ArticleSuicide & life-threatening behavior2022
Individuals who text crisis text line: Key characteristics and opportunities for suicide prevention.
Article in Suicide & life-threatening behavior, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
23 citing papers in PubMed.
- Experiences and Perceptions of Crisis Text Services: Interview Study Among Young Adults With Suicidal Ideation.JMIR mental health · 2026Article
- Initial Suicide-Related Disclosure Characteristics, Motivations, and Outcomes Based on Sexual Orientation.Journal of clinical psychology · 2026Article
- Disparities in suicide risk trajectories among youth during the COVID-19 pandemic.Journal of research on adolescence : the official journal of the Society for Research on Adolescence · 2026Article
- The Role of Emotion Dysregulation in Suicidal Ideation Intensity and Suicide Attempts in Crisis Hotline Callers.Archives of suicide research : official journal of the International Academy for Suicide Research · 2026Article
- Suicide Prevention in Youth.Current psychiatry reports · 2025Review
- Crisis-line workers' perspectives on AI in suicide prevention: a qualitative exploration of risk and opportunity.BMC public health · 2025Article
- Contact resolution among Veterans Crisis Line phone and text contacts regarding Veterans Health Administration enrollees.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
- Authors' Reply: Commentary on "Protecting User Privacy and Rights in Academic Data-Sharing Partnerships: Principles From a Pilot Program at Crisis Text Line".Journal of medical Internet research · 2025Article
- Commentary on "Protecting User Privacy and Rights in Academic Data-Sharing Partnerships: Principles From a Pilot Program at Crisis Text Line".Journal of medical Internet research · 2024Article
- The Most Effective Interventions for Classification Model Development to Predict Chat Outcomes Based on the Conversation Content in Online Suicide Prevention Chats: Machine Learning Approach.JMIR mental health · 2024Article
- Crisis response in Texas youth impacted by Hurricane Harvey: A difference-in-differences analysis.Journal of affective disorders · 2024Article
- Tracking and Profiling Repeated Users Over Time in Text-Based Counseling: Longitudinal Observational Study With Hierarchical Clustering.Journal of medical Internet research · 2024Observational
- Short-term changes in mental health help-seeking behaviors following exposure to multiple social stressors and a natural disaster.Social science & medicine (1982) · 2024Article
- Evaluation of the Effectiveness of Suicide.ca, Quebec's Digital Suicide Prevention Strategy Platform: Cross-Sectional Descriptive Study.JMIR formative research · 2024Article
- Mitigating Psychological Problems Associated with the 2023 Wildfires in Alberta and Nova Scotia: Six-Week Outcomes from the Text4Hope Program.Journal of clinical medicine · 2024Article
- Demographic and clinical characteristics associated with anxiety and depressive symptom outcomes in users of a digital mental health intervention incorporating a relational agent.BMC psychiatry · 2024Article
- Exploring whether mental health crisis text conversations that include discussion of firearms differ from those without firearms.Preventive medicine · 2023Article
- The Impact of a Messenger-Based Psychosocial Chat Counseling Service on Further Help-Seeking Among Children and Young Adults: Longitudinal Study.JMIR mental health · 2023Article
- The Use of Crisis Services Following the Mass School Shooting in Uvalde, Texas: Quasi-Experimental Event Study.JMIR public health and surveillance · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
objectiveText-based crisis services are increasingly prominent, with inclusion in the national 988 crisis number launching in 2022. Yet little is known about who uses them. This study seeks to understand the population served by Crisis Text Line (CTL), the largest crisis text service in the United States.
methodsSecondary data analysis was conducted on de-identified Crisis Counselor reports, texter post-conversation survey responses, and anonymized text conversation data from 85,877 texters who contacted CTL during a 12-month period. We examined Crisis Counselor's ratings of suicide ideation severity, texters' reports of race, gender, sexual orientation, recent mental health symptoms, and additional sources of help, and logs of frequency of contact.
results76% of texters were under 25. 79% were female. 48% identified as other than heterosexual/straight. 64% had only one conversation. 79% were above the clinical cutoff for depression and 80% for anxiety, while 23% had thoughts of suicide. 23% received help from a doctor or therapist, and 28% received help only from CTL.
conclusionsCTL reaches a highly distressed, young, mostly female population, including typically underserved minorities and a substantial percentage of individuals who do not receive help elsewhere. These findings support the decision to include texting in the forthcoming national 988 implementation.
Indexed as
Identifiers
What OpenQuestion holds
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.