ArticleSuicide & life-threatening behavior2021
National Suicide Prevention Lifeline crisis chat interventions: Evaluation of chatters' perceptions of effectiveness.
Article in Suicide & life-threatening behavior, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.
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Who cites it
35 citing papers in PubMed, 75 citations in OpenAlex.
- Experiences and Perceptions of Crisis Text Services: Interview Study Among Young Adults With Suicidal Ideation.JMIR mental health · 2026Article
- Working Without Faces: Job Demands, Resources, and Burnout in Anonymous Helpline Workers in Slovakia and the Czech Republic-A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
- Prevalence of Cognitive Distortion Markers in a Suicide Prevention Chat Service: Mixed Methods Study.JMIR mental health · 2026Article
- Impact of legislation of suicide prevention act on suicide rates in the Republic of Korea: an interrupted time-series analysis.BMC public health · 2026Article
- It Is the Journey, Not the Destination: Moving From End Points to Trajectories When Assessing Chatbot Mental Health Safety.JMIR mental health · 2026Article
- Article
- Co-creating a program theory and evaluability assessment for an Irish single-session, synchronous chat-based youth mental health intervention: implications for outcome evaluation.Frontiers in digital health · 2026Article
- First Evaluation of a Novel Live-Chat Service for Preventing Child Sexual Abuse.Sexual offending (Trier, Germany) · 2026Article
- Low-threshold secondary and tertiary suicide prevention measures for individuals with suicid-related thoughts and behaviors: a scoping review.Frontiers in public health · 2026Article
- Apologies in Crisis: The Link Between Perceived Burdensomeness and Suicide Risk in Online Text Communication.Suicide & life-threatening behavior · 2025Article
- Suicide Prevention in Youth.Current psychiatry reports · 2025Review
- Changes in Mental State for Help-Seekers of Lifeline Australia's Online Chat Service: Lexical Analysis Approach.JMIR formative research · 2025Article
- National Suicide Prevention Lifeline (Now 988 Suicide and Crisis Lifeline): Evaluation of Crisis Call Outcomes for Suicidal Callers.Suicide & life-threatening behavior · 2025Article
- Effects of the Canadian Suicide Prevention Service's Text Interventions on Texters' Emotions, Distress Relief, Perceived Abilities, and Practices Associated With Better Outcomes.Suicide & life-threatening behavior · 2025Article
- A Comparative Study of the Effectiveness of Text-Based Crisis Intervention and Phone-Based Crisis Intervention in Reducing Emotional Distress Among Texters and Callers.Suicide & life-threatening behavior · 2025Article
- Evaluating the Experience of Teen-to-Teen Crisis Line Volunteers: A Pilot Study.Community mental health journal · 2024Article
- Tracking and Profiling Repeated Users Over Time in Text-Based Counseling: Longitudinal Observational Study With Hierarchical Clustering.Journal of medical Internet research · 2024Observational
- Rapport Building in Written Crisis Services: Qualitative Content Analysis.Journal of medical Internet research · 2024Article
- Users' Perspectives on Crisis Helplines in Relation to Professional Mental Health Services.Crisis · 2024Article
- Evaluation of the Effectiveness of Suicide.ca, Quebec's Digital Suicide Prevention Strategy Platform: Cross-Sectional Descriptive Study.JMIR formative research · 2024Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveAs 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.
methodData 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.
resultsChatters 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.
conclusionsOur 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.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.