Gould Madelyn S, Lake Alison M, Port Margaret S, Kleinman Marjorie, Hoyte-Badu Amanda M, Rodriguez Claudia L, Chowdhury Saba J, Galfalvy Hanga, Goldstein Alena
Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, New York, USA.
Department of Epidemiology, Columbia University, Mailman School of Public Health, New York, New York, USA.
Suicide Life Threat Behav. 2025 Jun;55(3):e70020. doi: 10.1111/sltb.70020.
With the 988 Suicide and Crisis Lifeline's expanding role in the crisis care continuum in the U.S., assessments of its effectiveness are more important than ever. The current study estimated the extent to which suicidal Lifeline callers perceived their crisis calls as helping them and stopping them from killing themselves, whether their suicidal thoughts recurred after the call, and the caller characteristics and counselor practices associated with these outcomes.
Telephone interviews were conducted with 437 adult suicidal callers to 12 Lifeline crisis centers between April 15, 2020 and August 15, 2021. The interview collected callers' demographic and clinical characteristics and their perceptions of counselor practices and call outcomes. A series of logistic regression analyses assessed the association of caller characteristics and counselor practices with call outcomes.
The vast majority of suicidal Lifeline callers thought their crisis call helped them (nearly 98%) and stopped them from killing themselves (88.1%). Callers' perceptions of counselor behaviors in the domains of fostering engagement/connection, collaborative problem-solving, and safety assessment/management were strongly associated with callers' perceived effectiveness of the crisis call.
Our study offers empirical evidence for the effectiveness of the Lifeline's (now 988 Lifeline's) telephone crisis services from the caller's perspective.
随着988自杀与危机生命线在美国危机护理连续体中的作用不断扩大，对其有效性的评估比以往任何时候都更加重要。当前的研究估计了有自杀倾向的生命线来电者认为他们的危机来电对他们有帮助并阻止他们自杀的程度，来电后他们的自杀念头是否再次出现，以及与这些结果相关的来电者特征和咨询师做法。
在2020年4月15日至2021年8月15日期间，对12个生命线危机中心的437名成年有自杀倾向的来电者进行了电话访谈。访谈收集了来电者的人口统计学和临床特征，以及他们对咨询师做法和来电结果的看法。一系列逻辑回归分析评估了来电者特征和咨询师做法与来电结果之间的关联。
绝大多数有自杀倾向的生命线来电者认为他们的危机来电对他们有帮助（近98%）并阻止他们自杀（88.1%）。来电者对咨询师在促进参与/联系、协作解决问题以及安全评估/管理等方面行为的看法与来电者对危机来电有效性的认知密切相关。
我们的研究从来电者的角度为生命线（现为988生命线）的电话危机服务的有效性提供了实证证据。
