Jonah Meyerhoff, Daniel D. L. Coppersmith, Kathryn R. Fox
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The ethical imperative of self-directed tools in crisis helplines to prevent suicide at scale
Using the US National Suicide and Crisis Lifeline as a case example, we discuss the tacit requirement that users of helplines disclose suicide-related thoughts and behaviors as a central barrier to suicide prevention interventions. This Comment outlines the need for self-guided digital suicide prevention interventions within helpline infrastructure.