Department of Psychiatry, Columbia University, New York, New York, USA.
Department of Epidemiology, Columbia University, New York, New York, USA.
Suicide Life Threat Behav. 2022 Jun;52(3):583-595. doi: 10.1111/sltb.12873. Epub 2022 May 22.
Crisis Text Line (CTL), the largest provider of text-based crisis intervention services in the U.S., has answered nearly 7 million conversations since its inception in 2013. The study's objective was to assess texter's perceptions of the effectiveness of CTL crisis interventions.
Survey data completed by 85,877 texters linked to volunteer crisis counselor (CC) reports from October 12, 2017, to October 11, 2018 were analyzed. The relationship of several effectiveness measures with texters' demographic and psychosocial characteristics, frequency of CTL usage, and texters' perceptions of engagement with their CCs was examined using a series of logistic regression analyses.
By the end of the text-based conversation, nearly 90% of suicidal texters reported that the conversation was helpful, and nearly half reported being less suicidal.
Our study offers evidence for CTL's perceived effectiveness. These findings are of critical importance in light of the launch of a nationwide three-digit number (988) for suicide prevention and mental health crisis supports in the U.S., which will include texting.
危机短信热线（CTL）是美国最大的基于短信的危机干预服务提供商，自 2013 年成立以来，已经回答了近 700 万次对话。本研究的目的是评估短信用户对 CTL 危机干预有效性的看法。
对 2017 年 10 月 12 日至 2018 年 10 月 11 日期间与志愿者危机顾问（CC）报告相关联的 85877 名短信用户完成的调查数据进行了分析。使用一系列逻辑回归分析，研究了几个有效性衡量指标与短信用户的人口统计学和心理社会特征、CTL 使用频率以及短信用户对与 CC 互动的看法之间的关系。
在基于文本的对话结束时，近 90%的有自杀倾向的短信用户报告说对话很有帮助，近一半的用户报告说自杀倾向降低了。
我们的研究为 CTL 的感知有效性提供了证据。考虑到美国推出了全国性的三位数（988）自杀预防和心理健康危机支持号码，包括短信服务，这些发现至关重要。
