The 988 Suicide & Crisis Lifeline, launched nationwide on July 16, 2022, aims to provide immediate support for individuals experiencing mental health crises. The service replaces the previous 10-digit National Suicide Prevention Lifeline number, making it easier for people in need to access help quickly.
The transition to the three-digit number was mandated by law in 2020, allowing time for states and providers to prepare before the national rollout. The lifeline is available around the clock, free of charge, and confidential. It connects callers directly with trained crisis counselors who can offer assistance via phone or text message.
Dr. Thomas Fister, DO, MBA of Ozarks Community Hospital (OCH), emphasized the importance of this resource for rural communities: “I think the use of 988 is a critical resource for the rural communities as it allows the opportunity for individuals to receive support wherever they can be reached by phone or by text message. When people don’t understand something, their mind can be a powerful force to create discomfort, anxiety and fear and when they engage with 988 a lot of the imagined concerns and fears quickly disappear. As people gain knowledge, they realize they have more control over the challenges they face then they thought they did.”
The lifeline is intended not only for those experiencing suicidal thoughts but also for anyone in emotional distress or facing a mental health crisis. Friends, family members concerned about loved ones, caregivers, and professionals seeking advice are encouraged to use the service.
Dr. Fister provided guidance on when it is necessary to call 988 or seek emergency care: “when there is a mental health emergency people should always call 988/911 or go to the nearest emergency room to be evaluated. The primary reason a person should seek this care is when there is danger to themselves or to others. Some examples of this are:
There are threats or concerns that a person will hurt other people such as making threats, aggression towards others or assaulting others.
The person appears to be experiencing psychosis, they may be acting as if they are hearing a conversation others cannot, if they are being instructed by voices to do things that create a dangerous situation, they are isolating themselves from their friends and family.
There is concern that the person is either intoxicated or withdrawing from a substance such as heroin, alcohol, benzodiazepines, or other substances that alter their ability to think or act.”
Community leaders stress that reducing stigma around mental health care remains essential. Dr. Fister stated: “Many people believe that mental illness is rare, but that is a very inaccurate belief. Mental health issues are unfortunately very pervasive and create a huge impact on society. Seek care for your future, seek care for the future of your family and friends, and seek care for the betterment of society. You are not weak, you are being brave and not only making a difference in your life but the lives of all those around you.”
The implementation of 988 offers an accessible option for those seeking help during mental health emergencies.
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