Influences on call outcomes among veteran callers to the National Veterans Crisis Line

Suicide Life Threat Behav. 2013 Oct;43(5):494-502. doi: 10.1111/sltb.12033. Epub 2013 Apr 24.

Abstract

The association of caller and call characteristics with proximal outcomes of Veterans Crisis Line calls were examined. From October 1-7, 2010, 665 veterans with recent suicidal ideation or a history of attempted suicide called the Veterans Crisis Line; 646 had complete data and were included in the analyses. A multivariable multinomial logistic regression was conducted to identify correlates of a favorable outcome (a resolution or a referral) when compared to an unfavorable outcome (no resolution or referral). A multivariable logistic regression was used to identify correlates of responder-rated caller risk in a subset of calls. Approximately 84% of calls ended with a favorable outcome, 25% with a resolution, and 59% with a referral to a local health care provider. Calls from high-risk callers had greater odds of ending with a referral than without a resolution or referral, as did weekday calls (6:00 am to 5:59 pm EST, Monday through Friday). Responders used caller intent to die and the absence of future plans to determine caller risk. Findings suggest that the Veterans Crisis Line is a useful mechanism for generating referrals for high-risk veteran callers. Responders appeared to use known risk and protective factors to determine caller risk.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adult
  • Crisis Intervention*
  • Female
  • Hotlines
  • Humans
  • Male
  • Referral and Consultation*
  • Suicidal Ideation*
  • Suicide, Attempted / prevention & control*
  • Suicide, Attempted / psychology
  • Veterans / psychology*