What to Expect When Calling a Suicide Hotline
Insights from a crisis counsellor.

The truth is, you never really know who you’re going to talk to when you call a suicide hotline.
You don’t know if they’re having a bad day, if they’re tired, or if it’s their first day on the job.
In that case, they might be stressed out of their minds.
As a side note, this structure may vary depending on your location. Sometimes, the crisis worker may be a volunteer, while other times it may be their full-time job.
However, there are a few things that you can expect:
1. Sharing Your Story
You’ll have the opportunity to explain what’s going on in your life.
The reassuring part is that the crisis counselor you’ll speak with will not be judgmental. They’ll listen carefully and kindly to understand your situation.
Though it may be difficult to open up at first, once trust is established, you’ll find yourself talking more than you anticipated.
Simply talking about your feelings can bring a sense of relief.
2. Assessment of Suicide Risk
The crisis counselor will ask you questions to evaluate the risk of suicide.
It’s an essential part of their role, guided by extensive scientific literature in suicide prevention.
Some questions might be challenging to answer, but it’s a safe space to discuss suicidal thoughts.
Even if you don’t mention them initially, the counselor will still ask these questions. Assessing suicide risk is crucial for their job, even in the absence of explicit suicidal thoughts.
3. Focus on the Present
Once the crisis worker understands your situation and assesses the suicide risk, they’ll aim to bring your focus back to the present moment.
Unlike psychologists, they won’t delve into your childhood memories to identify the root cause of your issues.
Their goal is to ensure your safety in the present.
While the past can’t be changed and the future can’t be predicted, actions can be taken in the present to move towards a better future.
4. Setting Goals

To conclude the call, the crisis worker will provide you with tasks to accomplish.
The brain thrives on tasks; when idle, it tends to ruminate endlessly.
By giving your brain tasks, it can channel its energy constructively. Upon completing these tasks, your brain will reward you with a sense of accomplishment.
It is important to note that the goal is not to achieve a sub-2-hour marathon. Instead, the aim is to complete light tasks that will make you feel better and enhance your day.
5. Adaptation to Your Needs
Depending on your situation, the structure of the call may vary.
The crisis counselor might suggest hospitalization, offer you ample time to express yourself, or, unfortunately, may not listen as attentively as you’d hoped.
There are many possibilities, but one thing is certain: by reaching out for help, you’ve taken a significant step. With perseverance, you’ll likely notice improvements in the future, whether in two weeks or five months.
Eventually, things will get better, and you’ll be proud of your progress.
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