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Objective: This study aimed to develop a reliable tool for the abstraction of data from crisis chat transcripts; to describe chatters' suicide risk status and selected counselor behaviors; and to examine the relationship of chatters' self‐reported pre‐chat suicidal thoughts to counselor behaviors and to chatters' disclosures of suicide risk during the chat conversation. Methods: Coders used an instrument developed for this study to abstract data from 1034 crisis chats handled by the National Suicide Prevention Lifeline Crisis Chat network in 2015. The relationship of transcript coding data to data from an automated pre‐chat survey (PCS) was examined. Results: Lifeline Crisis Chat serves a young (median age = 21), high‐risk population: 84.0% of chats (869/1034) came from chatters endorsing current or recent suicidal thoughts on the PCS. Counselors engaged in rapport‐building on 93.3%, problem‐solving on 70.1%, and suicide risk assessment on 67.7% of these 869 chats. Counselor risk assessment behavior, and the availability of information on suicide risk in the chat transcript, varied significantly by the chatter's PCS response. Conclusion: Crisis counselors are able to implement keystones of Lifeline's crisis intervention model over the medium of online chat. Additional efforts are needed to ensure that suicide risk is assessed on every chat. [ABSTRACT FROM AUTHOR]

Objective(s): To investigate differences in public stigma, self‐stigma, attitudes (value and discomfort), and intentions to seek help between online and face‐to‐face counseling. To identify a difference in the relationship between these variables and both counseling modalities. Method: An online survey completed by 538 college students from one university in the Southeastern United States. The sample included 412 females and 126 males with a mean age of 20.21 years (standard deviation [SD] = 1.26). Results: Significantly higher levels of self‐stigma and discomfort toward online counseling were reported. Significantly higher value and intentions were reported toward face‐to‐face counseling. Self‐stigma was positively related to public stigma, value was negatively related to self‐stigma, and intentions toward seeking help was positively related to value. Conclusions: Results suggest face‐to‐face counseling is seen as a more favorable method of service delivery compared to online counseling. Value toward online counseling is an important predictor for seeking this type of help. [ABSTRACT FROM AUTHOR]