St. Paul - Mental Health Hotlines
If you or someone you love is struggling, you don’t have to sort out the system before you can ask for help. Call the Mental Health Hotline at 866-903-3787 to talk through what’s going on and get pointed toward mental health support in St. Paul, any hour of the day or night.
If this is an emergency
If you or someone else is in immediate danger, call 911.
If you are in emotional distress or thinking about suicide, call or text 988 to reach the 988 Suicide & Crisis Lifeline, available 24/7.
In Ramsey County, adults can call 651-266-7900 at any hour, and 651-266-7878 is the number for a child or teenager.
The Mental Health Hotline is an information and referral service. It is not a substitute for emergency services.
Reaching out is hard, and whatever brought you here is reason enough. It might be a loss you haven’t had anywhere to put, a marriage that ended, or depression that has been building so slowly you can’t say when it started. You don’t need a diagnosis or a referral to start.
Ramsey County keeps two numbers rather than one, and which you use depends on who needs help. For anyone 18 or over it is 651-266-7900. For a child or teenager it is 651-266-7878. Both are answered around the clock, and the team can come to you for assessment, de-escalation and help making a plan for what happens next.
There is also somewhere to walk into. The Mental Health Urgent Care Clinic at 402 University Ave. E. sees people without an appointment, from 8 in the morning until 9 at night on weekdays and from 11 to 3 at weekends. It is not a 24-hour door, so if it is the middle of the night the phone number is the better route, but during those hours it is a much calmer place to be seen than an emergency room.
You don’t need to know which of these is right before you reach out. Whether you’re calling for yourself or for someone you love, the Mental Health Hotline can help you talk it through and find a place to start, at 866-903-3787. More Minnesota mental health resources are gathered on the state page.
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Where to Get Help in St. Paul
Some of these are for the worst night of your life. Others are for an ordinary Tuesday when you can’t face the week, and that counts too. If you’re not sure what happens when you dial, here’s what 988 does and who answers it.
Mental Health in St. Paul, by the Numbers
Three numbers for St. Paul, from the most recent round of CDC city-level modeling. If part of you has been wondering whether it’s just you, it isn’t.
Figures come from the CDC PLACES 2025 release, which models city-level estimates from 2023 BRFSS survey responses for adults 18 and over. St. Paul ranks 11th of the 100 cities in this series for social isolation and 18th for diagnosed depression, where 1 is the highest rate. Its isolation figure runs well above the Minnesota rate of 29.9 percent. Model-based estimates describe a population, not any one person in it.
Asking for help takes more than it should when you’re already worn down, and you shouldn’t have to do the sorting on your own. The Mental Health Hotline can talk through what’s going on and help you find the right next step in St. Paul, whatever time it is. Call 866-903-3787 when you’re ready.