{"doi":"10.1016/j.jaacop.2024.06.006","title":"Characteristics of Youth Crisis App Users: Mental Health Service Access and Barriers and Perceptions of Helpfulness","abstract":"Objective: By developing a more nuanced understanding of youth using crisis line services, greater strides can be made in addressing their mental health needs. SafeUT is an app-based mental health crisis service that is offered to nearly all youth living in Utah and provides 24/7 access to licensed clinicians by phone or text. This study characterized youth using a statewide mental health crisis service and identified barriers to care. Method: SafeUT users were offered the opportunity to complete a survey regarding demographics, their experiences with mental health services, and self-injurious thoughts and behaviors. Results: A total of 210 youths completed at least part of the survey. More than half of the sample identified as LGBTQ+ (lesbian, gay, bisexual, transgender, queer, and others). Less than half of the sample had received mental health services. Not wanting to talk to a parent/guardian was the most frequently endorsed barrier. In the 2 weeks preceding the survey, 50% of youth engaged in self-injurious behaviors (18% suicide attempts). Following their SafeUT encounter, youth indicated significant reductions in the intensity of their presenting concerns. Conclusion: SafeUT appears to be effective in reducing acute concerns. However, youth still receive insufficient mental health support. Addressing barriers is imperative in ensuring that youth receive appropriate mental health care.","journal":"JAACAP Open","year":2024,"id":460000,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":4,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9614,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1047643,"name":"Brian Farstead","orcid":"0000-0002-9919-0769","position":1,"is_corresponding":false},{"id":1047644,"name":"Myah Pazdera","orcid":"0000-0003-1610-4157","position":2,"is_corresponding":false},{"id":267629,"name":"Amanda V. Bakian","orcid":"0000-0001-6805-1160","position":3,"is_corresponding":false},{"id":1287495,"name":"Brent M. Kious","orcid":"0000-0003-3477-5659","position":4,"is_corresponding":false},{"id":1287496,"name":"Karen Manotas","orcid":"0009-0007-7311-8404","position":5,"is_corresponding":false},{"id":267630,"name":"Sheila E. Crowell","orcid":"0000-0003-1296-6614","position":6,"is_corresponding":false},{"id":858786,"name":"Erin A. Kaufman","orcid":"0000-0002-7636-6602","position":7,"is_corresponding":false},{"id":392549,"name":"Scott A. Langenecker","orcid":"0000-0002-7932-5494","position":8,"is_corresponding":false},{"id":477455,"name":"Mindy Westlund Schreiner","orcid":"0000-0002-2780-3327","position":0,"is_corresponding":true}],"reference_count":28,"raw_metadata":null,"created_at":"2026-07-19T02:04:03.568045Z","pmid":"40922783","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}