Sponsor: Pennsylvania Department of Health
Website: https://www.pa.gov/agencies/health/programs/hiv.html
Provider Phone: (not listed)

Rhode Island
HIV/STD Program — 401-222-2320
Available Mon–Fri, 5:30 AM–1:30 PM (PST) (8:30–4:30 ET)
Sponsor: Rhode Island Department of Health
Website: https://health.ri.gov/diseases/hivaids
Provider Phone: 401-222-2320

South Carolina
HIV/STD Division — 800-322-2437
Available Mon–Fri, 5 AM–2 PM (PST) (8–5 ET)
Sponsor: South Carolina Department of Health & Environmental Control
Website: https://scdhec.gov/hivstd
Provider Phone: 803-898-0749

South Dakota
HIV/STD Program — 800-592-1861
Available Mon–Fri, 6 AM–3 PM (PST) (8–5 CT)
Sponsor: South Dakota Department of Health
Website: https://doh.sd.gov/diseases/infectious/hiv
Provider Phone: 605-773-3737

Tennessee
HIV/STD Program — 800-525-2437
Available Mon–Fri, 6 AM–2:30 PM (PST) (8–4:30 CT)
Sponsor: Tennessee Department of Health
Website: https://www.tn.gov/health/health-program-areas/std/std-hotline.html
Provider Phone: (not listed)

Texas
HIV/STD Info Line — 737-255-4300
Available Mon–Fri, 6 AM–3 PM (PST) (8–5 CT)
Sponsor: Texas Department of State Health Services
Website: https://www.dshs.texas.gov/hivstd
Provider Phone: 737-255-4300

Utah
HIV/STI Hotline — 801-487-2100
Available Mon–Fri, 7 AM–4 PM (PST) (8–5 MT)
Sponsor: Utah Department of Health & Human Services
Website: https://epi.utah.gov/hiv
Provider Phone: 801-487-2100

HIV/STI Hotline (toll-free) — 800-366-2437
Available Mon–Fri, 7 AM–4 PM (PST)
Sponsor: Utah DHHS
Website: https://epi.utah.gov/hiv
Provider Phone: 800-366-2437

Vermont
HIV/STD Hotline — 800-882-2437
Available Mon–Fri, 5:30 AM–2 PM (PST) (8–4:30 ET)
Sponsor: Vermont Department of Health
Website: https://www.healthvermont.gov/disease-control/hiv
Provider Phone: (not listed)

Virginia
STD/HIV Hotline — 800-533-4148
Available 24 hours
Sponsor: Virginia Department of Health
Website: https://www.vdh.virginia.gov/disease-prevention/stdhotline
Provider Phone: (not listed)

Washington
HIV Hotline — 800-272-2437
Available Mon–Fri, 8 AM–5 PM (PST)
Sponsor: Washington State Department of Health / Lifelong
Website: https://doh.wa.gov/you-and-your-family/illness-and-disease-z/hiv
Provider Phone: (not listed)

West Virginia
HIV/STD Program — 800-642-8244
Available Mon–Fri, 5 AM–2 PM (PST) (8–5 ET)
Sponsor: West Virginia DHHR — OEPS
Website: https://dhhr.wv.gov/oeps/std-hiv-hep
Provider Phone: 304-558-2195

Wisconsin
HIV Program — 608-267-5287
Available Mon–Fri, 6 AM–3 PM (PST) (8–5 CT)
Sponsor: Wisconsin Department of Health Services
Website: https://www.dhs.wisconsin.gov/hiv
Provider Phone: 608-267-5287

Wyoming
HIV/STD Program — 307-777-5856
Available Mon–Fri, 7 AM–4 PM (PST) (8–5 MT)
Sponsor: Wyoming Department of Health
Website: https://health.wyo.gov/publichealth/hiv
Provider Phone: 307-777-5856

Puerto Rico
Prevención ETS/VIH — 787-765-1010
Available Mon–Fri, 4 AM–12 PM (PST) (8 AM–4 PM AST)
Sponsor: Departamento de Salud de Puerto Rico
Website: https://www.salud.gov.pr
Provider Phone: (not listed)

Virgin Islands (U.S.)
STD/HIV Program — St. Thomas 340-774-9000 ext. 4661/4663
Available Mon–Fri, 4 AM–12 PM (PST) (8 AM–4 PM AST)
Sponsor: U.S. Virgin Islands Department of Health
Website: https://doh.vi.gov/programs/stdhiv
Provider Phone: (not listed)

STD/HIV Program — St. Croix 340-773-1311 ext. 3061/3080
Available Mon–Fri, 4 AM–12 PM (PST)
Sponsor: U.S. Virgin Islands Department of Health
Website: https://doh.vi.gov/programs/stdhiv
Provider Phone: (not listed)

This directory is provided for informational and public health purposes only. Hours, numbers, and service availability are verified as of November 2025 but may change without notice. Users should confirm details directly with the listed state or federal agency before relying on hotline information. This compilation does not imply endorsement by any governmental or private entity. All times are shown in Pacific Standard Time (PST).

Deaf & HoH Accessible Crisis Line

Video Phone with ASL

Available 24/7/365

Call VP (321) 800-3323

Crisis Resources and Deaf-Accessible Hotlines

The National Center for College Students with Disabilities (NCCSD) shared deaf-accessible crisis services, community resources and hotlines:

• Crisis Line for VideoPhone users who use American Sign Language (available 24/7): (321) 800-DEAF (321-800-3323)
• SAMHSA National Disaster Distress Hotline:
  • TTY Hotline: 800-846-8517   
  • VideoPhone Hotline: 800-985-5990
  • ASL NOW Button goes to link: https://vibrant.aslnow.io/app/8/10004
• National Suicide Prevention Hotline (988):
  • Link for Deaf and/or HoH information: https://988lifeline.org/deaf-hard-of-hearing-hearing-loss/ 
  • Text or Chat with a counselor 24/7
  • TTY Hotline: 800-799-4889
• Crisis text chatline:
  • free, available 24/7, sometimes has Deaf counselors available
  • text START to 741741
• National Domestic Violence Hotline:
  • E-mail: [email protected]
  • TTY: 1-800-787-3224 (24/7 hotline)
  • VP: 1-855-812-1001 (Monday to Friday 9AM—5PM Pacific Standard Time

“when the world comes crashing at
your feet
it’s okay to let others
help pick up the pieces
if we’re present to take part in your
happiness
when your circumstances are great
we are more than capable
of sharing your pain”

― Rupi Kaur, The Sun and Her Flowers

CRISIS TEXT LINE

Text Connect to 741741 for free confidential Support

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How to Cope with Self Harm

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We all need healthy ways to cope with the hard stuff. We’re here to help you find a healthy alternative to self-harm.

Understanding Self-Harm

For some people, when depression and anxiety lead to a tornado of emotions, they turn to self-harm looking for a release. Self-harm and self-injury are any forms of hurting oneself to cope. Sometimes, when people self-harm, they do not do so as a suicide attempt. Rather, they inflict pain as a way to release painful emotions.

Common Types of Self-Harm

Self-harm can manifest differently for everyone. And, the ways people may inflict harm upon themselves extend far beyond the usual news media references such as cutting. Simply, self-harm is anything and everything someone can do to purposely hurt their body.

Here are some of the most common types of self-injury:

• Cutting
• Scratching
• Burning
• Carving words or symbols into the skin
• Hitting or punching oneself (including banging one’s head or other body parts against another surface)
• Piercing the skin with sharp objects such as hairpins
• Pulling out hair
• Picking at existing wounds

Recognizing the Signs of Self-Harm

Stigma creates shame and embarrassment, making it hard for people who self harm to get help. So, look out for yourself and for your pals. If you suspect that someone in your life is doing it, here are some warning signs to keep top of mind:

• Scars
• Fresh cuts, burns, scratches, or bruises
• Rubbing an area excessively to create a burn
• Having sharp objects on hand
• Wearing long sleeves or long pants, even in hot weather
• Difficulties with interpersonal relationships
• Persistent questions about personal identity
• Behavioral and emotional instability, impulsiveness, or unpredictability
• Saying that they feel helpless, hopeless, or worthless

Crisis Text Line can help you deal with self-injury. Text a Crisis Counselor at 741741, or use the mobile text button below.

How to Cope With Self-Harm

Emotions can be really painful sometimes. It’s totally normal to need ways to cope with and process the hard things in your life. If you are using harming yourself to manage your emotions, we’re here for you. And, we want to help keep you safe.

Here are some ways to push through, process, and cope with your emotions.

• Text someone you trust or a counselor to help you cool down. If you’re dealing with painful emotions, we’re here to help. Send us a text to connect with a real human and strategize healthy coping mechanisms to manage your emotions. Text CONNECT to 741741 to  reach a real human.
• Get creative.  Did you know that  making art can help people process emotions? So, next time you’re feeling like harming yourself, grab your sharpie and doodle your worries away. A bonus: you can totally suck at it and still reap the same rewards.
• Meditate or breathe deeply. Keeping yourself safe from self-injury is all about finding healthy alternatives to work through the hard stuff. Researchers found taking time to re-center through meditation to be a powerful way to find your cool and calm. Try using an app like Headspace to get on the meditation bandwagon.
• Talk to a professional. Self-injury of any form is serious. And, while the intention behind self-injury usually is not death, it can still be dangerous—both physically and emotionally. Talking to someone who can help you find alternatives is incredibly important. Of course, you can start by texting us. Also, consider telling someone you know who can help you connect with a professional.

Why Do People Self-Harm?

Let’s start with this: everyone needs a way to cope with their emotions. People who have turned to hurting themselves as their coping mechanism to manage their emotions.

So, people might self-harm to:

• Process difficult emotions
• Distract themselves from their negative feelings
• Feel something physical, particularly if they are feeling numb
• Develop a sense of control over their lives
• Punish themselves for perceived faults
• Express emotions that they are unable to share

Effects of Self-Harm

Self-harm can be seriously dangerous—physically, emotionally, socially, all of it.

Physical Effects of Self-Harm

• Permanent scars
• Uncontrolled bleeding
• Risk of infection or severe injury

Emotional Effects of Self-Harm

• Guilt, shame, or emotional numbness
• A diminished sense of self, including feeling helpless or worthless
• Addiction to the behavior

Social Effects of Self-Harm

• Avoiding friends and loved ones
• Becoming ostracized from loved ones who may not understand
• Interpersonal difficulty from lying to others about injuries

Recovering from Self-Harm

A lot of people who self-harm do so because they are dealing with painful emotions. If this applies to you—we believe in you and recognize your pain. Because painful emotions are at the root of it, quite often recovering involves addressing emotions.

Breaking away from the cycle of harming yourself can feel like a huge climb. It involves breaking a habit that has once brought comfort from pain. But, it is not impossible. Here are some steps to set you up for success:

• Understand your triggers. Name your reason for hurting yourself and your reason for quitting. Ask yourself: “What do I feel before, during, and after self-injury? Which of those emotions do I actively seek out, and which are harmful?”
• Replace harmful behaviors. For example, if you harm yourself for the physical sensation, seek other ways of releasing endorphins, like exercise. For real, try throwing a few punches at a kickboxing class or tapping it back in a spin class with the *perfect* playlist. If you SH to express your emotions, practice expressing them in words by writing them down. Grab a pen and your favorite notebook, or start typing away in your notes app.
• Address underlying emotions. Explore the feelings that lead you to want to hurt yourself. If it’s guilt, where is that guilt coming from? Maybe try finding a therapist—there are pros trained specifically to help with this.
• Build a support system. Let a friend, family member, or trusted adult know what you’re going through and that you need their support. Opening up to people can be easier said than done. Here’s a place to start: “I’m having a hard time processing some painful emotions and I could use your support right now.”

Getting healthy—both in your brain and in your body—takes hard work. You got this. And, we believe in you.

Text a Crisis Counselor at 741471 or use the mobile click to text button below.  Crisis Text Line is free, 24/7 and confidential. You’re not alone.

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HIV/AIDS Crisis and Information Lines — United States & Territories

Updated Nov 1, 2025

National (U.S.)
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