Crisis Support Resources

Mary Bridge Children's Hospital does not provide gender-affirming surgeries.

Our gender health clinic provides a multidisciplinary three-step process that includes education, counseling and affirming medical support.

Mary Bridge Children's respects all parties with medical decision-making authority and does not provide treatment without their consent.

LGBTQ+ Crisis and Intervention Resources

These are nationally recognized organizations for serving transgender and gender-diverse teens and young adults. Crisis lines are available for people who need immediate help and identify as transgender or gender diverse. Friends and family who may be worried about a loved one can also use these resources. If you need additional mental health services, our social worker can provide a list of gender-affirming mental health providers. 


Trans Lifeline (all ages)

1-877-565-8860, 24/7, call only


The Trevor Project (13-25)

TrevorLifeline: 1-866-488-7386, 24/7, call only

TrevorChat: go to website and click on TrevorChat to begin

TrevorText: Text “START” to 678-678, 24/7, standard text message rates apply


LGBT National Help Center

*Both phone lines are available M-F 1p-9p (PST) and Saturday 9a-2p (PST)

LGBT National Hotline, all ages, 1-888-843-4564

LGBT National Youth Talkline, up to age 25, 1-800-246-7743

Online Peer Support, go to website and click on icon to begin

Other Crisis Resources, not specific to LGBTQ+

National Texting Crisis Line (All ages)

Text “HELLO” to 741741

Pierce County Crisis Line (All ages)

1-800-576-7764 (24/7)

The Crisis Clinic of Thurston and Mason County Youth Hotline (13-24)

1-360-586-2777 (24/7)


Kitsap, Clallam, and Jefferson County Crisis Line (All ages)

Hotline: 1-888-910-0416 (24/7)

Chat: Go to and click “chat now”


Snohomish, Skagit, San Juan Islands, and Whatcom County Crisis Line (all ages)

Hotline: 1-800-584-3578 (24/7)

Chat: Go to and click “chat now”