Suicide Prevention

If you are facing a life-threatening emergency, call 9-1-1. The Washington County Crisis Line is answered 24/7 at 503-291-9111. Language interpreters available.

It is okay to ask for help!

If you are having thoughts of suicide, feel hopeless or like you can't cope right now, help is available 24/7. You are not alone.

Hawthorn Walk-In Center is open to the public during limited hours, Monday - Friday, 9 a.m. - 6 p.m., Saturday and Sunday from 12-4 p.m. Please call ahead to 503-291-9111 to discuss options for assistance and to confirm hours of operation.

Suicide Prevention Lifeline: 1-800-273-TALK (8255) This line is available for all community members. If you are a military veteran in crisis, press 1 or text 273TALK to 839863 (8 a.m.–11 p.m.).

Military Helpline: 1-888-457-4838 or text MIL1 to 839863 (8 a.m.-11 p.m.)

Veterans Crisis Line: 1-800-273-8255, press 1

YouthLine: 1-877-968-8491 or text teen2teen to 839863.

Warning signs that someone might be thinking about suicide

  • Threatening to kill themselves
  • Looking for the means (e.g., gun, pills, rope, etc.) to kill themselves
  • Talking or writing about death, dying or suicide
  • Hopelessness
  • Rage, anger, seeking revenge
  • Acting reckless, engaging in risky activities
  • Feeling trapped, like there is no way out
  • Increasing alcohol or drug use
  • Withdrawing from friends, family or society
  • Anxiety, agitation, unable to sleep or sleeping all the time
  • Dramatic changes in mood
  • No sense of purpose in life

How you can help

  • Show you care: “I’m concerned about you.”
  • Listen without judging or giving advice.
  • Take all talk of suicide seriously.
  • Stay calm and stay with the person.

Ask directly about suicide: “Are you thinking about suicide?” You will NOT put the idea of suicide into someone's head by asking this question. Get help. Do not leave the person alone. Call 9-1-1 or the Washington County Crisis Line at 503-291-9111.

Additional information and resources

  • Sign up for free suicide prevention and mental health first aid training at Get Trained to Help. This is a regional resource to help caring people learn about and register for trainings. A variety of free classes are available that address situations people may encounter during their everyday lives. Some of the trainings are available in Spanish. The courses are open to anyone 18 or older, regardless of experience level. 
  • The Suicide Prevention Council of Washington County includes mental health providers, first responders, educators, the faith community, government organizations, survivors of suicide loss and attempts, law enforcement and other concerned community members. The council focuses on education, training, stigma and awareness, and uses data to better inform suicide prevention and intervention practices in Washington County. The group meets every other month for two hours. For more information, call 503-846-4748. 

Resources for physical and behavioral health care providers

One of the most commonly used suicide risk assessment utilized is the Columbia-Suicide Severity Rating Scale (C-SSRS) and can be used with ages 12 and up. Both behavioral health clinicians and those not formally trained in behavioral health can learn how to use the C-SSRS.

The Ask Suicide-Screening Questions (asQ) is most commonly used in medical settings such as an emergency room and can be used for patients ages 10-21.

The most commonly used safety plan is the Stanley – Brown. You can also find more information about safety planning for clinicians here. There are several Android and Apple phone apps that also can serve to build a safe plan and are more likely to be used by youth and young adults. Search for "suicide safety plan" in your App store.