Federal regulators are setting up a new three-digit number to reach a suicide prevention hotline in order to make it easier to seek help and reduce the stigma associated with mental health.
Once it’s implemented, people will just need to dial 988 to seek help, similar to calling 911 for emergencies or 311 for city services. Currently, the National Suicide Prevention Lifeline uses a 10-digit number, 800-273-TALK (8255). Callers are routed to one of 163 crisis centers, where counselors answered 2.2 million calls last year.
A law last year required the Federal Communications Commission to study assigning a three-digit number for suicide prevention. The FCC said in a report that there is overwhelming support for a three-digit number because it would be easier for distressed people to get help.
Thursday’s vote starts the months-long process to make that happen. The next step is a comment period before the FCC moves to an order.
“As the nation’s public-private partnership for suicide prevention working with over 250 national partners, we applaud the FCC’s leadership to advance 988 as the designated national number for suicide prevention and mental health,” said the National Action Alliance for Suicide Prevention in a statement.
“An easy to remember number, supported by an adequately supported crisis line infrastructure, is not only an important component of our crisis system but also a critical way to save lives in the U.S.”
Department of Veterans Affairs’ Office of Mental Health and Suicide Prevention added:
“The 988 expansion directly addresses the need for ease of access and clarity in times of crisis, both for Veterans and non-Veterans alike. By providing a universal, unique 3 digit dialing code, it also gives the VA an opportunity to work in greater collaboration with the suicide prevention community across the United States and opens the door to engage new individuals in life-saving care.”
The government’s action comes as suicide rates have increased across the U.S. over the past two decades, and dramatically so — by more than 30% — in half of U.S. states, according to the Centers for Disease Control and Prevention. There were 45,000 deaths in 2016. The report noted that from 1999 to 2016, suicide increased in every state except Nevada. It also noted that suicide rates are higher with at-risk populations, including veterans and the LGBTQ community.
“More than 20 veterans die by suicide every day and more than half a million LGBTQ youth will attempt suicide this year alone,” FCC Chairman Ajit Pai said. “A shorter, simpler suicide hotline number could be a game-changer.”
The new, shorter number would likely lead to more calls, which in turn would mean more expenses for crisis centers already struggling to keep up. If the number of calls to the hotline doubled, centers would need an extra $50 million a year to handle the increase, the FCC said, citing the federal agency that funds the hotline, the Substance Abuse and Mental Health Services Administration.
Noted the National Alliance on Mental Illness: “NAMI applauds Chairman Ajit Pai and the FCC for their leadership on this issue and strongly supports the creation of a national 3-digit number as an essential part of a network of services and supports for people experiencing a mental health crisis. … By creating a simple, easy-to-remember 3-digit number, NAMI believes it will improve access to life-saving resources.”
The FCC determined that it would be better to have a new number that’s only for the hotline, rather than one that’s currently used for other purposes, such as 911. Advocates say that having a dedicated number, along with a message that mental health is of equivalent importance as medical emergencies, could help reduce the stigma of calling the number.
“Three-digit access to crisis services represent a national recognition that seeking help for behavioral health and suicidal crisis is just as much a part of life as seeking help for fire, for injury, or for other health and wellness needs,” Dwight Holton, CEO of Lines for Life, a suicide prevention nonprofit, wrote in an FCC filing.
Vibrant Emotional Health, which runs the National Suicide Prevention Lifeline, said a dedicated number will also reduce the burden on local 911 centers, “freeing up lifesaving and crime-fighting resources.”
The Substance Abuse and Mental Health Services Administration, which is part of the Department of Health and Human Services, said people making calls because of suicidal thoughts can often be helped just by talking them through it, without needing to send a first responder.