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Characteristics and Proximal Outcomes of Calls Made to Suicide Crisis Hotlines in California

Variability Across Centers

Published Online:June 24, 2016https://doi.org/10.1027/0227-5910/a000401

Abstract

Abstract.Background: Suicide hotlines are commonly used to prevent suicides, although centers vary with respect to their management and operations. Aims: To describe variability across suicide prevention hotlines. Method: Live monitoring of 241 calls was conducted at 10 suicide prevention hotlines in California. Results: Call centers are similar with respect to caller characteristics and the concerns callers raise during their calls. The proportion of callers at risk for suicide varied from 3 to 57%. Compliance with asking about current suicide risk, past ideation, and past attempts also ranged considerably. Callers to centers that were part of the National Suicide Prevention Lifeline (NSPL) were more likely to experience reduced distress than callers to centers that were not part of the NSPL. Conclusion: Because callers do not generally choose the center or responder that will take their call, it is critical to promote quality across call centers and minimize the variability that currently exists. Accrediting bodies, funders, and crisis centers should require that centers continuously monitor calls to ensure and improve call quality.

References

  • Acosta, J., Ramchand, R., Jaycox, L. H., Becker, A., & Eberhart, N. (2012). Interventions to prevent suicide: A literature review to guide evaluation of california's mental health prevention and early intervention initiative (TR-1317). Santa Monica, CA: RAND Corporation. First citation in articleGoogle Scholar

  • California Suicide Prevention Network. (2014). Common metrics data report. Los Angeles, CA: Didi Hirsch Mental Health Services. First citation in articleGoogle Scholar

  • Clark, W., Welch, S. N., Berry, S. H., Collentine, A. M., Collins, R., Lebron, D., & Shearer, A. L. (2013). California's historic effort to reduce the stigma of mental illness: The Mental Health Services Act. American Journal of Public Health, 103(5), 786–794. 10.2105/AJPH.2013.301225 First citation in articleCrossref Medline, Google Scholar

  • Cross, W. F., Pisani, A. R., Schmeelk-Cone, K., Xia, Y., Tu, X., McMahon, M., … Gould, M. S. (2014). Measuring trainer fidelity in the transfer of suicide prevention training. Crisis, 35(3), 202–212. 10.1027/0227-5910/a000253 First citation in articleLink, Google Scholar

  • Gould, M. S., Cross, W., Pisani, A. R., Munfakh, J. L., & Kleinman, M. (2013). Impact of applied suicide intervention skills training on the national suicide prevention lifeline. Suicide and Life-Threatening Behavior, 43(6), 676–691. 10.1111/sltb.12049 First citation in articleCrossref Medline, Google Scholar

  • Gould, M. S., Kalafat, J., Harrismunfakh, J. L., & Kleinman, M. (2007). An evaluation of crisis hotline outcomes. Part 2: Suicidal callers. Suicide and Life-Threatening Behavior, 37(3), 338–352. First citation in articleCrossref Medline, Google Scholar

  • Gould, M. S., Munfakh, J. L., Kleinman, M., & Lake, A. M. (2012). National suicide prevention lifeline: Enhancing mental health care for suicidal individuals and other people in crisis. Suicide and Life-Threatening Behavior, 42(1), 22–35. 10.1111/j.1943-278X.2011.00068.x First citation in articleCrossref Medline, Google Scholar

  • Gould, M. S., Lake, A. M., Munfakh, J. L., Galfalvy, H., Kleinman, M., Williams, C., … McKeon, R. (2016). Helping callers to the National Suicide Prevention Lifeline who are at imminent risk of suicide: Evaluation of caller risk profiles and interventions implemented. Suicide and Life-Threatening Behavior, 46(2), 172–190. 10.111/sltb.12182 First citation in articleCrossref Medline, Google Scholar

  • Ho, T. P. (2006). Duration of hospitalization and post discharge suicide. Suicide and Life-Threatening Behavior, 36(6), 682–686. 10.1521/suli.2006.36.6.682 First citation in articleCrossref Medline, Google Scholar

  • Jaycox, L. H., Ramchand, R., Ebener, P., Barnes-Proby, D., & Gilbert, M. L. (2015). RAND's silent monitoring protocol for assessing suicide crisis line call content and quality. Santa Monica, CA: RAND Corporation. First citation in articleCrossref, Google Scholar

  • Joiner, T., Kalafat, J., Draper, J., Stokes, H., Knudson, M., Berman, A. L., & McKeon, R. (2007). Establishing standards for the assessment of suicide risk among callers to the national suicide prevention lifeline. Suicide and Life-Threatening Behavior, 37(3), 353–365. 10.1521/suli.2007.37.3.353 First citation in articleCrossref Medline, Google Scholar

  • Kalafat, J., Gould, M. S., Munfakh, J. L., & Kleinman, M. (2007). An evaluation of crisis hotline outcomes. Part 1: Nonsuicidal crisis callers. Suicide and Life-Threatening Behavior, 37(3), 322–337. First citation in articleCrossref Medline, Google Scholar

  • King, R., Nurcombe, B., Bickman, L., Hides, L., & Reid, W. (2003). Telephone counselling for adolescent suicide prevention: Changes in suicidality and mental state from beginning to end of a counselling session. Suicide and Life-Threatening Behavior, 33(4), 400–411. First citation in articleCrossref Medline, Google Scholar

  • Knox, K. L., Kemp, J., McKeon, R., & Katz, I. R. (2012). Implementation and early utilization of a Suicide Hotline for veterans. American Journal of Public Health, 102(Suppl 1), S29–32. 10.2105/AJPH.2011.300301 First citation in articleCrossref Medline, Google Scholar

  • Lee, H. C., & Lin, H. C. (2009). Are psychiatrist characteristics associated with postdischarge suicide of schizophrenia patients? Schizophrenia Bulletin, 35(4), 760–765. 10.1093/schbul/sbn007 First citation in articleCrossref Medline, Google Scholar

  • Lin, H. C., Lee, H. C., Kuo, N. W., & Chu, C. H. (2008). Hospital characteristics associated with post-discharge suicide of severely depressed patients. Journal of Affective Disorder, 110(3), 215–221. 10.1016/j.jad.2008.01.030 First citation in articleCrossref Medline, Google Scholar

  • Mishara, B. L., Chagnon, F., & Daigle, M. (2007). Which helper behaviors and intervention styles are related to better short-term outcomes in telephone crisis intervention? Results from a silent monitoring study of calls to the U.S. 1-800-SUICIDE Network. Suicide and Life-Threatening Behavior, 37(3), 308–321. 10.1521/suli.2007.37.3.308 First citation in articleCrossref Medline, Google Scholar

  • Mishara, B. L., Chagnon, F., Daigle, M., Balan, B., Raymond, S., Marcoux, I., … Berman, A. (2007). Comparing models of helper behavior to actual practice in telephone crisis intervention: A silent monitoring study of calls to the U.S. 1-800-SUICIDE Network. Suicide and Life-Threatening Behavior, 37(3), 291–307. 10.1521/suli.2007.37.3.291 First citation in articleCrossref Medline, Google Scholar

  • Mishara, B. L., & Daigle, M. S. (1997). Effects of different telephone intervention styles with suicidal callers at two suicide prevention centers: An empirical investigation. American Journal of Community Psychology, 25(6), 861–885. First citation in articleCrossref Medline, Google Scholar

  • Qin, P., & Nordentoft, M. (2005). Suicide risk in relation to psychiatric hospitalization: Evidence based on longitudinal registers. Archives of General Psychiatry, 62(4), 427–432. 10.1001/archpsyc.62.4.427 First citation in articleCrossref Medline, Google Scholar

  • Smith, A. R., Silva, C., Covington, D. W., & Joiner, T. E. (2014). An assessment of suicide-related knowledge and skills among health professionals. Health Psychology, 33(2), 110–119. 10.1037/a0031062 First citation in articleCrossref Medline, Google Scholar