Mental Health Emergency Hotlines in the United States: A Scoping Review (2012–2021)

Matthews, Samantha; Cantor, Jonathan; Holliday, Stephanie Brooks; Eberhart, Nicole K.; Breslau, Joshua; Bialas, Armenda; McBain, Ryan

doi:10.1176/appi.ps.20220128

Cited by 12 publications

(4 citation statements)

References 63 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is therefore interesting that multivariate analyses controlling for these two comorbid disorders still indicate that the hotline was significantly protective. From a clinical point of view, this result could mean that subpopulations like those with a history of depression or of substance abuse, at high risk of SA and SIB, could particularly benefit from such a hotline process, whereas usually the preventive effect of hotlines decreases in patients with higher severity ( 33 ) and/or more frequent psychiatric comorbidity ( 34 ).…”

Section: Discussionmentioning

confidence: 99%

The impact of a telephone hotline on suicide attempts and self-injurious behaviors in patients with borderline personality disorder

Buronfosse,

Robin,

Speranza

et al. 2024

Front. Psychiatry

View full text Add to dashboard Cite

BackgroundBorderline personality disorder is often associated with self-injurious behaviors that cause personal suffering, family distress, and substantial medical costs. Mental health hotlines exist in many countries and have been shown to be effective in some contexts, but none have been specifically designed for borderline patients. The aim of the present study is to evaluate the impact of a 24/7 hotline dedicated to patients with borderline personality disorder on suicide attempts and self-injurious behaviors.MethodsWe conducted a single-blind, multicenter (9 French centers) clinical trial with stratified randomization (by age, sex and center). Patients (N = 315) with a diagnosis of borderline personality disorder (according to the SIDP-IV) were randomized into two groups with or without access to the hotline in addition to treatment as usual. The number of suicide attempts and self-injurious behaviors in each group within 12 month were analyzed in the “per protocol” population (Student’s t-tests, 5% significance threshold), adjusting for possible confounders in a multivariate analysis (using Poisson regression). The percentage of patients with suicide attempts and with self-injurious behaviors (and other percentages) were analyzed in the per protocol population (χ2-tests or exact Fischer tests, 5% significance threshold).ResultsThe mean number of suicide attempts was 3 times lower in the hotline group (0.41 vs. 1.18, p = 0.005) and the mean number of self-injurious behaviors was 9 times lower (0.90 vs. 9.5, p = 0.006). Multivariate analysis confirmed the effectiveness of the hotline in reducing suicide attempts and self-harm.ConclusionThis study supports the effectiveness of hotlines in reducing self-aggressive behavior in patients with borderline personality disorder. Such support is easy to use, cheap and flexible, and therefore easy to implement on a large scale.

show abstract

Section: Discussionmentioning

confidence: 99%

The impact of a telephone hotline on suicide attempts and self-injurious behaviors in patients with borderline personality disorder

Buronfosse,

Robin,

Speranza

et al. 2024

Front. Psychiatry

View full text Add to dashboard Cite

show abstract

“…The introduction of the 988 crisis response number in July 2022 was a significant step forward in the field of mental health [75,76]. This new service provides individuals in crisis with immediate access to mental health support, as an alternative to calling 911 for police or fire department assistance.…”

Section: For Care Providers: Crisis Responsementioning

confidence: 99%

Benefits and Harms of Large Language Models in Digital Mental Health

De Choudhury,

Pendse,

Kumar

2023

Preprint

View full text Add to dashboard Cite

The past decade has been transformative for mental health research and practice. The ability to harness large repositories of data, whether from electronic health records (EHR), mobile devices, or social media, has revealed a potential for valuable insights into patient experiences, promising early, proactive interventions, as well as personalized treatment plans. Recent developments in generative artificial intelligence, particularly large language models (LLMs), show promise in leading digital mental health to uncharted territory. Patients are arriving at doctors' appointments with information sourced from chatbots, state-of-the-art LLMs are being incorporated in medical software and EHR systems, and chatbots from an ever-increasing number of startups promise to serve as AI companions, friends, and partners. This article presents contemporary perspectives on the opportunities and risks posed by LLMs in the design, development, and implementation of digital mental health tools. We adopt an ecological framework and draw on the affordances offered by LLMs to discuss four application areas---care-seeking behaviors from individuals in need of care, community care provision, institutional and medical care provision, and larger care ecologies at the societal level. We engage in a thoughtful consideration of whether and how LLM-based technologies could or should be employed for enhancing mental health. The benefits and harms our article surfaces could serve to help shape future research, advocacy, and regulatory efforts focused on creating more responsible, user-friendly, equitable, and secure LLM-based tools for mental health treatment and intervention.

show abstract

“…People may also contact crisis phone lines (e.g., Lifeline), which constitute part of the broader public health strategy for responding to mental health crises and preventing suicide [ 6 ]. However, the evidence of the effectiveness of crisis phone lines is limited [ 7 , 8 ]. In response to the mounting need for crisis care, there has also been interest in the development of community, peer‐based ED alternatives [ 9 ], such as the living room model [ 10 ] and crisis stabilisation centres [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Our Wished‐for Responses: Recommendations for Creating a Lived and Embodied Sense of Safety During Mental Health Crisis

Roennfeldt,

Hamilton,

Hill

et al. 2024

Health Expectations

View full text Add to dashboard Cite

BackgroundMedical interventions have a place in crisis support; however, narrow biomedical and risk‐driven responses negatively impact people seeking crisis care. With increasing shifts towards involving people with lived experience (service users) in designing services, foregrounding people's desired responses is critical. Accordingly, the aim of the study was to explore the wished‐for crisis responses from the perspective of people who have experienced crisis and accessed crisis care.MethodUsing a hermeneutical phenomenological approach, in‐depth interviews were conducted to determine the desired crisis responses of 31 people who self‐reported experiencing mental health crises and accessed crisis services at ED, phone lines and/or crisis alternatives.ResultsThe findings identified wished‐for responses that gave a felt and embodied sense of their own safety influenced by a human‐to‐human response, emotional holding, a place of safety and choice within holistic care. For such responses to be possible, participants identified organising principles, including recognising crisis as meaningful and part of our shared human experience, understanding risk as fluid and a whole‐of‐community responsibility for responding to crises.ConclusionThis paper proposes how insights from people who have experienced crises can be translated into more beneficial crisis care.Patient or Consumer ContributionMost authors are in identified lived experience roles. The first author engaged with participants during the recruitment and interviews and was explicit regarding their lived experience. Service users were involved as advisors, providing input throughout the study.

show abstract

Mental Health Emergency Hotlines in the United States: A Scoping Review (2012–2021)

Cited by 12 publications

References 63 publications

The impact of a telephone hotline on suicide attempts and self-injurious behaviors in patients with borderline personality disorder

The impact of a telephone hotline on suicide attempts and self-injurious behaviors in patients with borderline personality disorder

Benefits and Harms of Large Language Models in Digital Mental Health

Our Wished‐for Responses: Recommendations for Creating a Lived and Embodied Sense of Safety During Mental Health Crisis

Contact Info

Product

Resources

About