An Evaluation of Crisis Hotline Outcomes Part 2: Suicidal Callers

Madelyn Schwartz Gould · John D. Kalafat · Jimmie Lou Harris Munfakh

278 citations0/0 files storedSuicide and Life-Threatening Behavior

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Suicide and Self-Harm Studies Psychiatric care and mental health services Mental Health Treatment and Access

Abstract

In this study we evaluated the effectiveness of telephone crisis services/hotlines, examining proximal outcomes as measured by changes in callers' suicide state from the beginning to the end of their calls to eight centers in the U.S. and again within 3 weeks of their calls. Between March 2003 and July 2004, 1,085 suicide callers were assessed during their calls and 380 (35.0%) participated in the follow-up assessment. Several key findings emerged. Seriously suicidal individuals reached out to telephone crisis services. Significant decreases in suicidality were found during the course of the telephone session, with continuing decreases in hopelessness and psychological pain in the following weeks. A caller's intent to die at the end of the call was the most potent predictor of subsequent suicidality. The need to heighten outreach strategies and improve referrals is highlighted.

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References

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2017Preventing suicide : a technical package of policies, programs, and practice 2013Impact of Applied Suicide Intervention Skills Training on the National Suicide Prevention Lifeline 2011Impact of Business Cycles on US Suicide Rates, 1928–2007 2020The Effectiveness of Crisis Line Services: A Systematic Review 2012National Suicide Prevention Lifeline: Enhancing Mental Health Care for Suicidal Individuals and Other People in Crisis 2007Establishing Standards for the Assessment of Suicide Risk Among Callers to the National Suicide Prevention Lifeline

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