Understanding Factors Associated with 911 and 988 Use in Mental Health Crises
Bibliographic Data
| ID | 8908408 |
|---|---|
| Authors | Minoru Ueda (0000-0001-6552-8090, Syracuse University, corresponding author), Michiko Ueda, C Heflin (0000-0001-9323-2027, Syracuse University), Colleen M Heflin, Yanhong Liu (0000-0002-1251-1700, Syracuse University), Qian Yu (0000-0003-3612-6951, Syracuse University), Qingyi Yu (0000-0001-5393-5764), Seethalakshmi Ramanathan (0000-0001-5464-5574, SUNY Upstate Medical University) |
| Year | 2025 |
| Volume | 62 |
| Issue | 3 |
| Pages | 527-536 |
| Publication date | 2025-10-15 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Community Mental Health Journal (JOURNAL) |
| Journal identifiers | ISSN: 0010-3853 • E-ISSN: 1573-2789 |
| Publisher | Springer Science+Business Media (PUBLISHER • DE) |
| DOI | 10.1007/s10597-025-01545-x |
| PMID | 41087640 |
| OpenAlex | W4415183154 |
| Language | EN |
| Citations received | 2 |
| References cited | 23 |
The 988 Suicide and Crisis Lifeline was launched in July 2022 as an alternative to 911 for mental health crises. However, little is known about the factors influencing decisions to use 911 or 988 among individuals most likely to benefit from 988, including those with suicidal ideation. This study analyzes individual characteristics associated with the likelihood of calling 911 during a mental health crisis and examines awareness of, willingness to use, and concerns about 988. An anonymous online survey was conducted in early 2024 with 1,894 U.S. adults aged 18-50, oversampling racial minorities. Logistic regression models were estimated for four dichotomized outcomes: likelihood of calling 911 in a mental health crisis, awareness of 988, willingness to use 988, and concerns about 988. Independent variables included demographic characteristics, mental health indicators, perceived stigma, and financial stress. Overall, 53.9% of respondents reported they would call 911 in a mental health crisis, and 22.2% of respondents had heard of 988. After receiving basic information, 71.5% expressed willingness to use 988. However, 87.1% reported at least one concern, and individuals with suicidal ideation were much less likely to express willingness to use 988. Commonly endorsed concerns included law enforcement involvement, forced hospitalization, and service fees. Perceived stigma and financial stress were strongly associated with a higher likelihood of expressing concern. Although many individuals expressed willingness to use 988 when informed, widespread concerns may limit uptake. Our findings suggest that targeted outreach and accurate information could promote greater utilization
Depression (economics · Logistic regression · Mental health · Outreach · Public health · Stigma (botany · Suicidal ideation · Suicide prevention · Mental Health Treatment and Access · Migration, Health and Trauma · Suicide and Self-Harm Studies
Deaths of people with mental illness during interactions with law enforcement
The Patient Health Questionnaire Somatic, Anxiety, and Depressive Symptom Scales
Contact Between Police and People With Mental Disorders
The Police and Mental Health
Deaths Due to Use of Lethal Force by Law Enforcement
Validation and Utility of a Self-report Version of PRIME-MD The PHQ Primary Care Study
Aggression, Escalation, and Other Latent Themes in Legal Intervention Deaths of Non-Hispanic Black and White Men
| Unique citing works | 2 |
|---|---|
| Citations per year | 2 |
| Citation span | 2026 - 2026 (1) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 1 |