As a Crisis Hotline Grows, So Do Fears It Won’t Be Ready

The National Suicide Prevention Lifeline — the number posted on student identification cards, atop Google search results and in warning labels on television shows — is about to get a major reboot, casting it as the 911 for mental health.With an infusion of federal money, the upgraded Lifeline starting in July will have its own three-digit number, 988, and operators who will not only counsel callers but eventually be equipped to dispatch specially trained responders. That will reduce interventions by armed law enforcement and reliance on emergency rooms — and ultimately keep people alive, advocates say.But there are growing concerns that the 24-hour hotline, already straining to meet demand, will not be able to deliver on the promises of the overhaul unless states supplement the federal money with significant funds for staffing, according to interviews and government reports.Right now, the crisis line is answered by a patchwork national network of more than 180 call centers, often nonprofits, that juggle several hotlines and rely on both paid counselors and volunteers. A majority of centers run on shoestring budgets, with little or no backing from states; many do not have funding specifically for answering Lifeline calls, according to a survey. Some use golf outings, benefit breakfasts and other fund-raisers to help pay the bills.But after the number changes to 988 — a shift that involves upgrading telecom infrastructure and bringing more call centers online — use of the hotline is expected to grow exponentially over the next few years. (The current number is 800-273-8255.)Already, of the approximately two million phone calls to the Lifeline last year, about 330,000 — roughly 17 percent — were abandoned before a caller could get help, according to a New York Times data analysis. The texting and online chat lines, which together fielded another million contacts last year, lagged further behind, not attending to 41 percent of texts and 73 percent of chats. Calls and messages are abandoned for any number of reasons, but in interviews, callers blamed hold times and call center directors bemoaned limited capacity.A Crisis Hotline Struggles to Pick UpCallers waiting for help abandoned about 1 in 6 of the roughly two million calls to the National Suicide Prevention Lifeline last year. Here’s a state-by-state breakdown of the shortfalls in answering calls during the last quarter of 2021.

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