High-temperature piezoelectric vibration sensors play a crucial role in the accurate monitoring of the dynamic mechanical conditions in aerospace, automotive, and energy generation systems. However, the use of conventional piezoelectric materials in high-temperature environments is restricted owing to their limited Curie temperatures. In this study, we grew a piezoelectric crystal Bi12SiO20 (BSO) with the crystal cut optimized for high longitudinal piezoelectric coefficient and low piezoelectric crosstalk behaviors. Subsequently, a compression-type piezoelectric vibration sensor utilizing the BSO bulk crystal was developed and fabricated for structural health monitoring under high temperatures. The impact of pre-tightening torques on the sensor performance was investigated. Moreover, the sensor performance was analyzed under temperatures up to 650 °C. The BSO-based sensor exhibited an average sensitivity of ∼3.89 pC/g between 25 and 650 °C under 160 Hz frequency, with a variation of 5.5%. Additionally, the BSO-based sensor demonstrated ultra-stable sensitivity at 600 °C, highlighting its strong sensing capabilities and reliability under high temperatures. Thus, the BSO-based vibration sensor is a promising option for structural health monitoring applications under high temperatures.