The recent shutdown of a dedicated national crisis hotline service for LGBTQ+ youth has prompted a scramble among states to fill the support gap. On July 17, the federal Substance Abuse and Mental Health Services Administration announced the termination of the ‘Press 3’ option on the 988 Suicide & Crisis Lifeline, a feature that connected LGBTQ+ youth to specially trained counselors. This move follows a broader shift in federal policy aimed at unifying mental health services, but critics argue it disproportionately impacts vulnerable populations.
The ‘Press 3’ option was a crucial resource, with nearly 1.6 million contacts—including calls, texts, and online chats—since its October 2022 launch. Advocates warn that removing this targeted support risks neglecting the high suicide risk among LGBTQ+ youth, which, according to a 2023 survey, includes about 39% of young LGBTQ+ individuals seriously contemplating suicide annually. The rate is even higher among transgender and nonbinary youth.
States like California, Colorado, Illinois, and Nevada are actively working to mitigate the loss. California has partnered with The Trevor Project to provide specialized training to local crisis counselors, while Colorado is increasing outreach efforts to reassure the public that general 988 services remain accessible and inclusive. Nevada plans to enhance counselor training with a $50 million investment in a new call center, aiming to better support LGBTQ+ callers.
The federal decision has raised concerns about the adequacy of general crisis services. Experts fear that non-specialized call-takers may lack the cultural competence and understanding necessary to support LGBTQ+ individuals effectively, potentially eroding trust and hindering crisis resolution. As the Biden administration faces criticism from lawmakers across party lines, some states are exploring alternative solutions. Washington State, for example, has established a dedicated ‘Press 4’ line for Native American callers, funded through a carve-out of 988 resources.
The controversy underscores ongoing debates over federal funding priorities and the importance of targeted mental health resources for marginalized groups. State officials emphasize the need for sustained investment and training to ensure all youth have access to competent, affirming support during crises.
In the absence of the federal LGBTQ+ specific line, advocates call on Congress to reinstate dedicated services or secure permanent state-level funding. Lawmakers from both parties have condemned the shutdown, with some urging immediate action to restore specialized support for LGBTQ+ youth in crisis.