988 Suicide and Crisis Lifeline

UPDATED Tompkins Mental Health Support Resources

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The Mental Health Support and Crisis Services resource for Tompkins County has been updated for 2026.

The guide is a hyperlinked listing of essential local services for suicide prevention, psychotherapy, addiction recovery, sexual assault and domestic violence, and support groups. Click on the links for more detailed information about available services and programs.

The brief guide is compiled every year by The Sophie Fund in collaboration with Tompkins County Whole Health, Cayuga Health, Guthrie, and the Suicide Prevention & Crisis Service of Tompkins County.

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Click HERE for other mental health guides compiled by The Sophie Fund

Suicide Prevention Month @ Cayuga Health

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Cayuga Health and its partners within the Centralus Health system are conducting an awareness campaign throughout September to engage their communities and internal health teams to mark National Suicide Prevention Month.

“We’ll continue to build a healthier, more supportive community for all”

Health leaders set up information tables across the Centralus campuses, featuring items such as pins, bracelets, pens, and bags. The resources are designed to spark conversation, promote awareness, and show solidarity.

They also launched a cascading communication plan across all Cayuga and Arnot facilities to heighten the system’s initiative to prevent deaths by suicide. The efforts are being shared on The Pulse, an intranet reaching all members of the Centralus health system.

“This month is a meaningful opportunity to reaffirm our shared commitment to mental health and suicide prevention, and I’m confident that, through collaboration, we’ll continue to build a healthier, more supportive community for all,” said Andreia de Lima, Chief Medical Officer, Cayuga Health/Centralus Health.

“Conversation, awareness, and solidarity”

If you or someone you know feels the need to speak with a mental health professional, you can call or text the 988 Suicide and Crisis Lifeline at 9-8-8, or contact the Crisis Text Line by texting HOME to 741-741.

Mental Health Guide for Tompkins Schools

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Five Ithaca-based mental health organizations have released the 2025-26 edition of their resource guide, “Mental Health Support & Suicide Prevention for Schools in Tompkins County.”

If you have a comment, concern, or suggestion about mental health in Tompkins schools, please feel free to email it to The Sophie Fund: thesophiefund2016@gmail.com.

National and local surveys document the seriousness of a mental health crisis affecting young people. In a survey from the Centers for Disease Control and Prevention, 40 percent of high schoolers said they experienced persistent feelings of sadness or hopelessness. Twenty-nine percent reported poor mental health, and 20 percent said they had considered taking their own lives.

A survey of high school and middle school students in Tompkins County came up with similar patterns. Forty-seven percent said they felt anxious or worried on most days, 35 percent felt sad or depressed on most days, and 34 percent said that “sometimes I think life is not worth it.”

To support Tompkins County schools, the resources guide was first launched in 2024 by the Suicide Prevention & Crisis Service of Tompkins County, American Foundation for Suicide Prevention Greater Central New York, National Alliance on Mental Illness Finger Lakes, Mental Health Association in Tompkins County, and The Sophie Fund.

“For our school personnel, this can be a hearty quick reference guide with options that can be tailored to a student’s needs—or a fellow colleague’s needs,” said Tiffany Bloss, executive director of the Suicide Prevention & Crisis Service.

“There are many opportunities for no-cost trainings to enhance the comfort level and confidence in talking to someone else about their mental health.”

After a brief “Mental Health & Suicide Prevention 101” introduction, the guide details the mental health and suicide prevention education and training that the organizations are ready to present to Tompkins school administrators, teachers, students, and parents.

DOWNLOAD: Mental Health Support & Suicide Prevention for Schools in Tompkins County

The guide compiles handbooks and toolkits to assist Tompkins schools in developing mental health promotion and bullying prevention programming as well as suicide prevention strategies in their school communities. The guide points to recommendations for youth use of social media issued by the U.S. Surgeon General and the American Psychological Association.

“Tompkins County’s mental health nonprofits offer beneficial mental health programs designed for students, teachers, and parents,” said Sandra Sorensen, executive director of NAMI Finger Lakes. “Bridging the gap in education and community services is important to all of us. We already have great evidence-based programs designed and ready to go at no cost to our schools. The guide outlines all of our programs and highlights our collaborative nature. We are here to serve and assist.”

The guide also includes 5 Simple Steps, a downloadable “safety plan” young people (or adults) can consult if they are feeling overwhelmed with a deteriorating mood.

DOWNLOAD: 5 Simple Steps

The five organizations requested an opportunity to meet directly with the Tompkins County school superintendents and their leadership teams to provide a presentation on the support services available and respond to any concerns or questions they may have. The organizations have met with the Ithaca and Trumansburg districts, but Lansing, Groton, Dryden, and Newfield have not scheduled a meeting.

If you or someone you know feels the need to speak with a mental health professional, you can call or text the 988 Suicide and Crisis Lifeline at 9-8-8, or contact the Crisis Text Line by texting HOME to 741-741.

Please, Don’t Ignore Signs of Suicide

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So many people struggle with a mental illness in silence. Suicidal thoughts are actually not that uncommon. But people who experience them are too often ashamed or embarrassed to speak about it. Or some figure, “I can handle it,” and put on a happy face. Loved ones or friends may be concerned about someone’s well-being. But stigma prevents them from asking if they are thinking of harming themselves.

September is National Suicide Prevention Month, a time to spread greater awareness about suicide and support those who may be struggling.

Suicide is preventable, and researchers and practitioners have made important strides in the past 20 years to improve way to assess suicidality and provide treatment for the condition.

The Tompkins County Suicide Prevention Coalition is urging local healthcare and behavioral health providers to adopt a framework of best practices known as the Zero Suicide Model.

This involves better screening tools for identifying people at risk of suicide. When suicidal ideation is a concern, Zero Suicide calls for creating safety plans to deescalate a suicidal crisis and lethal means counseling to ensure that weapons or medications are kept at a safe distance. Suicide-specific treatments include Cognitive Behavioral Therapy for Suicide Prevention (CBT-SP) and Dialectical Behavior Therapy (DBT).

Another major advance is the introduction in 2022 of the 988 Suicide & Crisis Lifeline, which provides free and confidential emotional support to people in suicidal crisis or emotional distress 24/7. You can also call 988 if you are concerned about a loved one, friend, or colleague. Veterans and/or their loved ones and friends can call 988 and then press 1 to reach the Veterans Crisis Line

Locally, 988 calls go to the Suicide Prevention & Crisis Service of Tompkins County (SPCS), one of 200 call centers across the country.

When people call or text 988, or connect to chat online, they connect to trained counselors that are part of the Lifeline network. They listen, understand how the caller’s problems are affecting them, provide support, and connect them to resources if necessary.

SPCS maintains a “warm line” for people who are not in crisis yet may be feeling lonely and need someone to talk to without judgement. The Ithaca Warm Line number is (607) 210 8328.

SPCS also operates Ithaca LGBTQ+ Peer Support, designed to be a safe space to engage in casual conversations, share experiences, or get support for crisis situations or thoughts of suicide. The Ithaca LGBTQ+ Peer Support number is (607) 276 1771.

The Lifeline is funded by the Substance Abuse and Mental Health Services Administration (SAMHSA) and administered by Vibrant Emotional Health. SAMSHA provides a Partner Toolkit to help promote the 988 number and other suicide prevention services.

According to the 988 administrator, numerous studies have shown that callers feel less suicidal, less depressed, less overwhelmed, and more hopeful after speaking with a Lifeline counselor. 

Take a moment to review the warning signs for suicide, as provided by the American Foundation for Suicide Prevention (AFSP). Be sure to get help for yourself or others if you see the signs. You may save a life.

According to AFSP, something to look out for when concerned that a person may be suicidal is a change in behavior or the presence of entirely new behaviors. This is of sharpest concern if the new or changed behavior is related to a painful event, loss, or change. Most people who take their lives exhibit one or more warning signs, either through what they say or what they do.

Warning sign: Talk

If a person talks about:

Killing themselves

Feeling hopeless

Having no reason to live

Being a burden to others

Feeling trapped

Unbearable pain

Warning sign: Behavior

Behaviors that may signal risk, especially if related to a painful event, loss or change:

Increased use of alcohol or drugs

Looking for a way to end their lives, such as searching online for methods

Withdrawing from activities

Isolating from family and friends

Sleeping too much or too little

Visiting or calling people to say goodbye

Giving away prized possessions

Aggression

Fatigue

Warning sign: Mood

People who are considering suicide often display one or more of the following moods:

Depression

Anxiety

Loss of interest

Irritability

Humiliation/Shame

Agitation/Anger

Relief/Sudden Improvement

For local, state, and national resources, visit The Sophie Fund’s suicide prevention page.

NOT Terminated: Tompkins Crisis Support for LGBTQ+

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The Trump administration on June 17 literally cut off a valuable lifeline for LGBTQ+ youth: specialized support at the national 988 Suicide & Crisis Lifeline. However, LGBTQ+ youth and other LGBTQ+ help seekers in Tompkins County can continue to be served through various options and workarounds.

Since the federally funded 988 hotline was launched in 2022, LGBTQ+ youth callers could “Press 3” to be routed to a counselor who specializes in LGBTQ+ support at The Trevor Project. The option was based on research and data showing that gay and transgender people experience distinct mental health challenges and disproportionately high suicide rates.

Nonetheless, other options for confidential support, answers, and information remain for those seeking LGBTQ+ specialized support, according to Tiffany Bloss, executive director of the Suicide Prevention & Crisis Service of Tompkins County (SPCS), which staffs the 988 call center for Tompkins and 16 surrounding counties.

SPCS notes that support is still available directly at The Trevor Project, an advocacy organization that provides a hotline for LGBTQ+ youth up to age 25. To reach The Trevor Project LGBTQ+ help seekers dial (866) 488-7386 or text START to 678-678 to be connected with a specialized counselor.

Callers can also phone other specialized services directly, such as the Trans Lifeline at (877) 565-8860 and the SAGE National LGBT Elder Hotline at (877) 360-5428.

Moreover, Bloss explained, SPCS operates a separate 24/7 LGBTQ+ Peer Support Line at (607) 276-1771. SPCS describes the Peer Support Line as “a safe space for members of the LGBTQ+ community—any age and any identity, or those who are worried about a loved one—to reach out and speak directly with a trained, culturally competent peer of the community who understands the journey they are experiencing.”

“We are here for you. We want you to know there is still support available during these tumultuous times,” Bloss said.

According to the U.S. Substance Abuse and Mental Health Services Administration, the government ordered the termination of 988’s LGBTQ+ function to “focus on serving all help seekers.”

The New York Times reported that the move appeared in line with the Trump administration’s broader efforts to eliminate services for and legal recognition of transgender people.

Trump’s White House Office of Management and Budget has previously described the LGBTQ+ function as “a chat service where children are encouraged to embrace radical gender ideology by ‘counselors’ without consent or knowledge of their parents,” the newspaper reported.

The New York Times noted that the Trump administration’s efforts have also included cutting funding for research on LGBTQ+ health, and executive orders seeking to eliminate diversity, equity and inclusion efforts, which affect LGBTQ+ people as well as people of color and others.

But Bloss said that her organization is undeterred.

“What is happening to the LGBTQ+ community right now is devastating and our hearts go out to everyone affected—members of the community, their families and other allies, the staff who support this specific service, and the ripple goes on,” she said.

“We will not stop advocating for the rights of the LGBTQ+ community. We hear you. We see you. You matter. The world is an incredibly scary place right now. Reach out and talk with us. You are not alone in this.”

The Trevor Project: Dial (866) 488-7386 or Text START to 678-678.

LGBTQ+ Peer Support Line: Dial (607) 276-1771.

Trans Lifeline: Dial (877) 565-8860.

SAGE National Elder Hotline: Dial (877) 360-5428.

If you or someone you know feels the need to speak with a mental health professional, you can call or text the 988 Suicide and Crisis Lifeline at 9-8-8, or contact the Crisis Text Line by texting HOME to 741-741.