Funding for Suicide Prevention and Crisis Services in US State Budgets - Report - MDSpire
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Investment in Suicide Prevention and Crisis Intervention within State Budgets in the United States

  • By

  • Jonathan Purtle

  • Michal Weiss

  • Ryan K. McBain

  • Jonathan H. Cantor

  • Jennifer L. Pomeranz

  • Sachini Bandara

  • Fernanda Montoya

  • Elizabeth A. Stuart

  • September 11, 2026

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Investment in Suicide Prevention and Crisis Intervention within State Budgets in the United States

Background

Suicide remains a significant public health issue in the U.S. Despite the establishment of the 988 Suicide and Crisis Lifeline, comprehensive state-level investments in suicide prevention and crisis services have not been thoroughly documented. Understanding these financial commitments is crucial for evaluating the effectiveness of behavioral health policies.

Data Highlights

The study analyzed enacted state budgets across the U.S. for fiscal years 2021 through 2026, resulting in a dataset of 306 state-year budget observations.

Key Findings

  • Approximately 1 in 20 adults experienced serious suicidal thoughts in 2024.
  • Monthly, an average of 13,857 individuals older than 12 received emergency department care for suspected suicide attempts.
  • By January 2025, 21 states had enacted laws for a dedicated suicide prevention office or coordinator.
  • 12 states had passed legislation establishing 988 telecommunications fees to support crisis services.
  • Funding for suicide prevention and crisis services varies significantly by state and region.

Clinical Implications

Healthcare professionals should be aware of the varying levels of state investment in suicide prevention and crisis services.

Conclusion

The study underscores the importance of quantifying state-level investments in suicide prevention and crisis services to better understand the landscape of mental health support in the U.S.

Related Resources & Content

  1. United States Department of Health and Human Services, SAMHSA Awards $255 Million to Administer 988 Lifeline, 2026 -- SAMHSA Awards $255 Million to Administer 988 Lifeline
  2. kff health news, Have Suicide Prevention Policies Failed Over Decades?, 2026 -- Have Suicide Prevention Policies Failed Over Decades?
  3. Emergency Department Visits for Suspected Suicide Attempts — United States, 2021–2025 | MMWR, 2024 -- Emergency Department Visits for Suspected Suicide Attempts
  4. VA/DoD Clinical Practice Guideline for Assessment and Management of Patients at Risk for Suicide, 2024 -- VA/DoD Clinical Practice Guideline for Assessment and Management of Patients at Risk for Suicide
  5. JAMA Network Open — Error in Funding/Support
  6. JAMA Network Open — Hospital-Based Psychosocial Case Management and Suicide Prevention in South Korea: A Randomized Clinical Trial
  7. Emergency Department Visits for Suspected Suicide Attempts — United States, 2021–2025 | MMWR
  8. VA/DoD Clinical Practice Guideline for Assessment and Management of Patients at Risk for Suicide
  9. Safety Planning vs Standard Care for Suicide Prevention After Pretrial Jail Detention: A Randomized Clinical Trial | Law and Medicine | JAMA Network Open | JAMA Network

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