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Updated: Mar 14, 2026
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Design and Implementation of an fMRI Study Examining Thought Suppression in Young Women with, and At-risk, for Depression
Published on: May 19, 2015
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Crisis Text Service Use Among Young Adults With Suicidal Ideation: Findings From a Survey Study.
Kate LaForge1, Hannah Szlyk2, Matthew L Goldman3
1Center to Improve Veteran Involvement in Care (CIVIC), VA Portland Healthcare System, Portland, Oregon.
Summary
Young adults use crisis text services (CTSs) for suicidal ideation (SI) support. Improvements in personalization, accessibility, and response times can enhance CTS effectiveness for this demographic.
Area of Science:
- Public Health
- Mental Health Services Research
- Digital Health
Background:
- Suicide remains a critical public health issue among young adults (18-25).
- Crisis Text Services (CTSs) are increasingly utilized by young adults experiencing suicidal ideation (SI).
- Understanding user characteristics and preferences is vital for optimizing CTS for young adults.
Purpose of the Study:
- To identify demographic and clinical characteristics associated with young adults' use of CTS for SI.
- To explore barriers preventing young adults from using CTS.
- To gather user-suggested improvements for CTS.
Main Methods:
- Online cross-sectional survey of 118 young adults with a history of SI.
- Quantitative analysis using descriptive statistics and chi-square tests.
- Qualitative content analysis of user feedback.
Main Results:
- CTS use was linked to female sex, minoritized sexual orientation, mental health provider use, and prior hospitalization for SI.
- Common barriers included perceived ineffectiveness, embarrassment, and desire for independent problem-solving.
- Texters desired warmer, validating, personalized interactions, improved availability, and tailored counselor training.
Conclusions:
- CTSs are used by young adults, often in conjunction with other support systems.
- Opportunities exist to enhance CTS utility and impact through improved accessibility and personalization.
- Culturally responsive and tailored support can better serve diverse young adults experiencing SI.
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