I don’t see how. Have you ever tried calling one of these lines in a suicide emergency? Things I’ve learned in California:

- an ambulance will not be dispatched unless you physically witness someone trying to kill themselves

- otherwise, they send the police

- the police arrive without training and severely escalate the situation

- the person having an emergency will be taken into custody and stripped of rights until being medically evaluated (not arrested)

This is the program of an allegedly progressive state. After 2 experiences like this, adding trauma to already traumatic situations, I would never recommend these hotlines.

Very much disagree and I am in California.

I have called this line in particular during a sever major depression episode. I tried calling my fraternities mental wellness hotline first but it went unanswered which I thought was quite funny at the time.

The rep was able to talk me down through my spiraling thoughts. Told me that "no your therapist was not egging you on when he said well why don't you commit suicide what's holding you back". He was instead trying to figure out my reasons for living.

They do not automatically call the police and telling people they do is harmful. My anecdotal evidence has been a much better experience, and others I know who have called have said the same.

I'm not sure what would cause them to send the police but having a safe line to call when you have nothing else is important. Maybe the change that should happen here is having social workers or other mental health representatives respond, not getting rid of the phoneline.

I have a loved one who used the 988 hotline several times.

None of them resulted in police intervention. Our county has a mobile crisis team of social workers who show up and get you connected to services.

If you want an ambulance dial 911.

These hotlines are for providing support. They are trained not to escalate to sending someone unless they absolutely deem it necessary (and the caller agrees). My wife has been working the hotline as a volunteer for 6 years and has not once escalated to sending someone.

As others noted, my California county has a dedicated team to respond to this.

Well that's just not true. You're supposed to call 911 if you witness someone else in crisis, not the crisis hotline. The police will be sent because they have baseline training in de-escalation, and they have officers with specialized training in crisis negotiation. An ambulance is relevant only if someone is already hurt. They're medical professionals. Even in that situation, police officers are usually dispatched to investigate and to keep the ambulance personnel safe in a potentially unpredictable environment. And you're correct, protective custody exists and it's there to keep the person in crisis safe.

And yet the data shows that they did decline. I'm sure they could be much better, and the response will vary from state to state.

I find something darkly depressing and comedic about how we try to prevent people from shooting themselves by sending people with guns to help them.

They're crisis services, not emergency services. Anyone who is an immediate danger to themselves or others needs to be attended to by the first available emergency services. The attending services should be trained to deescalate, definitely, but I don't think this is an indictment of the crisis lines themselves. Less than 1% of calls to the crisis line result in any sort of emergency service dispatch.

A fact I've noticed is that suicide rates are higher in areas with lower population density. For example, Alaska's suicide rate is 4x what New York's rate is.

Perhaps just human connection, even momentarily, is enough to break the pattern of behavior that has lead to the ideation.

Also worth noting that suicide rates among the elderly are higher than they are for anyone other than teens. If you have someone you love that doesn't get out much, make sure you give them a call now and again.