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GMJ News > GMJ Briefs > 988 Crisis Line Restructuring: Tracking Four Years of LGBTQ+ Service Evolution

988 Crisis Line Restructuring: Tracking Four Years of LGBTQ+ Service Evolution

GMJ
Last updated: 24/08/2026 15:30
By
Prof. Giorgi Pkhakadze
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1 Min Read
988 crisis line phone service infrastructure and LGBTQ+ support routing
The Trump administration is relaunching a specialized LGBTQ+ crisis line option under the US 988 hotline, but The Trevor Project, which helped pioneer the service, is being excluded. The restructuring raises concerns about continuity of evidence-based, culturally competent care for one of the highest-risk populations seeking mental health support. — Photo by Ron Lach on Pexels (Pexels License)
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1 min read|128 words

Since the 988 Suicide & Crisis Lifeline launched nationally in 2022, the three-digit number has served as a critical access point for mental health support, including specialized LGBTQ+-affirming routing developed in partnership with The Trevor Project. Key milestones show rapid policy shifts: the original service began with dedicated LGBTQ+ infrastructure in 2022, underwent partnership reassessment from 2024–2025, and now faces a 2026 relaunch without its founding partner. This timeline raises important questions about the implications for vulnerable populations accessing crisis intervention services. Mental health experts are examining whether continuity of evidence-based, culturally competent care will be maintained under new operational structures. The exclusion of The Trevor Project—the nation’s largest crisis service for LGBTQ+ youth since 1998—represents a significant departure from the original service model. Read the full article on GMJ Newsroom.

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ByProf. Giorgi Pkhakadze
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Prof. Giorgi Pkhakadze, MD, MPH, PhD, is Editor-in-Chief of the Georgian Medical Journal and Chair of the Public Health Institute of Georgia (PHIG). He is Professor and Head of the Department of Social and Behavioural Sciences at David Tvildiani Medical University, and Secretary/Treasurer of the UEMS Section of Public Health. ORCID: 0000-0001-7609-4515.

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