Suicide Prevention and Community Counseling

If you or someone you know needs help, call 415-499-1100, Marin County’s only 24/7 Suicide Prevention and Crisis Hotline.

For 24/7 telephone Grief Counseling, call 415-499-1195.

Suicidal crises tend to be brief. Most people do not want to die – they just want to end the pain they are experiencing. When suicidal behavior is detected early, a life can be saved.

Our caring telephone counselors provide immediate and confidential support through the Suicide Prevention and Grief Counseling phone lines at all times day and night. A group for Survivors of Suicide facilitated by trained counselors is offered twice a year. Volunteer grief counselors are also available to Marin Countysui-1 residents for in-person grief counseling. Fees are based on a sliding scale.

There is hope…we can help.

Warning Signs of Suicide:

o    Talking about wanting to die or to kill oneself.

o    Looking for a way to kill oneself, such as searching online or buying a gun.

o    Talking about feeling hopeless or having no reason to live.

o    Talking about feeling trapped or in unbearable pain.

o    Talking about being a burden to others.

o    Increasing the use of alcohol or drugs.

o    Acting anxious or agitated; behaving recklessly.

o    Sleeping too little or too much.

o    Withdrawing or feeling isolated.

o    Showing rage or talking about seeking revenge.

o    Displaying extreme mood swings. 

North Bay Suicide Prevention Project

Family Service Agency of Marin has provided the 24/7 Suicide Prevention Hotline for Marin County since 1971. In 2012 we expanded to serve the four additional North Bay counties of Sonoma, Napa, Lake and Mendocino through a collaboration with county behavioral health services and funding from the California Mental Health Services Authority.

The toll-free North Bay Regional 24/7 Suicide Prevention Hotline number is

For more information about the North Bay Suicide Prevention Project please contact:
Melissa Ladrech, LMFT, at 415-499-1193, extension 3004.

Volunteers Needed

Volunteers are vital to our 24/7 service. To volunteer on our Hotline, individuals must successfully complete our Hotline Training Class. The class is supervised by the Program Director, a licensed MFT, and includes information on the following topics: identifying individuals in suicidal or other types of crisis; communication; counseling; active listening skills; and suicide/crisis intervention techniques and other subjects.

The 40-hour training classes are held in San Rafael for 6 weeks on Tuesdays nights from 7-10pm with one all day Saturday class. For those becoming volunteers there are 4 additional Tuesday nights 7-9pm. Classes are held in February, May, and September of each year.

Our next class starts May 13, 2015. Please email us at for more information.

Training Opportunities

Community education and training workshops led by professional staff can be arranged throughout the North Bay. Among the Evidence Based Suicide Prevention Trainings offered:

QPR Question, Persuade, and Refer — 3 simple steps that help save a life from suicide:

  • 60-120 minutes, no cost, appropriate for anyone over 13 years old
  • recognize the warning signs of suicide
  • know how to offer hope
  • know how to get help and save a life

safeTALK – LivingWorks (3 hours; 3 CEU’s for LMFT and LCSW)

  • Appropriate for anyone over 15 years old. Cost is $8 p.p.
  • Move beyond common tendencies to miss, dismiss or avoid suicide;
  • Identify people who have thoughts of suicide;
  • Apply the TALK steps (Tell, Ask, Listen and KeepSafe) to connect a person with suicide thoughts to suicide first aid, intervention caregivers

ASIST: Applied Suicide Intervention Skills Training – LivingWorks

  • Two-day, highly interactive, practical, practice-oriented workshop. Cost is $40 p.p.
  • The ASIST workshop is for anyone over 15 years old who wants to feel more comfortable, confident and competent in helping to prevent the immediate risk of suicide.
  • Enjoy small group discussions and skills practice that are based upon adult learning principles. Experience powerful videos on suicide intervention.

AMSR: Assessing and Managing Suicide Risk Objectives – Suicide Prevention Resource Center (6.5 CEU’sfor LMFT and LCSW

  • Appropriate for Clinicians working directly with clients, supervisors and administrators. Cost is $85 p.p.
  • Gain knowledge in the following core competencies: maintaining an effective attitude and approach; collecting accurate assessment information; formulating risk; developing a treatment and services plan; and managing care.
  • Experience increased willingness, confidence and/or clarity in working with individuals at risk for suicide.
  • Build fundamental skills in assessing suicide risk.
  • Identify changes to make in their practice, specific to the assessment and management of individuals at risk for suicide.

Please contact Melissa Ladrech, LMFT for more information.

North Bay Suicide Prevention Project Coordinator,