Three years after its launch, the 988 Suicide and Crisis Lifeline has shown significant regional and personal differences in usage, according to two studies led by NYU researchers. Published in JAMA Network Open and Health Affairs, the findings highlight higher engagement in western and northeastern states compared to the South, as well as variations based on political affiliation and veteran status. These insights aim to inform targeted outreach efforts to improve access to mental health support.
Since its introduction in July 2022, the 988 lifeline has fielded over 16 million calls, texts, and chats, with 70% of contacts being calls and 11% originating from veterans. Geographic disparities were notable: Vermont recorded nearly triple the usage rate of Alabama per capita. Jonathan Purtle, the lead researcher, emphasized that lower engagement in conservative regions underscores the need for tailored communication strategies.
A companion survey of 5,000 adults revealed five distinct help-seeking patterns, ranging from those avoiding all support (“Seek Help Nowhere”) to those open to multiple resources (“Seek Help Everywhere”). Political leanings also influenced preferences, with Democrats more likely to consider 988 than Republicans, who leaned on family and friends.
“The success of 988 depends on awareness, positive perceptions, and willingness to reach out during crises,” said Purtle. He noted the concerning gap between 988 use and emergency room visits for mental health crises, suggesting untapped potential for the lifeline.
The studies underscore the importance of addressing regional and demographic barriers to maximize 988’s impact. By refining outreach to align with diverse preferences, policymakers and advocates can better connect individuals in crisis with lifesaving resources. Future efforts will focus on boosting awareness, particularly in underserved areas like the South.
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