Department 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).
Psychiatr Serv. 2023 Sep 1;74(9):978-981. doi: 10.1176/appi.ps.20220199. Epub 2023 Mar 6.
Utilization 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.
Annual 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.
Sixteen 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.
Prioritizing 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.
分析了 2007 年至 2020 年期间美国各州利用 988 自杀和危机热线（生命线；前称国家预防自杀生命线）与自杀死亡的关系，以确定哪些州可能需要心理健康危机热线服务。
根据 2007-2020 年期间转接到生命线的年度州呼叫率进行计算（N=1360 万）。根据国家生命统计系统报告的自杀死亡人数（2007-2020 年累计死亡人数=588122）计算每年的州自杀死亡率（标准化）。按州和年份计算呼叫率比（CRR）和死亡率比（MRR）。
16 个美国州表现出持续高的 MRR 和低的 CRR，这表明自杀负担高，生命线利用率相对较低。州 CRR 的异质性随时间减少。
为了确保更公平、基于需求的获取这一关键资源，针对生命线可用性，应优先考虑 MRR 高且 CRR 低的州进行宣传和外展。
