National Suicide Prevention Lifeline crisis chat interventions: Evaluation of chatters' perceptions of effectiveness.


Journal

Suicide & life-threatening behavior
ISSN: 1943-278X
Titre abrégé: Suicide Life Threat Behav
Pays: England
ID NLM: 7608054

Informations de publication

Date de publication:
12 2021
Historique:
revised: 05 05 2021
received: 02 04 2021
accepted: 10 06 2021
pubmed: 1 8 2021
medline: 24 3 2022
entrez: 31 7 2021
Statut: ppublish

Résumé

As part of the National Suicide Prevention Lifeline's crisis response system, the Lifeline Crisis Chat Network (LCC) answers chats from hundreds of thousands of at-risk individuals yearly. The study's objective was to assess the effectiveness of these online crisis interventions. Data from 39,911 pre-chat surveys and 13,130 linked pre- and post-chat surveys completed by LCC chatters from October 2017-June 2018 were analyzed. The relationship of several effectiveness measures with chatter demographics, pre-chat distress, suicidal ideation, and chatters' perceptions of engagement with their counselors was examined using a series of logistic regression analyses. Chatters were significantly and substantially less distressed at the end of the chat intervention than at the beginning. By the end of the chat, two-thirds of suicidal chatters reported that the chat had been helpful, while just under half reported being less suicidal. Our study offers empirical evidence for the Lifeline's online crisis chat services' effectiveness, but also highlights areas for improvement. This is of critical import in light of the recent designation of 988 as the nationwide number for the Lifeline beginning in 2022, which will increase the Lifeline's prominence in providing suicide prevention and mental health crisis interventions in the United States.

Identifiants

pubmed: 34331471
doi: 10.1111/sltb.12795
pmc: PMC9292033
doi:

Types de publication

Journal Article Research Support, U.S. Gov't, P.H.S.

Langues

eng

Sous-ensembles de citation

IM

Pagination

1126-1137

Informations de copyright

© 2021 The Authors. Suicide and Life-Threatening Behavior published by Wiley Periodicals LLC on behalf of American Association of Suicidology.

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Auteurs

Madelyn S Gould (MS)

Division of Child and Adolescent Psychiatry, College of Physicians & Surgeons, Columbia University, New York, New York, USA.
Department of Epidemiology, School of Public Health, New York, New York, USA.
New York State Psychiatric Institute, New York, New York, USA.

Saba Chowdhury (S)

Division of Child and Adolescent Psychiatry, New York State Psychiatric Institute, New York, New York, USA.

Alison M Lake (AM)

Division of Child and Adolescent Psychiatry, New York State Psychiatric Institute, New York, New York, USA.

Hanga Galfalvy (H)

Department of Psychiatry, College of Physicians & Surgeons, New York, New York, USA.
Department of Biostatistics, School of Public Health, New York, New York, USA.

Marjorie Kleinman (M)

Division of Child and Adolescent Psychiatry, New York State Psychiatric Institute, New York, New York, USA.

Michelle Kuchuk (M)

National Suicide Prevention Lifeline, New York, New York, USA.

Richard McKeon (R)

Division of Prevention, Traumatic Stress, and Special Programs, Center for Mental Health Services (CMHS), Substance Abuse and Mental Health Services Administration, Rockville, Maryland, USA.

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