NAMI's Concern: Losing Specialized Services for LGBTQ+ Youth in Crisis Lifeline
On June 18, 2025, the Substance Abuse and Mental Health Services Administration (SAMHSA) announced significant and troubling changes to the 988 Suicide and Crisis Lifeline. Specifically, they will be discontinuing a vital service line designed for LGBTQ+ youth and young adults, effective from July 17. This decision has raised alarm among mental health advocates, particularly the National Alliance on Mental Illness (NAMI), which emphasized the harmful impact of this action during Pride Month.
In a statement issued by NAMI's CEO, Daniel H. Gillison, Jr., he expressed dismay at the elimination of services that have proven crucial in saving lives. The 988 Lifeline has become a cornerstone of mental health support, connecting individuals in crisis with the care they need. With a mission to foster awareness and reduce stigma surrounding mental health issues, the elimination of specialized services for a particularly vulnerable group raises serious concerns about accessibility and appropriateness of care.
Research underscores the urgency of maintaining support mechanisms for LGBTQ+ youth. Studies have shown that this demographic is more than four times more likely to attempt suicide compared to their heterosexual peers. The specialized LGBTQ+ services line, introduced in late 2022, was a pilot initiative aiming to address this alarming trend. Remarkably, the line has served nearly 1.3 million contacts, accounting for approximately 10% of all interactions on 988. This indicates not only a significant demand for such services but also highlights their lifesaving potential.
Despite these statistics, SAMHSA’s rationale for terminating the "Press 3" LGBTQ+ option is to consolidate services for all help seekers. They state this will enhance the overall effectiveness of the 988 line. However, this decision has been met with criticism from NAMI, which stresses that the LGBTQ+ services provided specialized care tailored to the unique experiences of these young individuals. The counselors available through this specialized network often possess lived experiences themselves, offering empathy and understanding that are crucial in moments of crisis.
Hannah Wesolowski, NAMI’s Chief Advocacy Officer, remarked on the importance of these tailored services in a youth's recovery process. For LGBTQ+ youths, accessing someone who truly comprehends their struggles and provides affirming support is vital. The invaluable nature of a safe and supportive environment cannot be overstated, particularly when dealing with issues related to mental health and suicidal ideation.
NAMI has been an active advocate for the implementation of 988 and has made supporting crisis services a priority. The organization will continue to fight for the rights of LGBTQ+ youth and their need for specialized support, especially in light of this alarming cut.
This change in the 988 system poses potential repercussions for LGBTQ+ youth across the nation, particularly in a climate already rife with mental health challenges. As Pride Month serves as a time of reflection and celebration, it is simultaneously a reminder of the pressing need for adequate services that cater to this vulnerable community.
NAMI encourages everyone to visit the Reimagine Crisis website to learn more about ongoing advocacy efforts and how to support LGBTQ+ youth in crisis. It's crucial that all young people feel that their voices are heard and that they have access to the necessary help when it is needed the most.