Evidence map›Paper›PMID 36872897›Full record

ArticlePsychiatric services (Washington, D.C.)2023

Trends in Crisis Hotline Call Rates and Suicide Mortality in the United States.

Sasikiran Kandula, Johnathan Higgins, Alena Goldstein, Madelyn S Gould, Mark Olfson, Katherine M Keyes, Jeffrey Shaman

Abstract read
In one paragraph

Article in Psychiatric services (Washington, D.C.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Sasikiran KandulaDepartment of Environmental Health Sciences (Kandula, Shaman), Department of Epidemiology (Gould, Olfson, Keyes), and Department of Psychiatry (Gould, Olfson), Columbia University, New York City; 988 Suicide and Crisis Lifeline, Vibrant Emotional Health, New York City (Higgins, Goldstein).
Johnathan HigginsDepartment of Environmental Health Sciences (Kandula, Shaman), Department of Epidemiology (Gould, Olfson, Keyes), and Department of Psychiatry (Gould, Olfson), Columbia University, New York City; 988 Suicide and Crisis Lifeline, Vibrant Emotional Health, New York City (Higgins, Goldstein).
Alena GoldsteinDepartment of Environmental Health Sciences (Kandula, Shaman), Department of Epidemiology (Gould, Olfson, Keyes), and Department of Psychiatry (Gould, Olfson), Columbia University, New York City; 988 Suicide and Crisis Lifeline, Vibrant Emotional Health, New York City (Higgins, Goldstein).
Madelyn S GouldDepartment of Environmental Health Sciences (Kandula, Shaman), Department of Epidemiology (Gould, Olfson, Keyes), and Department of Psychiatry (Gould, Olfson), Columbia University, New York City; 988 Suicide and Crisis Lifeline, Vibrant Emotional Health, New York City (Higgins, Goldstein).
Mark OlfsonDepartment of Environmental Health Sciences (Kandula, Shaman), Department of Epidemiology (Gould, Olfson, Keyes), and Department of Psychiatry (Gould, Olfson), Columbia University, New York City; 988 Suicide and Crisis Lifeline, Vibrant Emotional Health, New York City (Higgins, Goldstein).
Katherine M KeyesDepartment of Environmental Health Sciences (Kandula, Shaman), Department of Epidemiology (Gould, Olfson, Keyes), and Department of Psychiatry (Gould, Olfson), Columbia University, New York City; 988 Suicide and Crisis Lifeline, Vibrant Emotional Health, New York City (Higgins, Goldstein).
Jeffrey ShamanDepartment of Environmental Health Sciences (Kandula, Shaman), Department of Epidemiology (Gould, Olfson, Keyes), and Department of Psychiatry (Gould, Olfson), Columbia University, New York City; 988 Suicide and Crisis Lifeline, Vibrant Emotional Health, New York City (Higgins, Goldstein).

Funding

Suicide as a contagion: modeling and forecasting emergent outbreaksR01MH121410 · NIMH · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI KEYES, KATHERINE M., SHAMAN, JEFFREY L · 2020 to 2024
$3.2M
NIMH NIH HHS R01 MH121410
6 · The paper itself

Abstract

objectiveUtilization of the 988 Suicide and Crisis Lifeline (Lifeline; formerly called the National Suicide Prevention Lifeline) was analyzed in relation to suicide deaths in U.S. states between 2007 and 2020 to identify states with potential unmet need for mental health crisis hotline services.

methodsAnnual state call rates were calculated from calls routed to the Lifeline during the 2007-2020 period (N=13.6 million). Annual state suicide mortality rates (standardized) were calculated from suicide deaths reported to the National Vital Statistics System (2007-2020 cumulative deaths=588,122). Call rate ratio (CRR) and mortality rate ratio (MRR) were estimated by state and year.

resultsSixteen U.S. states demonstrated a consistently high MRR and a low CRR, suggesting high suicide burden and relatively low Lifeline use. Heterogeneity in state CRRs decreased over time.

conclusionsPrioritizing states with a high MRR and a low CRR for messaging and outreach regarding the availability of the Lifeline can ensure more equitable, need-based access to this critical resource.

Indexed as

HotlinesSuicide, CompletedSuicide PreventionAdolescentAdultAgedAged, 80 and overChildChild, PreschoolFemaleHumansInternational Classification of DiseasesMaleMental Health ServicesMiddle AgedRacial GroupsCommunity mental health servicesCrisis interventionPublic healthSuicide and self-destructive behavior

Identifiers

PMID36872897
PMCPMC10480335

What OpenQuestion holds

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Registered trials

None linked

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.