The Indigenous-led national crisis hotline 13YARN says it's been inundated with tens of thousands of calls for help from First Nations people.
Since it was established in 2022, 13YARN has fielded 50,000 calls for help from Aboriginal and Torres Strait Islander people across the country.
National Program manager Aunty Marjorie Anderson told ABC News Breakfast it was an "incredible milestone".
"We were able to get the trust of the community really quickly with 13YARN … it's all about saving Aboriginal lives.
"It's also a sad milestone, that that many Aboriginal people need us."
The service said Indigenous people often need support with sorry business and grief and on particular days of significance, including on January 26.
Calls were up by 40 per cent during the Voice Referendum debate and "phone lines just went berserk" on the night Australia rejected the proposal, Ms Anderson said.
"The Voice debate was so nasty, and it almost gave permission for people to be openly racist … we found that Aboriginal people were being triggered by racism in the community."
The service has seen a steady rise in callers reporting being affected by racism and abuse since the hotline was opened.
In March, one in four calls was related to people feeling distressed by racism and abuse.
"The racism after the Voice is what's concerned me."
News reporting of Closing the Gap policies and limited progress on health and education targets also sparked increased calls relating to racism, 13YARN said.
Ms Anderson said that during the Voice debate, Aboriginal people said they didn't want to talk to friends or family because they didn't want to burden other community members.
Lifeline's 13 11 14 crisis helpline refers around 60 per cent of people needing help to other support programs and services.
But Ms Anderson said there was not enough culturally safe services to refer people on to, especially in remote and regional communities.
"If we are to truly Close the Gap, more homegrown culturally safe services in regional and remote locations, designed and run by local Aboriginal people, are critically needed."
"There is always hope at the end of a yarn. Our teams listen without judgement."
