ArticleInjury prevention : journal of the International Society for Child and Adolescent Injury Prevention2026
Timing patterns of interpersonal violence, mental health and school attack tips submitted by youth to a statewide anonymous reporting system.
Article in Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Bullying, Suicide, Substance Use, and Mass Harm: Patterns of Overlapping Threats Reported to a Statewide Anonymous Technology-Facilitated Reporting System.Prevention science : the official journal of the Society for Prevention Research · 2026Article
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5 authors.
Funding
Abstract
backgroundTechnology-facilitated anonymous/confidential reporting systems (TFRS; app/text-based helplines) are used statewide in 34/50 states, yet little is known about trends of help-seeking using these systems.
methodsData were 44 998 tips submitted to the statewide TFRS in North Carolina between November 2019 and May 2025. Time series, descriptive and regression analyses were used to characterise overall trends and by specific temporal period (time of day, day of week, month of year) relative to tip severity and tip topic (eg, interpersonal violence, mental health, school attack).
resultsBetween November 2019 and May 2025, TFRS submissions increased, with the most tips submitted in October (monthly mean=1046.0) and March (1001.5), and the fewest in June (100.8) and July (48.0). However, a higher proportion of tips requiring emergency responders was submitted when school was not in session-37.5% of tips submitted in July (monthly mean=18.0) and 29.2% in June (25.2) compared with 14.7% in March (153.3). Submission timing varied by concern: interpersonal violence tips were most common during school hours (8:00-17:00; hourly mean range=0.39-0.79), while school attack and mental health tips peaked in the evening (20:00-22:59, hourly mean range=0.18-0.20; and 20:00-21:59, hourly mean range=0.32-0.34, respectively).
conclusionsGreater tipping during times when school is in session likely corresponds to higher rates of risks that are not life-threatening but still important to address (eg, bullying). Despite lower numbers of tips during times school is out of session, those submitted are much more likely to be life-threatening, supporting the importance of systems always being available.
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