Evidence map›Paper›PMID 42609728›Full record

ArticleFrontiers in digital health2026

Messenger-based chat counseling for young people in times of personal and global crises: evaluating the long-term feasibility of "krisenchat".

Juliane Hug, Elisabeth Kohls, Sabrina Baldofski, Jelena Scheider, Shadi Saee, Melanie Eckert, Richard Wundrack, Christine Rummel-Kluge

Abstract read
In one paragraph

Article in Frontiers in digital health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

8 authors.

Juliane HugDepartment of Psychiatry and Psychotherapy, Medical Faculty, Leipzig University, Leipzig, Germany.
Elisabeth KohlsDepartment of Psychiatry and Psychotherapy, Medical Faculty, Leipzig University, Leipzig, Germany.
Sabrina BaldofskiDepartment of Psychiatry and Psychotherapy, Medical Faculty, Leipzig University, Leipzig, Germany.
Jelena ScheiderDepartment of Psychiatry and Psychotherapy, Medical Faculty, Leipzig University, Leipzig, Germany.
Shadi Saeekrisenchat gGmbH, Berlin, Germany.
Melanie Eckertkrisenchat gGmbH, Berlin, Germany.
Richard Wundrackkrisenchat gGmbH, Berlin, Germany.
Christine Rummel-KlugeDepartment of Psychiatry and Psychotherapy, Medical Faculty, Leipzig University, Leipzig, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Adolescence is a critical period for the onset of mental health problems, a situation further exacerbated by recent global crises. This underscores the importance of low-threshold, anonymous online counseling services. Objective: This study examined the long-term feasibility and scalability of Methods: This cross-sectional study analyzed retrospective, naturalistic, anonymous data on sociodemographic variables, utilization behavior, and user satisfaction from Results: Users reported significantly reduced emotional distress after chat sessions. Across all periods, the average user was 17 years old and female, while engagement among males and gender-diverse individuals increased over time. Conclusion: This study highlights the robustness of krisenchat from 2020 to 2023, underscoring its sustained relevance in both pandemic and post-pandemic contexts. By integrating gender analyses and exploring chat topics over time, the study reveals novel insights into shifting user needs, such as increased psychosocial distress and relational concerns in post-pandemic periods. Observed trends, such as increased engagement among males and diverse users, emphasize the importance of tailored outreach efforts. These findings enrich the evidence base for digital mental health services and offer insights for future interventions. Study Registration: DRKS00026671.

Indexed as

adolescentschat counselinge-Mental-Healthhelplineonline intervention

Identifiers

PMID42609728
PMCPMC13478919

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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.