In 2025, Nebraska’s 988 Suicide and Crisis Lifeline call center, based at Boys Town, recorded more than 39,000 contacts, according to the state Department of Health and Human Services. DHHS Behavioral Health Director Dr. Thomas Janousek detailed the breakdown: approximately 26,000 calls and 13,000 digital contacts, which include text and chat messages. The data underscores the growing reliance on the crisis line as a first line of defense for mental health emergencies.

Janousek highlighted that only about 300 of those contacts required an escalated mobile crisis response. “Only over 300 contacts have resulted in escalated mobile crisis response. What that means is that in a vast majority of cases, 99% of the time, just simply having that call and that available resource to immediately talk to somebody is preventing a hospitalization or preventing a major behavioral health intervention,” he said. This statistic illustrates the effectiveness of the service in de-escalating situations before they reach a critical point.

Beyond immediate crisis support, the 988 line also plays a role in normalizing mental health conversations. “It does help people take that first step to say, hey, this is unfamiliar to me. Hey, maybe a little scary, but at least I’m able to engage in a safe space where I can have that conversation and make sure that I’m taking that first step to getting the help that I need,” Janousek noted. By offering a confidential and judgment-free environment, the service encourages individuals to seek help earlier, potentially reducing the long-term burden of untreated mental health conditions.

Looking ahead, Janousek said he hopes awareness of the service will continue to grow. “Ultimately, the goal of the entire behavioral health system, I would say, whether it be at a state level or at a federal level, is to get the 988 crisis line to be synonymous with 911. We want to make sure that people are understanding that this resource is out there,” he explained. The transition from a 10-digit number to the three-digit 988 code was a significant upgrade, making the hotline easier to remember and access in moments of crisis.

While the 39,000 contacts represent a significant milestone, state officials acknowledge that more work remains to ensure every Nebraskan knows how to reach help when they need it. The low escalation rate—only 300 out of 39,000—suggests that the line is effectively diverting people from more costly and intensive interventions, saving both lives and resources. As the service becomes more ingrained in the state’s emergency response infrastructure, the hope is that 988 will become as familiar as 911 for mental health emergencies.