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They have to follow Lifeline risk assessment standards and they also have to follow Lifeline imminent risk guidelines, so if anyone is at acute risk, there’s certain things that they have to agree to do.

If they can’t agree to specific areas of conducting risk assessment or specific areas of what to do when someone is at imminent risk, they can’t become part of the Lifeline.

So each of these centers has their own training and requirements and each center can vary. Other people could be people who are repeat callers, so there’s people who are isolated and alone and can call the crisis line over and over, and never really have any sort of acute suicidal crisis, but be calling just because that’s a means of support for them in some ways.

Some or all volunteers would go through specific volunteer training, some would be mental health professionals at either a Bachelor’s or a Master’s level, and some centers are just sort of a mixture of those. So whenever someone calls the Lifeline, does it hook you up to the nearest available center? So what happens is anywhere in the country, if you dial 273-TALK, your call is going to get routed to the nearest crisis center to you. We want people to get connected as much as possible to a local crisis center. And various centers will report different percentages of people that are calling that are repeat callers – people in their communities that they know.

The first time I called the National Suicide Prevention Hotline, I had no idea what to expect.

It was just that magical number that people throw at you whenever you mention you might be depressed or suicidal. What if someone else needs the help more than I do and I’m just taking up space?

An automated voice assured me that they were going to connect me to the next available center, so I waited. “Maybe this is how they keep people from committing suicide,” I thought, “They just wait for them to die of old age first.” Finally, I ended the call, frustrated and pissed off on top of anxious and depressed.

What exact qualifications does a center have to meet before becoming part of the Lifeline?

There’s a huge application process for centers before they can be part of the Lifeline.

I was in Atlanta at the time I called, but due to my phone having a Tennessee area code, it probably tried to call a center closer to my hometown.

I felt a little less guilty about calling them due to my anxiety and depression instead knowing that people do that all the time.

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Thankfully, I spoke to a wonderful counselor who walked me through what I could do to get better right now, offered to call a mobile crisis team if I needed it, and said she would stay on the phone for as long as I needed it. D., the Director of Standards, Training, and Practices at Lifeline.