A SYSTEMATIC REVIEW
A free, 24/7 phone number or online platform staffed by trained volunteers or staff. Individuals can call, text, or chat to get immediate crisis intervention and emotional support during a crisis.
WHAT IS A CRISIS LINE?
GOALS OF CRISIS LINES
BUT WHAT DOES THE EVIDENCE TELL US?
Reduce a person's crisis state, psychological distress, and risk of suicide
Enhance access and bridge connections to additional behavioral health care
We conducted a systematic review to evaluate the evidence for crisis line effectiveness
Crisis line services are an essential component of a public health approach to suicide prevention
We started with 757 records
HOW WE CONDUCTED OUR REVIEW
35 studies were included in our review
HERE'S WHAT WE FOUND
approaches to outcome collection
Outcomes collected at the end of the
call or service
Studies offered findings on proximal outcomes
Outcomes collected after the end of call or service
Studies offered findings on distal outcomes
Studies had unclear outcome timing
Which type of outcome is superior?
MORE CLINICALLY MEANINGFUL
Studies focusing on distal outcomes are more useful for determining the effectiveness of a crisis line intervention
The vast majority of studies eligible for this review were rated high risk of bias.
In order to reliably rate crisis line effectiveness, we need more studies with a low risk of bias.
RISK OF BIAS IN ELIGIBLE STUDIES
High risk (28)
Moderate risk (6)
Low risk (1)
80% HIGH RISK OF BIAS
Future research should focus on more distal outcomes, especially related to self-directed violence and behavioral health treatment engagement
There is a lack of high quality evidence demonstrating the effectiveness of crisis line services
The dearth of evidence does not indicate a
lack of crisis line effectiveness
HOW YOU CAN HELP
Encourage Research on this Topic
Save the Crisis Line Info to Your Phone
Some icons downloaded from Adobe Spark.
Data is from a forthcoming manuscript authored by Dr. Lisa Brenner, Adam Hoffberg, and Kelly Stearns-Yoder.