Updated June 18, 2025 at 10:07 PM EDT
The Trump administration is ending specialized suicide prevention services for LGBTQ+ youth on the 988 Suicide and Crisis Lifeline.
While anyone in a mental health crisis can call or text 988 and be connected to a trained counselor, the line has specially trained counselors, often with similar life experiences, for high risk groups like veterans and LGBTQ+ youth.
The federal government's Substance Abuse and Mental Health Services Administration, or SAMHSA, announced Tuesday it was ending these specialized services for LGBTQ+ youth on July 17.
If you or someone you know is in crisis, please call, text or chat with the Suicide and Crisis Lifeline at 988, or contact the Crisis Text Line by texting TALK to 741741.
"This is devastating, to say the least," Jaymes Black, CEO of The Trevor Project, said in a statement. The Trevor Project is one of several nonprofits administering the services. "The administration's decision to remove a bipartisan, evidence-based service that has effectively supported a high-risk group of young people through their darkest moments is incomprehensible."
SAMHSA said in its statement that while it "will no longer silo LGB+ youth services," "everyone who contacts the 988 Lifeline will continue to receive access to skilled, caring, culturally competent crisis counselors who can help with suicidal, substance misuse, or mental health crises, or any other kind of emotional distress."
SAMHSA launched the LGBTQ+ youth service as a pilot program when it launched the 988 helpline in 2022. It has received nearly 1.3 million contacts from LGBTQ+ people (calls, texts and online chats) since the launch.
The higher risk of suicide for LGBTQ+ youth has been well documented by surveys, psychologist Benjamin Miller, an adjunct professor at Stanford School of Medicine told NPR.
"Just last year alone, approximately 40% of LGBTQ youth considered suicide," he says, citing data from the most recent survey by The Trevor Project, an advocacy group for LGBTQ+ youth. "One in 10 had an attempt. And for those looking for help, only about half could get the help they need."
A line like 988 makes it easier for such youth to get mental health support, he adds.
He notes that SAMHSA's announcement omitted the "T" for transgender and "Q" for queer which are typically included in the acronym LGBTQ+.
Cutting off support for this group of youth, he says, sends a message "and that message is more like you're on your own."
He say, there were clues hat something like this might happen — the service wasn't in the president's budget for next year, for instance. But he says it's destabilizing "because it's a system that has been set out over the last couple of years that people are beginning to finally utilize and rely on."
"As someone who has worked in this space for over two decades, I just don't understand the the strategy," he adds.
HHS did not respond to NPR's request for comment on this story.
Miller says the data are clear that there is a need for support for these youth.
This January and February, he says, the LGBTQ+ service served about 100,000 contacts, "which means that there are a lot of people who identify as LGBTQ+ who are seeking help through this line."
"What they get with that specialized services line is they get somebody who cares, somebody who's been there with them, who has shared experiences, who can understand where they're coming from, and who has been specially trained to address the situations that they are dealing with," says Hannah Wesolowski, the chief advocacy officer at the non-profit National Alliance for Mental Illness.
"And we know that crisis services geared towards LGBTQ+ youth and young adults works," says Wesolowski. "These services save lives."
Taking that service away from 988 could be devastating for individuals, say Wesolowski and other mental health advocates.
Black wants gay and trans youth to know that they can still reach out to The Trevor Project's own helpline.
"I want every LGBTQ+ young person to know that you are worthy, you are loved, and you belong," he said in a statement. "The Trevor Project's crisis counselors are here for you 24/7, just as we always have been, to help you navigate anything you might be feeling right now."
However, the organization doesn't have the capacity to handle the same volume of calls and chats as 988, says Black.
Wesolowski notes that a recent poll by NAMI showed that 61% of respondents supported specialized mental health services through 988 for high risk groups like LGBTQ+ youth.
In a statement, Senator Tammy Baldwin, D-Wis., said that the funding for 988's LGBTQ+ service had been passed through Congress with bipartisan support.
She said she'll fight to continue to fund suicide prevention for LGBTQ+ children. "Suicide prevention has been and should continue to be a nonpartisan issue, and I call on my Republican colleagues who have long supported this program to fight for these kids, too."
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