Crisis Text Line

Philosophy

Crisis Text Line was built from the ground up around data and technology. Ultimately, our goal is to use data to improve outcomes for people in crisis.

 

Data Philosophy

Crisis Text Line was built from the ground up around technology and data.  So far, we’ve exchanged over 40 million messages with texters in crisis; we’re currently exchanging over 2 million messages per month. This is one of the largest health data sets in the world. And, the only real-time data set of this size in the United States.

Ultimately, our goal is to use data to improve outcomes for people in crisis. To achieve this, we use data in two ways: (1) internally, to improve the quality of our service, and (2) externally, to improve the crisis space as a whole.

Internally

We find ways in which data can support our Crisis Counselors. They are on the front line, talking with thousands of texters in crisis every day. We use data to help them focus on doing what they do best: talking to texters in crisis. Here are a few ways.

 + Continuous Improvement of Training

Every day, our data reveals new patterns in what it means to provide effective crisis counseling by text. For example, we’ve found that Crisis Counselors who geniunely identify texter strengths (e.g., “you showed courage texting us.”) achieve higher satisfaction ratings from texters. Our data show that three most effective terms to use are brave, smart, and proud. (E.g., “That was brave of you to reach out to a friend.”)

 + Helping The Highest-Risk Texters First

Most crisis lines respond to texters in the order in which they arrive. We act more like a hospital emergency room, where a person with gun shot wound gets helped before a person with a broken leg. We call it texter triage. An algorithm runs in the background, and assesses a texter’s suicidal risk based on their first few messages. Texters at high risk get marked as “code orange” and move to #1 in the queue. During the Presidential Election, when we saw volume 8x our normal, we were still able to reach high risk texters in an average of 39 seconds. Shorter wait times mean lives saved.

 + Texter Feedback

After every conversation, we ask texters if they want to share a message with their Crisis Counselor. These messages often confirm the impact the Crisis Counselor has had on a texter’s life. Here’s an example: “Kindness is magic and you’re a magician.”

Externally

We share data to support smarter research, policy, and community organizing. Unlike other large-scale datasets on mental health and crisis, our data has incredible volume, velocity, and variety. We’re using this in two ways:

 + CrisisTrends.org

Available to the public, this data updates automatically and shows insights like, which state experiences the most anxiety? Or what’s the worst time of day for substance abuse? In one case, our data showed that LGBTQ issues are lowest on Fridays. There is an LGBTQ organization that we spoke to which only offers texting services on Fridays. We recommended they switch their hours to Mondays! Check out the public data!

 + Partnerships

We work with partners ranging from the National Eating Disorder Association to the state of Montana. They use Crisis Text Line to support people in crisis in their communities, and we share aggregate, anonymous data back about the crises their communities are experiencing. (Interested in becoming a partner?)