@article{ref1,
title="Expanding suicide crisis services to text and chat",
journal="Crisis",
year="2017",
author="Predmore, Zachary and Ramchand, Rajeev and Ayer, Lynsay and Kotzias, Virginia and Engel, Charles and Ebener, Patricia and Kemp, Janet E. and Karras, Elizabeth and Haas, Gretchen L.",
volume="38",
number="4",
pages="255-260",
abstract="BACKGROUND: Crisis support services have historically been offered by phone-based suicide prevention hotlines, but are increasingly becoming available through alternative modalities, including Internet chat and text messaging. AIMS: To better understand differences in the use of phone and chat/text services. <br><br>METHOD: We conducted semistructured interviews with call responders at the Veterans Crisis Line who utilize multimodal methods to respond to veterans in crisis. <br><br>RESULTS: Responders indicated that veterans may access the chat/text service primarily for reasons that included a desire for anonymity and possible inability to use the phone. Responders were divided on whether callers and chatters presented with different issues or risk of suicide; however, they suggested that veterans frequently use chat/text to make their first contact with mental health services. LIMITATIONS: We spoke with call responders, not the veterans themselves. Additionally, as this is qualitative research, applicability to other settings may be limited. <br><br>CONCLUSION: While new platforms offer promise, participants also indicated that chat services can supplement phone lines, but not replace them.<p /> <p>Language: en</p>",
language="en",
issn="0227-5910",
doi="10.1027/0227-5910/a000460",
url="http://dx.doi.org/10.1027/0227-5910/a000460"
}