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Even though most callers ask for specific, tangible items, the Crisis Center of Tampa Bay team allows them to speak freely and encourages an open conversation about their feelings.
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There are training programs available for those who to learn more about how to help friends and families who may be in a serious mental crisis.
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The national help line turns 2 on Tuesday. Since its debut, it has helped millions of people. And while the system has gotten better at connecting people to help more quickly, but it still has a long way to go.
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A counselor survey about work experiences paints a picture of uneven training, uncertainty about how long to stay on the line, and policies on whether to inform a caller when police are on the way.
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Residents can make video calls with trained counselors who use American Sign Language by clicking on the "ASL Now" button on the website or by dialing 1-800-273-TALK.
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For rural Americans, who live in areas often short of mental health services and die by suicide at a far higher rate than urbanites, the federally mandated crisis phone line is one of the few options to connect with a crisis counselor.
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"I know it's complicated, I really do. But we have to be able to do something," says a Pasco County mom whose 21-year-old son shot himself a year ago.
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“No one ever forgets 911. No one ever forgets 411. And now, no one will ever forget 988,” says one mental heath expert.
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In the year since the 10-digit lifeline changed to 988, one South Florida nonprofit has seen a 50% increase in calls. Lack of affordable housing and the pandemic are among the drivers.
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It's clear the suicide hotline, a network of more than 200 state and local call centers, faces challenges, including public mistrust and confusion. It’s also clear it needs federal and state funding to be sustainable.