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In 2012, the  SAMHSA ‐funded  N ational  S uicide  P revention  L ifeline ( L ifeline) completed implementation of the first national  P olicy for  H elping  C allers at  I mminent  R isk of  S uicide across its network of crisis centers. The policy sought to: (1) provide a clear definition of imminent risk; (2) reflect the state of evidence, field experience, and promising practices related to reducing imminent risk through hotline interventions; and (3) provide a uniform policy and approach that could be applied across crisis center settings. The resulting policy established three essential principles: active engagement, active rescue, and collaboration between crisis and emergency services. A sample of the research and rationale that underpinned the development of this policy is provided here. In addition, policy implementation, challenges and successes, and implications for interventions to help  L ifeline callers at imminent risk of suicide are detailed.

suicide and life‐threatening behavior

Helping Callers to the National Suicide Prevention Lifeline Who Are at Imminent Risk of Suicide: The Importance of Active Engagement, Active Rescue, and Collaboration Between Crisis and Emergency Services