The title doesn't match the paper, which is about the results of improving the pre-existing hotlines setup, not about implementing a hotline or not.
This incorrect conclusion is directly called out in the paper:
> These estimates should be interpreted with a few limitations in mind. First, because 988 was implemented nationally, the design estimates the effects of greater exposure to 988-related local capacity expansion, not the total national effect of 988 relative to no crisis line.
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[ 38.2 ms ] story [ 171 ms ] threadWe need to solve the underlying issues of loneliness
This incorrect conclusion is directly called out in the paper:
> These estimates should be interpreted with a few limitations in mind. First, because 988 was implemented nationally, the design estimates the effects of greater exposure to 988-related local capacity expansion, not the total national effect of 988 relative to no crisis line.