Clinical Research Directory

Inclusion Criteria Teen Helpers * Current helpline peer helpers * Aged 14-19 years. * Provides assent and documented parental consent (when applicable). * Completes study measures prior to the first Motivational Interviewing (MI) training session. * Attends and completes assigned MI training activities. * Has access to technology required for online participation (computer, tablet, or smartphone with internet access; videoconferencing capability if needed). * Plans to continue helpline activities throughout the study period. Teen Users * Aged 13-19 years. * Current U.S. resident. * Has engaged in at least 20 back-and-forth text exchanges with a helpline volunteer. * Demonstrates active communication and engagement on the helpline platform. * Has access to technology required to complete online surveys and, if selected, interviews (computer, tablet, or smartphone with internet access). Exclusion Criteria Teen Helpers \- Plans to discontinue helpline activities within the next 8 months. Teen Users * Identified as currently experiencing acute suicide risk (i.e., assigned a "high-risk" flag by the helpline algorithm or identified as high risk by helpline staff). * Requires immediate crisis intervention or emergency services that could be disrupted by participation in the research study.