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August 28, 2026JMIR Mental HealthOpen Access

Experiences and Perceptions of Crisis Text Services: Interview Study Among Young Adults With Suicidal Ideation

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Authors

KLKate LaForgeATAlan R. TeoLDLauren M. Denneson

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Overview

Qualitative interview study reveals mixed perceptions of crisis text services among young adults with suicidal ideation, highlighting the need for more personalized crisis responder interactions.

Key Points

  • To characterize young adults' experiences with and perceptions of crisis text services for managing suicidal ideation.
  • Conducted semistructured in-depth interviews via phone, Zoom, or text with young adults in the United States with a lifetime history of suicidal ideation (N=39) between January and July 2024.
  • Sampled both individuals who had used and those who had not used crisis text services, analyzing transcripts using a modified grounded theory approach.
  • Participants valued crisis text services for communication privacy, time to edit responses, and perceived anonymity, though the potential loss of anonymity was identified as a critical vulnerability.
  • Texters frequently reported dissatisfaction with generic, nonspecific counselor messages, leading to variable perceptions of service effectiveness ranging from beneficial to inconsistent over time.

Cite This Study

LaForge et al. (2026) studied this question.

synapsesocial.com/papers/6a91466cd15324a1df3aa00ehttps://doi.org/10.2196/89836
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Exploring young people’s experiences of a text-based support service: a qualitative analysis of the support that young people think is important in a suicidal crisis2025
  2. 2Youth Textline Study: Suicide Risk Detection and Beneficial Counseling Practices2026
  3. 3Reducing the ‘Silence Between Sessions’: A Qualitative Study on Youth and Professionals' Perspectives on Digital Tools for Suicide Prevention2026
  4. 4Characteristics of Youth Crisis App Users: Mental Health Service Access and Barriers and Perceptions of Helpfulness2024 · 1 citations
  5. 5Experiences of Black Adolescents With Suicide Emergencies: A Qualitative Study Focusing on Continuity of Care and Acceptability of Text-Based Caring Contacts2026