06/19/2026
Recently $238.6 million has been allocated for the 988 su***de crisis hotline specifically to "curb psychiatric overprescribing" and "drive deprescribing when clinically indicated."
Yet 988's official "What to Expect" guidance lists counselors asking about safety, feelings, and social situation—but medication questions are NOT routine.
This gap needs fixing. If the government is investing millions to address psychiatric medication overuse through 988, counselors MUST routinely screen for medications during every call. This is critical for:
✓ Assessing side effects that may contribute to crisis
✓ Identifying inappropriate polypharmacy or contraindications
✓ Connecting callers to informed care about their treatment
✓ Supporting accurate info and shared decision-making
988 should make medication questions standard. People in mental health crisis need comprehensive support—including understanding akathisia and adverse drug effects that can precipitate self-harm, violence, and su***de.