Use of telephone crisis hotline by callers with suicidality in Japan during the COVID-19 pandemic

Objective: The purpose of this study was to clarify changes over time in suicidal tendencies among crisis hotline service users in Japan before and during the COVID-19 pandemic. Method: We analyzed telephone consultation data from January 2017 to June 2021 held by Inochi No Denwa, a leading organization providing a telephone crisis hotline in Japan. The number […]

Systematic review of research into frequent callers to crisis helplines

We conducted a systematic review of research into callers making multiple calls to crisis helplines. Two databases were searched, identifying 561 articles from 1960 until 2012, of which 63 were relevant. Twenty-one articles from 19 separate studies presented empirical data about callers making multiple calls to crisis helplines. Of the 19 studies, three were intervention […]

How do frequent users of crisis helplines differ from other users regarding their reasons for calling? Results from a survey with callers to Lifeline, Australia’s national crisis helpline service

Crisis helplines are designed to provide short-term support to people in an immediate crisis. However, there is a group of users who call crisis helplines frequently over an extended period of time. The reasons for their ongoing use remain unclear. The aim of this study was to investigate the differences in the reasons for calling […]

Frequent callers to crisis helplines: Who are they and why do they call?

Objective: Frequent callers present a challenge for crisis helplines, which strive to achieve optimal outcomes for all callers within finite resources. This study aimed to describe frequent callers to Lifeline (the largest crisis helpline in Australia) and compare them with non-frequent callers, with a view to furthering knowledge about models of service delivery that might meet […]

“I called when I was at my lowest”: Australian men’s experiences of crisis helplines

Background: Helplines are an accessible form of support for people struggling with difficulties in their lives and are key services in suicide prevention and intervention. Men’s experiences of telephone helplines are not well understood, despite high male suicide rates. Methods: We conducted an online cross-sectional survey with N = 684 Australian men (aged 17-83 years, M = 50.13) using […]

Implications of the 988 suicide and crisis lifeline among college students experiencing substance use crises

Substance use remains a significant concern across college campuses and is associated with adverse mental health outcomes. Low levels of student help‐seeking call for innovative forms of support that increase access to care. The new 988 Suicide and Crisis Lifeline has the potential to address this concern through free, 24/7 crisis support. Regression analyses concluded […]

Evaluation of the effectiveness of Suicide.ca, Quebec’s digital suicide prevention strategy platform: Cross-sectional descriptive study

Background: In 2017, the Quebec government assigned the Association québécoise de prévention du suicide (AQPS) to develop a digital suicide prevention strategy (DSPS). The AQPS responded by creating a centralized website that provides information on suicide and mental  health, identifies at-risk individuals on the internet, and offers direct crisis intervention support via chat and text. […]

Predicting suicide risk in real-time crisis hotline chats integrating machine learning with psychological factors: Exploring the black box

Background This study addresses the suicide risk predicting challenge by exploring the predictive ability of machine learning (ML) models integrated with theory-driven psychological risk factors in real-time crisis hotline chats. More importantly, we aimed to understand the specific theory-driven factors contributing to the ML prediction of suicide risk. Method The dataset consisted of 17,654 crisis […]

What is a crisis? Perspectives of crisis support help-seekers

Background: Understanding what types of crises help-seekers view as relevant for contacting crisis support services is needed to inform crisis service provision and training. Aims: This study aimed to explore help-seeker perceptions of what comprises a crisis, describing the main themes and examining how these relate to reasons for contact reported in previous research. This study further aimed […]

Online chat-support for bullying prevention and follow-up: An analysis of the characteristics of chat-users and their experiences

The purpose of this study was to examine data registered at an online bullying support chat-service over a three-year period to determine the characteristics of users and their experiences. The service was contacted 12,687 times during this period, leading to 7,641 chat-dialogues with counsellors, 57% of which (n = 4,388) were directly related to bullying. Findings indicate […]

Use, potential use, and awareness of the 988 Suicide and Crisis Lifeline by level of psychological distress

The 988 Suicide and Crisis Lifeline was launched nationally on July 16, 2022. Increases in call volume following the launch of 988 hotline1 and public awareness2 and policy maker communication3 about the 988 Lifeline have  been documented. However, little is known about how use or awareness of the 988 Lifeline varies across populations with different […]

988 suicide & crisis lifeline: Messaging and communications to people at higher risk for or disproportionately impacted by suicide

In July 2022, the U.S. transitioned the 10-digit National Suicide Prevention Lifeline to 988, an easy-to-remember three-digit number for 24/7 crisis care. Since its launch (using data from July 2022 to July 2023), reports show 988 “has received almost 5 million contacts, of which nearly 1 million are from the Veterans Crisis Line—a part of […]

“I can’t see an end in sight.”: How the COVID-19 pandemic may influence suicide risk

Background: The COVID-19 pandemic and its consequences may affect population mental health and suicide risk. Aims: To explore the experiences among suicidal individuals who made calls to a suicide prevention hotline and to identify factors and psychological responses that may influence suicide risk. Method: We identified 60 eligible recorded calls to Taiwan’s suicide prevention hotline (January 23, 2020-May 31, 2020) […]

Perceived impact of COVID-19 among callers to the National Suicide Prevention Lifeline

Background: Research indicates that the COVID-19 pandemic caused increases in psychological distress and suicidal ideation. Aims: To describe the ways suicidal callers to the National Suicide Prevention Lifeline (Lifeline) perceived COVID-19 to have impacted them and assess whether these callers perceived COVID-19-related stress as contributing to their suicidal thoughts. Method: Telephone interviews were conducted with 412 suicidal callers to 12 […]

Level of suicidal ideation among callers to the Danish suicide prevention helpline

Objective: The aim of this study was to: (1) determine the proportion of callers to a national helpline for suicide prevention who were evaluated to be at risk of suicide; (2) identify characteristics associated with being at risk; (3) determine the level of suicidal ideation among callers, as measured by a clinical scale, and compared to […]

Effects if a comprehensive police suicide prevention program

Background: Police suicides are an important problem, and many police forces have high rates. Montreal police suicide rates were slightly higher than other Quebec police rates in the 11 years before the program began (30.5/100,000 per year vs. 26.0/100,000). Aims: To evaluate Together for Life, a suicide prevention program for the Montreal police. Methods: All 4,178 members of the Montreal […]

The judgment of future suicide-related behavior: Helpline counselors’ accuracy and agreement

Background: Judging whether a youth is at risk for suicide-related behavior (SRB) is considered an extremely challenging task. There are only few studies of helpline counselors, and little is known about their ability to accurately determine the level of risk for SRB. Aims: To examine whether helpline counselors can agree on judgments of risk for SRB, and […]

Breaking down barriers to a suicide prevention helpline: Protocol for a web-based randomized controlled trial

Background: Globally, suicide is among the leading causes of death, with men being more at risk to die from suicide than women. Research suggests that people with suicidal ideation often struggle to find adequate help. Every month, around 4000 people fill in the anonymous self-test for suicidal thoughts on the website of the Dutch suicide […]

Systematic review of research and interventions with frequent callers to suicide prevention helplines and crisis centers

Background: Helplines worldwide have frequent callers who may occupy a large proportion of call volume. Therapeutic gain from frequent calling has been questioned. We conducted this review to identify the characteristics of frequent callers and to compile recommendations about how best to help them. Method: Using preferred reporting items for systematic reviews and meta-analyses (PRISMA) standards, we searched […]

Crisis lines: Current status and recommendations for research and policy

Objective: The 988 telephone number was established by the National Suicide Hotline Designation Act of 2020 and implemented in July 2022 as a more accessible way to reach the National Suicide Prevention Lifeline. Current financial and training resources, however, are insufficient to ensure effective implementation. Methods: To better understand the state of the literature on […]

National guidelines for child and youth behavioral health crisis care

The National Suicide Prevention Lifeline transitioned to the 988 Suicide and Crisis Lifeline in July 2022. This free, confidential system provides 24/7/365 behavioral health crisis response through text, chat, and voice calls.  Congress increased its appropriation for the crisis center service to address rising rates of behavioral health crises across America. This transition represents an […]

Adolescents’ engagement with crisis hotline risk-management services: A report from the Emergency Department Screen for Teen Suicide Risk (ED-STARS) study

Objective This study examines the feasibility of a risk-management protocol for adolescent research participants at risk for suicide that relies on engagement with telephone crisis counselors. The study also examines whether engagement is moderated by adolescent demographics and clinical characteristics. Method Participants were 234 adolescents (83% female; 63% White) ages 12–18 (M = 15.3 years) drawn from the […]

Safety planning on crisis lines: Feasibility, acceptability, and perceived helpfulness of a brief intervention to mitigate future suicide risk

Background The role of crisis hotlines traditionally was limited to de-escalation and service linkage. However, hotlines are increasingly recruited to provide outreach and follow-up to suicidal individuals. Hotlines have the opportunity to not just defuse current crises but also provide brief interventions to mitigate future risk. The Safety Planning Intervention (SPI) is a brief intervention […]