South Dakota Mental Health Hotline
Free, confidential support for South Dakota residents — available 24/7.
⚠ Safety Notice
If you or someone you love is in immediate danger, call 911.
If you’re having thoughts of suicide or are in emotional crisis, call or text 988 to reach the Suicide & Crisis Lifeline.
The Mental Health Hotline offers support and resources. It is not a substitute for emergency services.
Looking for mental health resources in South Dakota is a real step, and you’re not alone in taking it. More than one in five American adults lives with a mental illness, according to the National Institute of Mental Health.
In South Dakota, roughly 166,000 adults live with a mental health condition — more than eleven times the population of the state capital, Pierre. Cost and distance both get in the way: more than 650,000 South Dakotans live in a community without enough mental health professionals.
Whatever you’re facing, whether it’s anxiety, depression or something you can’t name yet, there is help nearby. The resources below are free to contact and open to South Dakota residents.
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Options for South Dakota Hotlines
The following resources provide support, information and connections to care across South Dakota. The Mental Health Hotline is one of several places to turn — explore what fits your needs.
Local Resources by City
For city-specific mental health resources in South Dakota, explore the pages below:
South Dakota Mental Health Statistics to Know
If you’re feeling isolated or worried you’ll be judged for seeking help, these South Dakota figures show you are not alone:
Additional findings: One in five South Dakota youth aged 0–17 has experienced two or more adverse childhood experiences, and 8,907 calls were made to South Dakota’s 988 call centers in 2023. Figures compiled by the National Alliance on Mental Illness, March 2025.
Help Is Here
Your mental well-being matters as much as your physical health. Living with an undiagnosed and untreated mental health condition takes a heavy toll on your enjoyment of life and on your relationships with friends and loved ones.
Your situation and challenges are your own, and you may not know how to ask for help. The Mental Health Hotline is a good place to start.
Call when you’re ready.