Department of Psychiatry, Center for the Study and Prevention of Suicide, University of Rochester, Rochester, New York, USA.
Department of Psychiatry, Columbia University, New York, New York, USA.
Suicide Life Threat Behav. 2022 Jun;52(3):567-582. doi: 10.1111/sltb.12872. Epub 2022 May 26.
Text-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.
Secondary 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.
76% 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.
CTL 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.
基于文本的危机服务越来越受到关注，2022 年美国全国 988 危机热线也纳入了文本服务。然而，人们对使用这些服务的人群知之甚少。本研究旨在了解美国最大的危机短信服务热线（CTL）所服务的人群。
对危机顾问报告、短信后调查回复、85877 名在 12 个月内与 CTL 联系的短信者的匿名短信对话数据进行二次数据分析。我们检查了危机顾问对自杀意念严重程度的评估、短信者报告的种族、性别、性取向、近期心理健康症状和其他帮助来源，以及联系频率的记录。
76%的短信者年龄在 25 岁以下。79%是女性。48%的人认同非异性恋/直人。64%的人只进行了一次对话。79%的人抑郁得分高于临床临界值，80%的人焦虑得分高于临床临界值，而 23%的人有自杀念头。23%的人从医生或治疗师那里得到帮助，28%的人只从 CTL 得到帮助。
CTL 服务于高度痛苦、年轻、以女性为主的人群，包括通常服务不足的少数族裔和相当一部分在其他地方得不到帮助的人。这些发现支持在即将推出的全国 988 计划中纳入短信服务的决定。
