Gaps exist in studying impact of mental health hotlines

Gaps exist in studying impact of mental health hotlines

Few studies evaluate the impact of mental health hotlines on caller outcomes, according to a review published online Oct. 18 in Psychiatric Services.

Samantha Matthews, M.P.A., from the RAND Corporation in Santa Monica, California, and colleagues conducted a systematic literature review to identify studies characterizing mental health emergency hotlines in the United States (telephone, text, and chat).

Based upon 53 included studies, the researchers found that most callers were female, younger adults, and White, while veteran hotlines typically reached older men. Suicidality, depression, and interpersonal problems were common reasons for calling. Few studies (20) examined intervention effects and only six assessed hotlines as interventions. Four studies evaluated caller behavioral outcomes, which reported reduced distress and suicidality among callers after hotline engagement. Identified areas for improvement included reaching underrepresented high-risk populations, as well as implementation needs, such as investments in data collection and evaluation, staff training, and sustainable funding.

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