Suicide is preventable. You can be the one to help.
Most people having suicidal thoughts are in a temporary, serious crisis. You can be the one to provide the support and help they need by taking three steps: know the signs of someone who is having suicidal thoughts, find the words to have a direct conversation with them and reach out for help from the many county resources available to those in crisis and their loved ones.
Whether you are struggling with suicidal thoughts, or are concerned about a loved one who might be, you are not alone. The San Mateo County community stands together to support those who are struggling, and guide them to the help they need.
For immediate help, you can call the StarVista’s 24/7 Crisis Hotline at 650-579-0350 or text “Bay” to 741741.
Hosted by The Office of Diversity and Equity
What to Do in a Crisis
For emergencies that need an immediate response, call or text 9-1-1.
Refer to the guidelines for calling police during a mental health crisis to find out how to prepare and what to expect. Be sure to request a crisis intervention trained (CIT) officer.
In a crisis, you can also turn to the resources below.
1. Suicide Crisis Hotlines
- 1-800-273-TALK (8255) – National Suicide Prevention Lifeline
- 650-579-0350 | sanmateocrisis.org – StarVista’s 24/7 Crisis Hotline (San Mateo County)
- Text “BAY” to 741741
- Teen Text Line: 650-747-6463 and Chat sanmateocrisis.org available Monday-Thursday, 4:30-9:30 p.m. PST
Visit the National Suicide Prevention Lifeline for additional phone/chat options (online chat, Spanish speakers, Veterans, deaf or hard of hearing or disaster distress line)
2. Psychiatric Emergency Services
San Mateo Medical Center
222 West 39th Avenue, San Mateo, CA 94403
Mills-Peninsula Medical Center
1501 Trousdale Drive, Burlingame, CA 94010S
See crisis services for additional resources and the related content section below.
How to Support Someone
Start the conversation
Simply asking “Are you okay?” or “I’ve noticed you’ve been feeling hopeless a lot lately” can open the door to a conversation about getting help.
Make it safe at home
The majority of people who survive suicide never attempt it again. Safely storing medicines and guns (if you own them) in the home removes the opportunity for someone to act.
You or someone you know might not be thinking about suicide. However, you or someone you know may want a caring person to chat with about specific issues. See below for resources.
Make it safe at school
These posters are available from San Mateo County Behavioral Health and Recovery Services in partnership with the San Mateo County Office of Education free of charge and are presented to faculty and staff along with a brief training on how to identify at risk students and what to do when they have been identified.
Get trained to help others
Take one of the trainings listed in the Suicide Prevention Trainings section to learn how to identify warning signs and support someone considering suicide.
Suicide Prevention Trainings
To gain more in-depth knowledge on how to support someone who is considering suicide or at risk of suicide, you can explore www.suicideispreventable.org and/or take one of the following suicide prevention gatekeeper trainings referenced in the figure below.
For more information, contact San Mateo County Suicide Prevention Committee Co-Chairs Sylvia Tang, She/Her/Hers (650-578-7165 | email@example.com) and Zena Andreani, She/Her/Hers (650-339-5803 | firstname.lastname@example.org).
Suicide Prevention Month
September is Suicide Prevention Month (SPM), which includes National Suicide Prevention Week (September 5-11) and World Suicide Prevention Day (September 10). SPM aims to empower everyone in the community to prevent suicide.
For 2021, San Mateo County and partners are promoting the theme of statewide theme of Supportive Transitions: Reconnect, Reenter, Rebuild. To learn more about this theme and associated resources at https://www.suicideispreventable.org/prevention-kit.php.
Each year, the San Mateo County Behavioral Health & Recovery Services Office of Diversity & Equity and Suicide Prevention Committee publishes a Calendar of Events which promotes the SPM events broadly across local providers, partners and community in San Mateo County.
For updates and details on upcoming free (or low cost) SPM events, please visit smchealth.org/suicide-prevention-month.
Suicide Prevention Roadmap
To address the increased need for suicide prevention in the community, the Suicide Prevention Committee (further described in below section) developed the second Suicide Prevention Roadmap for San Mateo County. The is part of a larger vision to reduce suicide deaths, suicide attempts and pain associated with suicidal thoughts so that everyone in our community can realize healthy and meaningful lives. Both and are available to review and share widely.
The Roadmap builds off of the first and the California Striving for Zero Suicide Prevention Strategic Plan 2020-2025. There are many uses, and benefits of this Roadmap and we hope you can utilize it for one or more of the following ways:
- Data to understand our local needs, best practices and inform local prevention efforts.
- Education on how to approach, support and refer those who are at risk for suicide.
- Resource directory of local suicide prevention programs and activities.
- Opportunities to lead and/or collaborate that are guided by a comprehensive plan.
To stay informed and to get involved, you are welcome to join the San Mateo County Suicide Prevention Committee and contact Co-Chairs Sylvia Tang, She/Her/Hers (650-578-7165 | email@example.com) and Zena Andreani, She/Her/Hers (650-339-5803 | firstname.lastname@example.org).
Suicide Survivors and Messages of Hope
San Mateo County is honored to work with suicide loss and attempt survivors in advancing suicide prevention work and spreading messages of hope, recovery and resilience. In this section, you will find suicide survivors’ messages of hope in different artistic forms. We greatly appreciate their courage and passion to share.
Desirae Miller, San Mateo ()
Ellen Darnell, Redwood City ()
John Butler, Menlo Park (Video)
Mia Hua, Redwood City ()
Tatiana Lyulkin, Burlingame ()
Vivian Valdez ()
Suicide Prevention Committee
The Suicide Prevention Committee (SPC) provides oversight and direction to suicide prevention efforts in San Mateo County. Led by the Office of Diversity and Equity at San Mateo County Behavioral Health and Recovery Services, the committee is comprised of suicide attempt survivors, suicide loss survivors, behavioral health providers, social service providers, local transportation agency staff, and other community members passionate about preventing suicide in our community. The committee meets the 1st Tuesday of the month 1:30 to 3:30PM via Zoom (see for meeting schedule details). For more information or to get involved in the SPC or other suicide prevention efforts, please contact:
Sylvia Tang, MPP
Co-Chair, Suicide Prevention Committee
Office of Diversity and Equity
San Mateo County Behavioral Health & Recovery Services
650-578-7165 | email@example.com
Zena Andreani, AMFT
Co-Chair, Suicide Prevention Committee
Star Vista Crisis Intervention & Suicide Prevention Center
650-339-5803 | firstname.lastname@example.org
Behavioral Health Community Education (Free)
National Alliance on Mental Illness Warm Line/Help Desk | 650-638-0800
StarVista’s Crisis Hotline | 650-579-0350 | sanmateocrisis.org
StarVista Teen Text and Chat | 650-747-6463, M-F 4:30-9:30pm PST
#BeTheOne SMC Stigma Discrimination Reduction Campaign
San Mateo County Schools Suicide Prevention Protocol (San Mateo County Office of Education Safe and Supportive Schools)
California Mental Health Services Oversight & Accountability Commission Suicide Prevention Initiative
California Peer-Run Warm Line | 1-855-845-7415
California Suicide Prevention Program
Coordinate a Suicide Prevention Activity in Your Community (Each Mind Matters)
Each Mind Matters Resource Center
Know the Signs (English)
Reconozca las Señales (Español)
American Association of Suicidology
American Foundation for Suicide Prevention
Centers for Disease Control and Prevention – Violence Prevention
Injury Control Research Center for Suicide Prevention
National Action Alliance for Suicide Prevention (Messaging)
National Council for Suicide Prevention
National Suicide Prevention Lifeline
Substance Abuse and Mental Health Services Administration (SAMHSA)
SAMHSA’s National Helpline | 1-800-662-HELP (4357)
Suicide Awareness Voices for Education
Suicide Prevention (MY3) App
Suicide Prevention Resource Center
Take 5 to Save Lives Campaign
International Association for Suicide Prevention
World Health Organization – Suicide Prevention
The Trevor Project (LGBTQ Youth)
Center for Elderly Suicide Prevention
Friendship Line – Institute on Aging
Department of Veteran Affairs – Suicide Prevention
Veterans Crisis Line
Active Minds (College Students)
California Youth Crisis Line (Youth 12-24 & Families)
Directing Change Program & Student Film Contest
The Trevor Project (LGBTQ Youth)
Your Life Your Voice (Youth and Families)
For more info, email the Office of Diversity and Equity at ODE@smcgov.org.
For assistance in finding mental health and/or substance use services for someone who may be experiencing a mental illness and/or substance use condition, or for someone you are concerned about, call the Behavioral Health and Recovery Services ACCESS Call Center for information, an assessment and a referral based on individual needs. Behavioral Health and Recovery Services serves San Mateo County residents with Medi-Cal or those who are uninusured.
TTY (for hearing impaired): dial 711
The friendship line provides counseling and support to older adults and adults living with disabilities in both crisis and non urgent situations.
800 – 971 – 0016
The Boys Town National Hotline provides 24/7 help and counseling to kids and families in crisis. Counselors are available via phone, text, email and IM.
Text VOICE to 20121
Veterans Crisis Line connects Veterans in crisis and their families and friends with qualified, caring Department of Veterans Affairs responders through a confidential toll-free hotline, online chat, or text. Veterans and their loved ones can call 1-800-273-8255 and Press 1, chat online, or send a text message to 838255 to receive confidential support.