Perceptions of public messaging to facilitate help seeking during crisis among U.S. veterans at risk for suicide

Objective The primary objectives of this study were to (1) examine how veterans at risk for suicide understand and interpret suicide prevention messages, and (2) identify message features that support (or hinder) help seeking behaviors. Method Individual virtual interviews (N = 40) were conducted from August 2018 to April 2019 with a nationwide sample of veterans who […]

Individuals who text crisis text line: Key characteristics and opportunities for suicide prevention

Objective Text-based crisis services are increasingly prominent, with inclusion in the national 988 crisis number launching in 2022. Yet little is known about who uses them. This study seeks to understand the population served by Crisis Text Line (CTL), the largest crisis text service in the United States. Methods Secondary data analysis was conducted on […]

A systematic review of user expectations and outcomes of crisis support services

Background: Crisis support services play an important role in providing free, immediate access to support people in the community experiencing a personal crisis. Recently, services have expanded from telephone to digital modalities including online chat and text message services. This raises the question of what outcomes are being achieved for increasingly diverse service users across […]

Suicide gatekeeping: An important potential role for early childhood home visitors

Parents of young children with disabilities may experience high levels of stress and psychological distress that may put them at higher risk for experiencing suicidality. Thus, early childhood home visitors (e.g., professionals who work for home-based early intervention programs) may serve as important gatekeepers for identifying and referring parents who are experiencing psychological distress, including […]

Texting for help: Processes and impact of text counseling with children and youth with suicide ideation

Objective To explore: (1) how children contacting a child helpline with suicide ideation differ from children discussing other topics, (2) whether text messaging effectively helps, and (3) which counselor behaviors are most effective. Method Of 6,060 text sessions at the Danish national child helpline, 444 concerned suicidality, of which the 102 sessions that included self‐rated, […]

Gender differences in risk factors related to suicidal ideation among callers to telephone helplines in Spain

The main goals of this study were to determine the prevalence rate of suicidal ideation among callers to a Spanish telephone general crisis helpline (Teléfono de la Esperanza) and to identify gender-based characteristics and risk factors related to suicidal ideation. A sample of 10,765 (6,868 men and 3,897 women) callers to this telephone helpline was […]

Suicide risk among women veterans in distress: Perspectives of responders on the Veterans Crisis Line.

Background Women veterans are at increasingly high risk of suicide, but little is known about the concerns and needs of this population. This is, in part, owing to the low base rate of suicide and the inability to conduct retrospective interviews with individuals who died. In this study, we used a qualitative approach to gain […]

Risk factors for suicidal ideation among telephone crisis hotline callers in Japan.

Background: Telephone hotlines are a widely used type of suicide prevention program. Aims: The aim of this study was to clarify the risk factors for suicidal ideation by investigating its association with a number of characteristics among telephone hotline callers. Method: Data were collected over a 10-year period from a total of 246,595 calls to […]

Helping callers to the National Suicide Prevention Lifeline who are at imminent risk of suicide: Evaluation of caller risk profiles and interventions implemented.

Journal copy held in CSP Library.

National suicide prevention lifeline: Enhancing mental health care for suicidal individuals and other people in crisis

Linking at-risk callers to ongoing mental health care is a key goal of crisis hotline interventions that has not often been addressed in evaluations of hotlines’ effectiveness. We conducted telephone interviews with 376 suicidal and 278 nonsuicidal crisis callers to the National Suicide Prevention Lifeline (Lifeline) to assess rates of mental health care utilization following […]

Caller characteristics, call contents, and types of assistance provided by caller sex and age group in a Canadian Inuit crisis line in Nunavut, 1991-2001.

Analysis of calls made to a northern Canadian Inuit crisis line in the territory of Nunavut between 1991 and 2001 revealed that the majority of users were adult females who called to discuss problems primarily related to relationships and loneliness/boredom. Younger callers tended to make prank calls. The volunteer staff used mostly empathetic listening and […]

Influences on call outcomes among veteran callers to the National Veterans Crisis Line.

The association of caller and call characteristics with proximal outcomes of Veterans Crisis Line calls were examined. From October 1Ð7, 2010, 665 veterans with recent suicidal ideation or a history of attempted suicide called the Veterans Crisis Line; 646 had complete data and were included in the analyses.

A Survey of the Characteristics of Suiciding Callers to a Suicide Prevention Center

This report discusses a study in which suicides reported by the King County, Washington coroner in 1978-1979 were compared with callers to the Crisis Clinic, Inc. to determine the number of suicides among those callers within one year of contact with the crisis service. Of a total of 344 King County deaths by suicide, seven […]

Crisis Maintenance


The Clientele of the Telephone Samaritan Organization

The Effects of the use of “No-suicide Contracts” in Community Crisis Situations: the Experience of Clinicians and Consumers

Family Emergency Treatment Center

Published in “Back to the Future: Refocusing the Image of Suicide,” ed. by J L McIntosh

When we Feel like we’re Going Nowhere!

Delineating the Population Served by a Mobile Crisis Team: Organizing Diversity


Crisis Home Providing: a Twenty-Year Prospective

The author describes an alternative to psychiatric hospitalization for clients with serious & persistent mental illness in the Crisis Home Program of the Crisis Intervention Centre, Hennepin County medical Center, Minneapolis, Minnesota.

888 – Suicide Guidelines

This manuscript presents several guidelines for suicide crisis line centers. These guidelines include information relating to confidentiality of clients, ethical considerations when dealing with crises & suicidal people, & situations in which emergency interventions are necessary(contacting emergency medical or law enforcement personnel in order to prevent life-threatening injury). Issues relating to repeat callers, caller identification, […]

Effects of Different Telephone Intervention Styles With Suicidal Callers at two Suicide Prevention Centers: an Empirical Investigation

To determine the relative effectiveness of telephone intervention styles with suicidal callers, researchers listened to 617 calls by suicidal persons at two suicide prevention centers & categorized responses by the 110 volunteer helpers according to a 20-category checklist. Outcome measures showed decreased depressive mood in 14% of calls, decreased suicidal urgency ratings in 27% of […]

Profiles of Youthful Suicide: Disrupted Development and Current Stressors

In a Chicago study, Maris showed that young suicides had more negative interpersonal relations, more suicides & divorce in their families, & often had a sense of hopelessness. Some of these findings are explored in & partially replicated in the study of a Canadian series reported here. (4 refs)