“…Service utilization surveys of adolescents indicate that despite high awareness of hotlines and high satisfaction ratings among those who do contact hotlines, adolescents access hotlines infrequently (King, 1977; Slem & Colter, 1973) and less than they access other help sources (Offer, Howard, Schonert, & Ostrov, 1991; Vieland, Whittle, Garland, Hicks, & Shaffer, 1991). In a sample of 1,763 high school students, Slem and Cotler (1973) assessed the awareness and utilization of a telephone crisis hotline in suburban Detroit.…”