将近三年来，通过988自杀与危机热线为LGBTQ+群体提供咨询的咨询师接听了超过150万通电话、短信和在线聊天——直到特朗普政府于2025年7月终止了该服务。但如今，一年多过去了，该服务重新上线。
For nearly three years, counselors through the 988 Suicide & Crisis Lifeline for LGBTQ+ individuals answered more than 1.5m calls, texts and online chats – until the Trump administration terminated it in July 2025. But now, more than a year later, the service is back online.
负责监管该热线的联邦机构——物质滥用和心理健康服务管理局（Samhsa）——去年出于财务原因关闭了名为“按3选项”的专门全国热线服务，尽管批评者认为其动机出于政治考量。在活动人士、LGBTQ+组织和政客的压力下，国会批准了立法，拨出超过3300万美元用于服务酷儿青少年，包括该专门热线。虽然自杀预防和LGBTQ+权利团体欢迎该服务的恢复，但关于推出细节以及咨询师将如何接受培训，仍笼罩在保密之中。
The federal agency that oversees the lifeline, Substance Abuse and Mental Health Services Administration (Samhsa), shuttered the specialized national lifeline service known as the “press 3” option for financial reasons last year, though critics cited political motivations. After pressure from activists, LGBTQ+ organizations, and politicians, Congress approved legislation to allocate more than $33m to services for queer youth, including to the specialized lifeline. While suicide prevention and LGBTQ+ rights groups celebrate the reinstatement, details about the rollout and how the counselors will be trained remain shrouded in secrecy.
据美国卫生与公众服务部（HHS）称，该部门“仍完全与特朗普总统的行政令保持一致，以捍卫女性免受性别意识形态极端主义的侵害，并将生物学真理恢复到联邦政府”，一位发言人在给《卫报》的声明中表示。但LGBTQ+权利团体及其盟友质疑该部门的指令将如何影响该服务的包容性。HHS未回应有关该服务政策变更的多次详细请求。
According to Health and Human Services (HHS), the department “remains fully aligned with President Trump’s Executive Orders to defend women from gender ideology extremism and restore biological truth to the federal government”, a spokesperson said in a statement to the Guardian. But LGBTQ+ rights groups and allies question how the department’s directive will affect the service’s inclusivity. HHS did not respond to repeated requests for details about policy changes to the service.
《卫报》在该服务恢复后，通过其在线聊天功能向“按3选项”发送了消息，在此期间，一名咨询师表达了性别肯定的情感，提出了诸如“什么让你感觉最像你自己，并在你的身份中感到被肯定？”等问题。在聊天接近尾声时，咨询师鼓励待在“让你感到被看见、被倾听，并且最绝对安全的空间”中。
The Guardian messaged the press 3 option through its live chat function following its reinstatement, during which a counselor offered gender affirming sentiments, asking questions such as: “what makes you feel most yourself and affirmed in your identity?”Toward the end of the chat, the counselor encouraged remaining in “spaces where you feel seen, heard and most definitely the safest”.
参议员塔米·鲍德温（Tammy Baldwin）和众议员塞思·莫尔顿（Seth Moulton）等曾推动“按3键”选项的国会议员对该服务的重新开放表示欢迎，并表示打算继续为保住这项服务而抗争。去年LGBTQ+专项服务被关停后，988全国生命热线仍然保留，咨询师继续为退伍军人提供专门服务，并接听来自所有人群的来电。根据美国疾病控制与预防中心2023年的调查数据，酷儿（queer）青少年尝试自杀的可能性是异性恋和顺性别同龄人的三倍多。
Members of Congress such as Senator Tammy Baldwin and Representative Seth Moulton, who pushed for the press 3 option, applauded its reopening, stating their intention to continue fighting for its preservation. Following the shutdown of LGBTQ+ services last year, the 988 national lifeline remained, with counselors continuing to offer specialized services for veterans and field calls from all populations. Queer youth are more than three times more likely to attempt suicide than their heterosexual and cisgender peers, according to the Centers for Disease Control and Prevention 2023 survey data.
“14个月来，‘按3键’一直处于关停状态，因为特朗普总统和小罗伯特·F·肯尼迪（RFK, Jr.）选择将政治置于人民之上，切断了面向美国年轻人的救命服务。我努力迫使特朗普政府做正确的事，遵守我起草的法律，恢复面向LGBTQ青少年的专项服务，”鲍德温在给《卫报》的一份声明中说。鲍德温是来自威斯康星州的民主党人，也是近15年前当选美国参议员的第一位公开出柜的同性恋者。
“For 14 months, ‘Press 3’ was shuttered because President Trump and RFK, Jr. made a choice to put politics over people and cut off life-saving services for young Americans. I worked hard to force the Trump Administration to do the right thing and follow the law that I wrote to restore specialized services for LGBTQ Youth,” Baldwin, a Democrat from Wisconsin and the first out gay person elected to the US Senate nearly 15 years ago, said in a statement to the Guardian.
2020年，她起草了创建这条全国生命热线的立法，并在过去一年中协助领导了国会要求恢复LGBTQ青少年专项服务的努力。“虽然‘按3键’已重新上线，但我将继续为保护和加强988而努力，确保美国人在陷入危机时，能够获得他们需要且理应得到的帮助。”专注于酷儿青少年自杀预防的非营利组织特雷弗项目（The Trevor Project）去年处于关停事件的最前沿，它是受雇接听LGBTQ+人群来电的几家机构之一。
In 2020, she authored the legislation that created the national lifeline, and has helped lead the congressional push to reinstate the service for LGBTQ youth over the past year. “While ‘Press 3’ is back online, I’ll continue fighting to protect and strengthen 988 to make sure that when Americans are in crisis, the help they need and deserve is available.”The Trevor Project, a nonprofit focused on suicide prevention for queer youth, was at the forefront of the shutdown last year as one of several groups contracted to field calls from LGBTQ+ people.
该非营利组织几年前帮助开创了这项服务，为咨询师提供培训，帮助他们支持来电者的性别和性身份。然而，特雷弗项目被排除在最近一版“按3键”选项之外，因为该组织被视为988网络中的不活跃成员。
The nonprofit helped pioneer the service a few years ago, offering training to counselors on supporting callers’ gender and sexual identities. However, the Trevor Project was shut out of the most recent iteration of the press 3 option because the organization was considered an inactive member of the 988 network.
去年该服务终止后，崔佛项目失去了一份价值2500万美元的联邦合同，并裁减了200多名咨询师。但该组织靠私人资助的自杀预防热线在停摆期间仍维持运转，部分靠一项筹款活动维持，该活动从约2.6万名捐赠者处募集了逾2040万美元。该组织倡导与政府事务副总裁马克·亨森表示，无法确定“按3”服务关闭对私人资助热线的来电量造成了何种影响。
Upon the termination of the service last year, the Trevor Project lost a $25m federal contract and let go of more than 200 counselors. But the organization’s privately funded suicide prevention lifeline continued amid the shutdown, partially through a campaign that raised more than $20.4m from about 26,000 donors. Mark Henson, the organization’s vice-president of Advocacy & Government Affairs, said that it was impossible to ascertain how the press 3 closure affected the privately funded lifeline’s call volume.
亨森在给《卫报》的声明中说：“虽然我们无法直接评价新服务的样子，但凭借我们近30年为LGBTQ+青少年提供危机干预服务的经验，我们知道最佳实践护理需要持续改进和明确标准。我们看到有声明称卫生与公众服务部仍与反跨性别行政命令保持一致。我们不确定相关行政命令是否会影响所提供服务的包容性。”除了自身的筹款努力，崔佛项目还发起了一份保护“按3”选项的请愿书，获得了逾5.4万个签名。
“While we can’t directly speak to what the new services look like, we know from our nearly 30 years of providing crisis intervention services for LGBTQ+ youth that best-practice care requires continuous improvement and clear standards,” Henson said in a statement to the Guardian. “We have seen statements that HHS remains in alignment with anti-transgender executive orders. We are uncertain about whether or not the executive orders in question impact the inclusivity of services being provided.”Along with its own fundraising efforts, the Trevor Project also launched a petition to protect the press 3 option that garnered more than 54,000 signatures.
该组织还与伊利诺伊州和加利福尼亚州的机构合作，培训988自杀与危机生命线咨询师，以支持这两个州的酷儿青少年。
The organization also partnered with agencies in Illinois and California to train 988 Lifeline counselors in supporting queer youth in those states.
美国自杀预防基金会执行副总裁兼首席倡导与政策官劳雷尔·斯汀表示，过去一年的持续倡导“说明了对自杀风险不成比例地较高的社区的支持与认可，并确保当他们拨打或发短信至988、或处于危机时，都能得到受过培训、具有文化响应能力、并能肯定其独特需求的咨询师”。
The sustained advocacy over the past year “speaks to the support and the recognition of communities that are disproportionately at risk for suicide, and ensuring that when they call or text 988, or when they’re in crisis, they have trained counselors that are culturally responsive, and affirming to their unique needs”, Laurel Stine, the nonprofit American Foundation for Suicide Prevention’s executive vice-president and chief advocacy and policy officer, said.
“恢复并不是终点。这不是对话的结束。这项倡导工作仍在继续，因为988热线以及专业服务需要持续投入，让人们在危机中求助时能够依靠这些服务。”
“The restoration is not the end point. It’s not the end of the conversation. That advocacy continues because of the sustained investments that are needed in 988 and specialized services that people can rely on when they reach out and need help in a crisis.”