Mental health is a crucial part of our well-being, yet many people in South Africa and around the world struggle in silence due to stigma, lack of information, or simply not knowing where to turn. If you or someone you love is facing anxiety, depression, substance abuse, or thoughts of suicide, it’s important to remember: you are not alone. Help is available, and it is free.

In this article, we’ll share important mental health hotlines in South Africa that offer confidential, 24/7 support. We’ll also include some international resources for those who might need additional help. These hotlines connect you to trained professionals ready to listen, support, and guide you toward recovery.

South African Mental Health Helplines

South African Depression and Anxiety Group (SADAG)
SADAG is one of the most well-known mental health organisations in South Africa, offering vital support for those dealing with depression, anxiety, suicide risk, and other mental health issues.

  • Suicide Crisis Helpline: 0800 567 567
    This toll-free number operates 24 hours a day, 7 days a week. When you call, you will be connected with trained counsellors who provide emotional support, coping strategies, and, if necessary, referrals to local mental health services.

  • SADAG SMS Support: Text 32312
    If you prefer texting over talking, SADAG offers SMS support for people experiencing depression, anxiety, or related challenges. This is a safe, private way to reach out for help discreetly.

Department of Social Development Substance Abuse Helpline

  • Helpline: 0800 12 13 14
    This toll-free number provides assistance for individuals and families affected by substance abuse. Trained counsellors offer advice, support, and referrals to treatment programmes.

How Do These Hotlines Help?

The people on the other end of these hotlines are specially trained to listen without judgment. They provide emotional support, help you work through difficult feelings, and offer practical advice for managing crises. If they feel that you or someone else is in immediate danger, they may contact emergency services to provide life-saving help.

Most of these services operate 24/7, so you can call or text at any time, day or night. Confidentiality is strictly maintained to protect your privacy, making these services a safe space to talk openly.

International Hotlines You Might Find Useful

Sometimes, you might want to reach out to international resources for additional support or if you live outside South Africa. Here are some trusted helplines:

  • National Suicide Prevention Lifeline (USA): Call 988
    This is a free, confidential 24/7 helpline for anyone in crisis or emotional distress.

  • Crisis Text Line: Text HOME to 741741
    Connect with a crisis counsellor anytime through text messaging.

  • SAMHSA National Helpline: 1-800-662-HELP (4357)
    Offers treatment referrals for mental health and substance use disorders.

  • The Trevor Project (LGBTQ Youth): 1-866-488-7386
    Provides crisis intervention and suicide prevention support specifically for LGBTQ youth.

  • Veterans Crisis Line: 1-800-273-8255 or dial 988 then press 1
    Dedicated to veterans and their families in crisis.

Why Is Calling a Hotline Important?

Mental health crises can feel overwhelming. Sometimes it’s difficult to reach out to friends or family, or you may feel like no one understands. Helplines provide a lifeline—an immediate connection to someone who cares and wants to help.

These hotlines can help you:

  • Talk about your feelings in a safe space

  • Receive guidance on how to cope with stress, anxiety, or depression

  • Get practical advice on dealing with substance abuse

  • Access information about local mental health services

  • Prevent suicide by offering crisis intervention and safety planning

What To Do If You Are In Immediate Danger

If you or someone else is at risk of harming themselves or others, call your local emergency number immediately. In South Africa, this is typically 10111 for police or emergency medical services.

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Mental health challenges affect millions worldwide, but with support, recovery is possible. These hotlines are here to listen, help, and guide you through tough times—at no cost and with complete confidentiality.

If you or someone you know is struggling, don’t hesitate to call or text any of the numbers listed above. Taking that first step to ask for help can change lives.

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