Mental Health Support

Mental Health Matters

No one is alone

It is normal to feel stressed, anxious, and even depressed at times. However, if you or anyone you know are having thoughts of suicide, feeling hopeless, or struggling to cope, help is available.

National Suicide Prevention Lifeline

The 988 Lifeline provides 24/7, free, and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals in the United States. Call or text 9-8-8.

Lines for Life is Oregon’s home for the 988 Suicide & Crisis Lifeline. They provide help and hope to individuals and communities through mental health and substance abuse prevention programs and crisis support services. Many of the helplines are available 24/7 to get you the right support, right now.

24 hours a day / 7 days a week
1-800-273-TALK (8255)
En español: 1-888-628-9454
TTY: 1-800-799-4TTY (4889)


Teens are available to help daily from 4-10pm PST (adults are available by phone at all other times!).

YouthLine is a free teen-to-teen crisis support and help line. YouthLine is confidential to a point- while we will never share conversations had on the lines, we are mandatory reporters. If a young person is unable to agree to safety for themselves or another person or if someone has experienced abuse or assault, YouthLine may contact other agencies to ensure the best support and safety for the young person in crisis.

Call 1-877-968-8491
or text "teen2teen" to 839863

Local Resources

Columbia Community Mental Health Crisis Intervention

NAMI Oregon→ has support groups for adults living with mental illness. Family members and friends with a loved one living with mental illness. Parents/caregivers raising children and teenagers with mental health or behavior issues.

Tips for reducing anxiety

  • Take care of your body. Take deep breaths, stretch or meditate. Try to eat healthy, well-balanced meals, exercise regularly, get plenty of sleep, and avoid alcohol and drugs.
  • Make time to unwind and remind yourself that strong feelings will fade. Take breaks from watching, reading or listening to news stories. It can be upsetting to hear about the crisis and see images repeatedly. Try to do some other activities you enjoy.
  • Connect with others using technology. Share your concerns and how you are feeling with a friend or family member. Maintain healthy relationships.
  • Maintain a sense of hope and positive thinking as much as possible.

Grief support

Grief is a natural response to loss. Some community members may be grieving the loss of a co-worker, friend or loved one. 

Here are a few ways to help you cope with grief:

  • Acknowledge your pain.
  • Understand that grief can bring many different and unexpected emotions.
  • Seek out virtual support.
  • Limit isolation.
  • Take care of your health with good nutrition, physical activity and getting enough sleep.

Report abuse and neglect

Vulnerable people in our community with mental health disorders, substance use disorders and/or developmental disabilities are at risk for abuse and neglect.  Please remain vigilant and report any suspected cases of abuse. The State of Oregon provides abuse investigation and intervention.   

Resources for victims and survivors of domestic violence

Oregon Domestic Violence Victim Services→

Safe of Columbia County→

24/7 Crisis Help Line:

  • 503-397-6161
  • 866-397-6161

Public Health Quick Links
General Information
Phone Numbers
503-397-7247 24-hour Reporting 503-397-7247
Fax: 888-204-8568
Emergencies: Dial 911
230 Strand St.
Columbia County Courthouse Annex
St. Helens,

Monday - Friday
8:30 a.m. to 4:30


Columbia County Public Health is committed to improving the quality of life and protecting the health and well-being of all residents by addressing social, economic, and environmental conditions. Our goal is to ensure that all people in Columbia County have the opportunity for a healthy life.