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 Lifeline calls and to assess attitudinal and structural barriers to service utilization. Postcall utilization rates were approximately 50% for suicidal and crisis callers who received mental health care referrals. Lack of health insurance and callers' perceptions about mental health problems emerged as significant barriers to accessing continued help.
Madelyn S. Gould, Division of Child and Adolescent Psychiatry (College of Physicians & Surgeons) and Department of Epidemiology (School of Public Health), Columbia University, and New York State Psychiatric Institute, New York, NY, USA; Jimmie L. H. Munfakh, MarjorieKleinman, and Alison M. Lake, Division of Child and Adolescent Psychiatry, New York State Psychiatric Institute, New York, NY, USA.
Madelyn S
MS
Gould
Madelyn S. Gould, Division of Child and Adolescent Psychiatry (College of Physicians & Surgeons) and Department of Epidemiology (School of Public Health), Columbia University, and New York State Psychiatric Institute, New York, NY, USA; Jimmie L. H. Munfakh, MarjorieKleinman, and Alison M. Lake, Division of Child and Adolescent Psychiatry, New York State Psychiatric Institute, New York, NY, USA.
Jimmie L H
JLH
Munfakh
Madelyn S. Gould, Division of Child and Adolescent Psychiatry (College of Physicians & Surgeons) and Department of Epidemiology (School of Public Health), Columbia University, and New York State Psychiatric Institute, New York, NY, USA; Jimmie L. H. Munfakh, MarjorieKleinman, and Alison M. Lake, Division of Child and Adolescent Psychiatry, New York State Psychiatric Institute, New York, NY, USA.
Marjorie
M
Kleinman
Madelyn S. Gould, Division of Child and Adolescent Psychiatry (College of Physicians & Surgeons) and Department of Epidemiology (School of Public Health), Columbia University, and New York State Psychiatric Institute, New York, NY, USA; Jimmie L. H. Munfakh, MarjorieKleinman, and Alison M. Lake, Division of Child and Adolescent Psychiatry, New York State Psychiatric Institute, New York, NY, USA.
Alison M
AM
Lake
D003419:Crisis Intervention; D005260:Female; D015277:Hotlines; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data*; D011569:Psychiatric Status Rating Scales; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D012044:Regression Analysis; D059020:Suicidal Ideation; D014481:United States; D000092864:Suicide Prevention