988 Suicide & Crisis Lifeline

The 988 Suicide & Crisis Lifeline (formerly known as the National Suicide Prevention Lifeline) is a United States-based suicide prevention network of over 200+ crisis centers that provides 24/7 service via a toll-free hotline with the number 9-8-8. It is available to anyone in suicidal crisis or emotional distress. The caller is routed to their nearest crisis center to receive immediate counseling and local mental health referrals. The Lifeline supports people who call for themselves or someone they care about.

988 Suicide & Crisis Lifeline
FormationJanuary 1, 2005; 17 years ago (2005-01-01)[1]
PurposeSuicide prevention
Headquarters50 Broadway, New York City 10004, U.S.
Region
United States
Official language
English; Spanish also available on the hotline
Key people
Dr. John Draper
Website988lifeline.org Edit this at Wikidata
Formerly called
National Suicide Prevention Lifeline (2004–2022)

HistoryEdit

United StatesEdit

The National Suicide Prevention Lifeline grant is one component of the National Suicide Prevention Initiative (NSPI), a multi-project effort to reduce suicide, led by the Substance Abuse and Mental Health Services Administration's (SAMHSA) Center for Mental Health Services.[2]

In July 2004, SAMHSA released a notice of funding availability (NOFA) as part of its National Suicide Prevention Initiative (NSPI). In keeping with SAMHSA's duty to advance the goals of the National Strategy for Suicide Prevention, the NOFA called for proposals from nonprofit organizations for using a toll-free number and website to expand, enhance and sustain a network of certified crisis centers providing suicide prevention and intervention services to those in need.

In September 2004, the Mental Health Association of New York City (MHA-NYC) was selected to administer the federally funded network of crisis centers named the National Suicide Prevention Lifeline.[3]

On January 1, 2005, the National Suicide Prevention Lifeline was launched by the Substance Abuse and Mental Health Services Administration, a division of the Department of Health and Human Services, and Vibrant Emotional Health.[4]

In April 2017, for his third album Everybody, American rapper Logic released a song featuring Canadian singer Alessia Cara and American singer Khalid titled "1-800-273-8255", the number used for the National Suicide Prevention Lifeline. On the day of the song's release, the lifeline received one of its highest daily call volumes; Lifeline's Facebook page also received triple the usual number of visitors, and its website reported "a 17% increase in users in May 2017 over the previous month."[5] The song was made to bring awareness to the hotline and to the problems associated with suicide. Calls to the hotline increased by 50% the night the song was featured on the 2017 MTV Video Music Awards. Many of the callers to several crisis centers have mentioned Logic's song, and a third of those callers were struggling with suicidal thoughts.[5] The song was performed at the 60th Annual Grammy Awards as a tribute to Linkin Park vocalist Chester Bennington, who had committed suicide in the previous year.

The National Suicide Hotline Improvement Act of 2018 required the Federal Communications Commission and other agencies to consider a three-digit number for the hotline.[6] On August 15, 2019, FCC staff recommended that the Commission designate the number 988 for the hotline.[7] On December 12, 2019, the Commission approved a proposed rule starting the process for public commenting and final rulemaking.[8] The rule was adopted on July 16, 2020, in final form in a 5–0 vote by the FCC.[9] The rule required telecommunication carriers to implement the telephone number 988 to route calls to the existing service number by July 16, 2022. This provided sufficient time to expand staff and training to handle the anticipated call volume.[10] Areas that had seven-digit dialing and numbers that began with 988 were required to either change to ten-digit dialing or retire their 988 prefix; where ten-digit dialing was elected (which was the case in 82 area code regions; only one area retired the prefix), it was required to be implemented by October 24, 2021.[11][12]

On October 17, 2020, the National Suicide Hotline Designation Act (S.2661) was signed into law by President Trump to support the implementation of the hotline.[13] Disability advocates, calling for equity, petitioned the FCC to implement text-to-988 service for deaf, hard-of-hearing and speech-disabled people.[14] The following month, on November 20, 2020, T-Mobile became the first wireless carrier to implement the 9-8-8 number for voice calls.[15][16][17]

Massachusetts officials asked the FCC to change the basis of routing calls from area code of the cell phone number, to physical location.[18]

The National Suicide Prevention Lifeline was renamed to the 988 Suicide & Crisis Lifeline on July 15, 2022.[19] 9-8-8 was officially implemented as the toll-free nationwide telephone number for the hotline on July 16.[20] According to call centers in Massachusetts, the easier-to-remember number and surrounding publicity increased the number of calls by about 30%.[21]

CanadaEdit

In December 2020, shortly after the U.S. FCC finalized its plans for 9-8-8, Canada's House of Commons unanimously passed a non-binding motion, put forward by Conservative MP Todd Doherty, calling on the federal government to establish 9-8-8 as the national suicide prevention hotline.[22] In June 2021, the Canadian Radio-television and Telecommunications Commission (CRTC) recommended using a three-digit number, most likely 9-8-8, for mental health and suicide prevention in Canada, and began consultations on the matter, noting that the last four area codes with seven-digit dialing and numbers that begin with 988—506, 709, 807 and 867—would likely have to convert to ten-digit dialing.[23]

The launch of the U.S. service in July 2022 caused increased attention to the then-still-pending Canadian plans; a Health Canada statement that month indicated it expected a CRTC decision on the matter before the end of 2022.[24] As an interim measure, in June the CRTC had directed mobile service providers to provide automated messaging to those calling or texting 9-8-8 on or after July 16, 2022, redirecting them to Canada's existing suicide prevention services: 1-833-456-4566 for voice calls, or text 741741 (adults), 686868 (youth), or 1-855-957-5353 (Quebec residents).[25]

On August 31, 2022, the CRTC announced it had finalized its decision to make 9-8-8 the national three-digit code for mental health crisis and suicide prevention services, with a scheduled implementation date of November 30, 2023. In order to facilitate this implementation, area codes 709, 807, and 867 (Yellowknife area only) will be required to convert to ten-digit dialing by no later than May 31, 2023 (area code 506 was already scheduled to convert to ten-digit dialing by April 2023).[26]

Referrals from search enginesEdit

Google, Bing, Yahoo and Ask.com and most social media services return the phone number and website of the lifeline as the first result for searches related to suicide, such as "how to tie a noose" or "I want to die".[27]

Veterans hotlineEdit

In June 2007, the Department of Veterans Affairs (VA) partnered with SAMHSA and the National Suicide Prevention Lifeline to provide a veterans hotline to help vets in emotional crisis.[28] Callers who identify themselves as U.S. military veterans are routed to a special veterans hotline. This service caters to VA-specific mental health needs, and helps connect vets to the VA Healthcare system. In addition to the hotline, the veterans hotline also offers text messaging support through texting to 838255, as well as an online chat service for those who want to use the hotline.[29]

Concerns about emergency responseEdit

Some people expressed concern that calling the hotline could result in a police response, involuntary commitment, and medical bills. Though the hotline cannot geolocate callers, it can provide a phone number or IP address to 911 dispatch, which does have the ability to geolocate. The hotline operator reported that before 988 was adopted, it dispatched emergency services (police or mental health team if available) for about 2% of calls. Its policy is to do so only if the caller does not cooperate with making a safety plan and seems likely to act on a plan to kill themselves imminently.[30]

See alsoEdit

ReferencesEdit

  1. ^ "About". 988lifeline.org. Retrieved July 17, 2022.
  2. ^ "CMHS Programs: National Suicide Prevention Initiative". Archived from the original on January 29, 2008. Retrieved January 29, 2008.
  3. ^ "Lonely? Trapped? Hopeless? Alone? When it seems like there is no hope, there is help". Archived from the original on May 14, 2008. Retrieved January 29, 2008.
  4. ^ "About". 988lifeline.org. Retrieved July 17, 2022.
  5. ^ a b "Logic Tweets National Suicide Prevention Lifeline Statistics Since His '1-800' Release". Billboard. Retrieved December 4, 2017.
  6. ^ "H.R.2345 - National Suicide Hotline Improvement Act of 2018". Congress.gov. August 14, 2018. Retrieved July 17, 2020.
  7. ^ "FCC Staff Recommends that Commission Consider Designating 988 as the 3-digit Number for a National Suicide Prevention Hotline" (PDF). FCC. August 15, 2019. Retrieved August 15, 2019.
  8. ^ "FCC votes to set up 3-digit suicide hotline number like 911". Associated Press. December 12, 2019.
  9. ^ "FCC Designates '988' as 3-Digit Number for National Suicide Prevention Hotline" (PDF). Federal Communications Commission. July 15, 2020. Retrieved July 17, 2020.
  10. ^ Kelly, Makena (July 17, 2020). "The National Suicide Prevention Lifeline will be available by dialing '988' in 2022". The Verge. Retrieved July 17, 2020.
  11. ^ Bentley, Drake (March 12, 2021). "Wisconsin residents will soon be required to dial the area code in order to make local calls". Milwaukee Journal Sentinel. Retrieved March 14, 2021.
  12. ^ "Transition to 10-digit dialing (for 988 as 3-digit access to National Suicide Prevention Hotline)" (PDF). NANPA. January 8, 2021. Retrieved March 9, 2021.
  13. ^ "Nation's Largest Suicide Prevention Organization Celebrates National Suicide Hotline Designation Act (S.2661) Becoming Law". AP NEWS. October 19, 2020. Retrieved October 20, 2020.
  14. ^ "Advocates Urge FCC To Make Suicide Hotline More Accessible - Law360". www.law360.com. Retrieved November 21, 2020.
  15. ^ Blumenthal, Eli (November 20, 2020). "T-Mobile adds 988 suicide prevention hotline to its network". CNET. Retrieved November 21, 2020.
  16. ^ Lyons, Kim (November 20, 2020). "T-Mobile becomes first carrier to enable 988 number for mental health services". The Verge. Retrieved November 21, 2020.
  17. ^ "T‑Mobile Makes 988 Emergency Lifeline's Critical Mental Health Support Services Immediately Available to Customers | T‑Mobile Newsroom". T-Mobile Newsroom. Retrieved November 21, 2020.
  18. ^ The '988' mental health hotline is coming. But will Massachusetts be ready?
  19. ^ Administration (SAMHSA), Substance Abuse and Mental Health Services (July 15, 2022). "U.S. Transition to 988 Suicide & Crisis Lifeline Begins Saturday". HHS.gov. Retrieved July 17, 2022.
  20. ^ Leader, Daily (July 16, 2022). "National Suicide Prevention Lifeline is now 9-8-8". Daily Leader. Retrieved July 17, 2022.
  21. ^ Calls to suicide lifeline have jumped in Mass. since number switched to 988
  22. ^ Ho, Solarina (December 11, 2020). "MPs agree unanimously: Time to create a 9-8-8 suicide hotline number". CTVNews.ca. Retrieved September 6, 2022.
  23. ^ "Call for comments – Introduction of a three-digit abbreviated dialing code for mental health crisis and suicide prevention services". June 3, 2021.
  24. ^ "Mental health experts say Canada needs a 3-digit suicide crisis hotline". The Canadian Press. July 17, 2022. Retrieved July 18, 2022.
  25. ^ Legros, Lisanne (June 15, 2022). "Telecom - Commission Letter addressed to the Distribution List". Canadian Radio-television and Telecommunications Commission. Retrieved July 16, 2022.
  26. ^ Canadian Radio-television and Telecommunications Commission (August 31, 2022). "Telecom Regulatory Policy CRTC 2022-234: Introduction of 9-8-8 as the three-digit abbreviated dialing code for mental health crisis and suicide prevention services and Northwestel Inc.'s application for modified implementation of ten-digit local dialing". Retrieved September 6, 2022.
  27. ^ "How do search engines respond when you Google 'suicide'?". DailyDot. April 6, 2015.
  28. ^ "988 - Veterans Crisis Line".
  29. ^ Health, Mental. "Mental Health Home". www.mentalhealth.va.gov. Retrieved May 11, 2019.
  30. ^ Pattani, Aneri (August 11, 2022). "Social media posts warn people not to call 988. Here's what you need to know". NPR.

External linksEdit