Glossary // Glossary term Clinical

Crisis line

A telephone, text or chat service, usually free, confidential and available at any hour, that offers immediate support to people in acute distress, including suicidal crisis, and helps connect them with further care. In an evaluation of eight US crisis centres, suicidal callers reported decreases in suicidality during the call and further decreases in hopelessness and psychological pain in the following weeks; the study had no comparison group and only about a third of callers were followed up. When there is immediate danger to life, emergency services are the appropriate first contact.

Where the site uses it

Studies behind it

The works the definition rests on, with the level of evidence each was appraised at.

  • Gould, M. S., Kalafat, J., HarrisMunfakh, J. L., & Kleinman, M. (2007). An evaluation of crisis hotline outcomes. Part 2: Suicidal callers. doi:10.1521/suli.2007.37.3.338

    Level C Longitudinal study

    Supports the claims that seriously suicidal people contacted crisis lines and that suicidality decreased during calls, with further decreases in hopelessness and psychological pain afterwards. No comparison group and a 35% follow-up rate, so changes cannot be attributed to the calls alone.