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After rash of overdose deaths, L.A. banned sales of kratom. Some say they lost lifeline for pain and opioid withdrawal

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After rash of overdose deaths, L.A. banned sales of kratom. Some say they lost lifeline for pain and opioid withdrawal

Nearly four months ago, Los Angeles County banned the sale of kratom, as well as 7-OH, the synthetic version of the alkaloid that is its active ingredient. The idea was to put an end to what at the time seemed like a rash of overdose deaths related to the drug.

It’s too soon to tell whether kratom-related deaths have dissipated as a result — or, really, whether there was ever actually an epidemic to begin with. But many L.A. residents had become reliant on kratom as something of a panacea for debilitating pain and opioid withdrawal symptoms, and the new rules have made it harder for them to find what they say has been a lifesaving drug.

Robert Wallace started using kratom a few years ago for his knees. For decades he had been in pain, which he says stems from his days as a physical education teacher for the Glendale Unified School District between 1989 and 1998, when he and his students primarily exercised on asphalt.

In 2004, he had arthroscopic surgery on his right knee, followed by varicose vein surgery on both legs. Over the next couple of decades, he saw pain-management specialists regularly. But the primary outcome was a growing dependence on opioid-based painkillers. “I found myself seeking doctors who would prescribe it,” he said.

He leaned on opioids when he could get them and alcohol when he couldn’t, resulting in a strain on his marriage.

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When Wallace was scheduled for his first knee replacement in 2021 (he had his other knee replaced a few years later), his brother recommended he take kratom for the post-surgery pain.

It seemed to work: Wallace said he takes a quarter of a teaspoon of powdered kratom twice a day, and it lets him take charge of managing his pain without prescription painkillers and eases harsh opiate-withdrawal symptoms.

He’s one of many Angelenos frustrated by recent efforts by the county health department to limit access to the drug. “Kratom has impacted my life in only positive ways,” Wallace told The Times.

For now, Wallace is still able to get his kratom powder, called Red Bali, by ordering from a company in Florida.

However, advocates say that the county crackdown on kratom could significantly affect the ability of many Angelenos to access what they say is an affordable, safer alternative to prescription painkillers.

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Kratom comes from the leaves of a tree native to Southeast Asia called Mitragyna speciosa. It has been used for hundreds of years to treat chronic pain, coughing and diarrhea as well as to boost energy — in low doses, kratom appears to act as a stimulant, though in higher doses, it can have effects more like opioids.

Though advocates note that kratom has been used in the U.S. for more than 50 years for all sorts of health applications, there is limited research that suggests kratom could have therapeutic value, and there is no scientific consensus.

Then there’s 7-OH, or 7-Hydroxymitragynine, a synthetic alkaloid derived from kratom that has similar effects and has been on the U.S. market for only about three years. However, because of its ability to bind to opioid receptors in the body, it has a higher potential for abuse than kratom.

Public health officials and advocates are divided on kratom. Some say it should be heavily regulated — and 7-OH banned altogether — while others say both should be accessible, as long as there are age limitations and proper labeling, such as with alcohol or cannabis.

In the U.S., kratom and 7-OH can be found in all sorts of forms, including powder, capsules and liquids — though it depends on exactly where you are in the country. Though the Food and Drug Administration has recommended that 7-OH be included as a Schedule 1 controlled substance under the Controlled Substances Act, that hasn’t been made official. And the plant itself remains unscheduled on the federal level.

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That has left states, counties and cities to decide how to regulate the substances.

California failed to approve an Assembly bill in 2024 that would have required kratom products to be registered with the state, have labeling and warnings, and be prohibited from being sold to anyone younger than 21.

It would also have banned products containing synthetic versions of kratom alkaloids. The state Legislature is now considering another bill that basically does the same without banning 7-OH — while also limiting the amount of synthetic alkaloids in kratom and 7-OH products sold in the state.

“Until kratom and its pharmacologically active key ingredients mitragynine and 7-OH are approved for use, they will remain classified as adulterants in drugs, dietary supplements and foods,” a California Department of Public Health spokesperson previously told The Times.

On Tuesday, California Gov. Gavin Newsom announced that the state’s efforts to crack down on kratom products has resulted in the removal of more than 3,300 kratom and 7-OH products from retail stores. According to a news release from the governor’s office, there has been a 95% compliance rate from businesses in removing the products.

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(Los Angeles Times photo illustration; source photos by Getty Images)

Newsom has equated these actions to the state’s efforts in 2024 to quash the sale of hemp products containing cannabinoids such as THC. Under emergency state regulations two years ago, California banned these specific hemp products and agents with the state Department of Alcoholic Beverage Control seized thousands of products statewide.

Since the beginning of 2026, there have been no reported violations of the ban on sales of such products.

“We’ve shown with illegal hemp products that when the state sets clear expectations and partners with businesses, compliance follows,” Newsom said in a statement. “This effort builds on that model — education first, enforcement where necessary — to protect Californians.”

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Despite the state’s actions, the Los Angeles County Board of Supervisors is still considering whether to regulate kratom, or ban it altogether.

The county Public Health Department’s decision to ban the sale of kratom didn’t come out of nowhere. As Maral Farsi, deputy director of the California Department of Public Health, noted during a Feb. 18 state Senate hearing, the agency “identified 362 kratom-related overdose deaths in California between 2019 and 2023, with a steady increase from 38 in 2019 up to 92 in 2023.”

However, some experts say those numbers aren’t as clear-cut as they seem.

For example, a Los Angeles Times investigation found that in a number of recent L.A. County deaths that were initially thought to be caused by kratom or 7-OH, there wasn’t enough evidence to say those drugs alone caused the deaths; it might be the case that the danger is in mixing them with other substances.

Meanwhile, the actual application of this new policy seems to be piecemeal at best.

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The county Public Health Department told The Times it conducted 2,696 kratom-related inspections between Nov. 10 and Jan. 27, and found 352 locations selling kratom products. The health department said the majority stopped selling kratom after those inspections; there were nine locations that ignored the warnings, and in those cases, inspectors impounded their kratom products.

But the reality is that people who need kratom will buy it on the black market, drive far enough so they get to where it’s sold legally or, like Wallace, order it online from a different state.

For now, retailers who sell kratom products are simply carrying on until they’re investigated by county health inspectors.

Ari Agalopol, a decorated pianist and piano teacher, saw her performances and classes abruptly come to a halt in 2012 after a car accident resulted in severe spinal and knee injuries.

“I tried my best to do traditional acupuncture, physical therapy and hydrocortisone shots in my spine and everything,” she said. “Finally, after nothing was working, I relegated myself to being a pain-management patient.”

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She was prescribed oxycodone, and while on the medication, battled depression, anhedonia and suicidal ideation. She felt as though she were in a fog when taking oxycodone, and when it ran out, ”the pain would rear its ugly head.” Agalopol struggled to get out of bed daily and could manage teaching only five students a week.

Then, looking for alternatives to opioids, she found a Reddit thread in which people were talking up the benefits of kratom.

“I was kind of hesitant at first because there’re so many horror stories about 7-OH, but then I researched and I realized that the natural plant is not the same as 7-OH,” she said.

She went to a local shop, Authentic Kratom in Woodland Hills, and spoke to a sales associate who helped her decide which of the 47 strains of kratom it sold would best suit her needs.

Agalopol currently takes a 75-milligram dose of mitragynine, the primary alkaloid in kratom, when necessary. It has enabled her to get back to where she was before her injury: teaching 40 students a week and performing every weekend.

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Agalopol believes the county hasn’t done its homework on kratom. “They’re just taking these actions because of public pressure, and public pressure is happening because of ignorance,” she said.

During the course of reporting this story, Authentic Kratom has shut down its three locations; it’s unclear if the closures are temporary. The owner of the business declined to comment on the matter.

When she heard the news of the recent closures, Agalopol was seething. She told The Times she has enough capsules of kratom for now, but when she runs out, her option will have to be Tylenol and ibuprofen, “which will slowly kill my liver.”

“Prohibition is not a public health strategy,” said Jackie Subeck, executive director of 7-Hope Alliance, a nonprofit that promotes safe and responsible access to 7-OH for consumers, at the Feb. 18 Senate hearing. “[It’s] only going to make things worse, likely resulting in an entirely new health crisis for Californians.”

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Hollywood rallies around former L.A. Zoo elephants Billy and Tina as they reportedly suffer in Tulsa

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Hollywood rallies around former L.A. Zoo elephants Billy and Tina as they reportedly suffer in Tulsa

Nearly a year after the Los Angeles Zoo shipped off Billy and Tina to Oklahoma, animal rights activists have kept up the call to move the elephants to a sanctuary. Recently, actor Samuel L. Jackson joined their roster of supporters.

In the dead of night last May, the pair of Asian elephants were shuttled via shipping containers to the Tulsa Zoo, where their L.A. keepers said they’d join a herd large enough for the social animals’ well-being — something the L.A. Zoo could not provide.

But animal welfare groups say the pachyderms are not better off in their new home, citing concerns about their physical and mental health.

Tina, 59, is battling a uterine infection and Billy, 40, could face invasive sperm extractions, according to Courtney Scott, veteran elephant consultant with In Defense of Animals.

The pair were already showing “very chronic stress behavior” in L.A., Scott said, such as head bobbing, swaying and pacing. In Tulsa, “that seemed to intensify.”

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How do they know? A volunteer from the Elephant Guardians of Los Angeles visited twice and chronicled their condition with photos and videos, she said.

Scott’s group ranked the Tulsa Zoo among the 10 worst zoos for elephants last year, claiming it suffers from overcrowding and a breeding program with a checkered history.

Jackson, of “Pulp Fiction” and Marvel fame, said sanctuaries are willing to take in Tina and Billy. “Continued exploitation and denial of their freedom is making them worse, and time is running out!” Jackson said in a statement provided by In Defense of Animals.

Jackson is just the latest star to chime in. Cher, Lily Tomlin and the late Bob Barker have previously advocated for Billy, who arrived at the L.A. Zoo in 1989.

Billy roams his former habitat at the L.A. Zoo in April 2017.

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(Richard Vogel / Associated Press)

At the Tulsa Zoo, which did not respond to requests for comment, Billy and Tina are now part of a crew that includes five other Asian elephants. The zoo’s elephant complex spans 17 acres and includes a wooded preserve not open to public viewing as well as a 36,650-square-foot barn.

This month, the zoo announced Tina was suffering from an infection and abnormal buildup of fluid in her uterus. A statement describes it as a side effect of reproductive tract disease, which she had a history of before arriving at the zoo and is common in aging female elephants.

“There are very limited options beyond antibiotics and, unfortunately, antibiotics alone will not fully resolve the infection,” the zoo said. “That reality is difficult to share, but it’s important to be transparent that this condition has the potential to become life-threatening.”

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Tina isn’t showing signs of discomfort and remains “bright and engaged” and “greets her keepers,” according to the zoo.

Billy and Tina have lived together for more than 15 years and share a strong bond, according to the L.A. Zoo. They communicate by touching each other with their trunks, smelling each other and vocalizing.

Billy hails from a herd in Malaysia that was culled to clear land for palm and rubber plantations, according to the zoo. He arrived in L.A. at the age of 4 as part of an effort by the Malaysian government to relocate young elephants to zoos in the late 1980s.

In 2009, Tina landed at the San Diego Zoo for rehabilitation after being confiscated from a private owner. She was moved to the L.A. Zoo the following year.

For years, animal welfare advocates and some politicians tried to compel the L.A. Zoo to relocate the elephants to somewhere more spacious and which, according to them, would offer a better quality of life.

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The L.A. Zoo, however, has long defended the care provided to its elephants and did not cite health reasons for Billy’s and Tina’s relocation in 2025.

According to an online FAQ, that decision stemmed from the death of two older herd members — Jewel and Shaunzi — who were euthanized in 2023 and 2024, respectively, for age-related health reasons. Without them, the zoo no longer met Assn. of Zoos and Aquariums standards requiring accredited zoos to have at least three Asian elephants.

The zoo said it wasn’t possible to bring in more elephants, so it made the “difficult decision” to relocate Billy and Tina, according to a statement from last year.

“The care and well-being of the animals is always a top priority and decisions impacting the animals are made at discretion of the Zoo Director — an authority granted in the Los Angeles City Charter,” the statement said. “Activist agendas and protests are rightfully not a consideration in decisions that impact animal care.”

The zoo said it spoke to sanctuaries accredited by the Assn. of Zoos and Aquariums when weighing what to do with the elephants, but elephant experts from around the country recommended Tulsa Zoo as the best fit for the pair. Criteria included space, facilities, staff expertise and herd dynamics.

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Denise Verret, director of the L.A. Zoo, noted at an L.A. City Council budget hearing last year that the Toronto Zoo lost its accreditation in 2012 by sending its elephants to a sanctuary at the direction of the Toronto City Council.

L.A. City Councilmember Bob Blumenfield, a longtime advocate for the elephants, filed a motion seeking to pause their relocation until the City Council could review the possibility of sending them to a sanctuary. An L.A. resident filed a lawsuit over the zoo’s decision and sought to halt the elephants’ transfer. Neither effort was successful, but activists haven’t given up.

Sanctuaries in Georgia and Cambodia have agreed to take in Billy and Tina, according to Scott. Another, the Performing Animal Welfare Society in Northern California, has said it would accept Billy and, likely, Tina, she said.

“It would just be a matter of sitting down,” she said, “and figuring out the best one for the elephants.”

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NASA’s Artemis II Is the First Crewed Moon Mission Since 1972. Why Are We Going Back?

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NASA’s Artemis II Is the First Crewed Moon Mission Since 1972. Why Are We Going Back?

An animated 3-D model of the moon, shown on a black background.

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A 3-D model of the moon with the near side in view. It reads: This is the side of the moon we see from Earth

In the first era of moon exploration, NASA and the Soviet Union focused on the near side of the moon, where there was direct radio communication with Earth.

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A 3-D model of the moon with the near side in view and circles for landing and crash sites, including Luna 9, 1966 (U.S.S.R.) and Apollo 11 and Apollo 12 (both in 1969, U.S.A).

Today, NASA and other space agencies, like those of China and India, are intrigued by the far side of the moon, which is out of view from Earth…

A 3-D model of the moon with the far side in view and circles for landing and crash sites, including Chang’e 4, 2019 (China) and Chang’e 6, 2024 (China).

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…as well as the polar regions.

A 3-D model of the moon with the south pole in view and circles for landing and crash sites, including the same Chang’e missions and also Chandrayaan-3, 2023 (India).

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A new lunar race is now underway: The United States wants to land humans back on the moon by 2028, two years ahead of China. But the motivations are somewhat different from what put men on its surface 50 years ago.

There is water at the moon’s poles, frozen in the eternal shadows within craters.

Water molecules can be broken apart into hydrogen and oxygen. If countries set up moon bases there, the oxygen could provide breathable air, and hydrogen and oxygen could be used as rocket propellants. Astronauts could also get their drinking water from the moon’s ice. NASA has identified potential landing sites in this area, and China wants to build outposts around the moon’s south pole.

For scientists, the water and other chemicals trapped in the shadowed regions could provide a record of comet and asteroid impacts. Cores drilled from the crater floors could provide a history of the solar system stretching back 4.5 billion years, similar to how ice cores extracted from Greenland and Antarctica tell of Earth’s climate over the past few thousand years.

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Helium-3 could be mined from the lunar soil.

Helium-3, a lighter version of helium, with only one neutron in its nucleus instead of two, is exceedingly rare on Earth. It costs about $9 million a pound, and the biggest source is decayed tritium, a heavy form of hydrogen found in nuclear weapons stockpiles.

The moon could provide much more. The fusion reactions that light up the sun produce helium-3, some of which is propelled throughout the solar system as part of the solar wind that blows outward from the sun. Some of those atoms slam into the moon and become embedded in the lunar soil.

Titanium-rich minerals are more likely to trap helium-3. The rocks on the near side of the moon contain more of these minerals and those locations are believed to be most promising for the mining of helium-3.

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Although concentrations are low, they are still higher than on Earth, whose magnetic field deflects the solar wind around the planet.

Decades in the future, helium-3 could be an ideal fuel for fusion power plants. A more immediate use could be for ultracold refrigerator systems needed for quantum computing.

Animated 3-D model of the moon that shows higher concentrations of helium-3 on the near side of the moon.

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A lunar telescope could be installed in a crater on the far side of the moon.

Over the past century, the Earth has become a noisy place for astronomers wishing to listen to the radio waves that fill the universe. Those waves emanate from glowing gas clouds of hydrogen, auroras of distant planets and fast-spinning neutron stars. But those signals are often drowned out by ubiquitous transmissions of modern society like radio and television shows, cellphone calls and industrial electrical equipment.

The Earth’s ionosphere also blocks long-wavelength radio waves, which would give clues about the very early universe, from reaching ground-based radio telescopes. But on the far side of the moon, all that radio noise from Earth is silenced, unable to pass through 2,000 miles of rock. And the long-wavelength radio waves could also be observed.

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Building a radio telescope in a crater on the moon would take advantage of that natural concave shape. A location near the equator in the middle of the far side could be an ideal listening spot.

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After years of talking about lunar outposts in vague terms for sometime in the indefinite future, NASA recently shifted, putting a continuing U.S. presence on the moon solidly on its road map for the coming decade.

Plans for a moon base would proceed in phases. It would go from regular moon visits to building permanent infrastructure; power and communication systems; vehicles to carry astronauts and cargo across the surface; and possibly nuclear power plants.

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Methodology

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The 3-D model’s base imagery is from NASA’s Moon CGI kit. Data on lunar landing and crash sites was gathered and verified using multiple sources: NASA Space Science Data Coordinated Archive; China National Space Administration; Japanese Space Agency; European Space Agency; Indian Space Research Organization; and the Smithsonian Institution.

To create the time-lapse animation showing the moon’s permanently shadowed areas at the south pole in January 2026, New York Times journalists used a digital elevation model from the Lunar Orbiter Laser Altimeter (LOLA), data from LOLA’s Gridded Data Records (GDRs) and ephemeris sourced from the U.S. Geological Service (USGS) Astropedia.

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Frozen water detections were provided by Shuai Li from the University of Hawaii.

Lunar landing sites for future Artemis missions at the South Pole are from NASA’s update from October 2024.

Helium-3 concentration data was provided by Wenzhe Fa from Peking University, China.

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Diagrams of the lunar radio telescope deployment and radio interference are based on NASA Jet Propulsion Laboratory’s concepts.

This project also used geographic references from the USGS Geologic Atlas of the Moon and the Lunar South Pole Atlas by the Lunar and Planetary Institute.

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Autistic people are more likely to experience suicidal crisis. 988 is changing to serve them better

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Autistic people are more likely to experience suicidal crisis. 988 is changing to serve them better

Free, largely confidential and available 24 hours a day via call, text or online chat, the 988 Lifeline — formerly the National Suicide Prevention Lifeline — is among the most accessible and effective suicide prevention tools in the U.S.

People have contacted the service roughly 25 million times since July 2022, when the previous 10-digit telephone number officially converted to the shorter and more memorable 988. An overwhelming majority of system users in a study commissioned by the agency that oversees the lifeline said they found it helpful and potentially lifesaving.

Yet for one particularly vulnerable population, the decision to reach out can be especially complicated.

Many autistic people require additional time to process verbal information, particularly in stressful or overwhelming situations. If a question is long or laden with metaphoric speech — “feeling blue,” “get it off your chest” — the time required only expands. Some have reported being hung up on when a 988 counselor misinterpreted their silence to mean they’d walked away.

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Others have struggled to make their needs understood, or found that the encounter unfolded in a way that unintentionally caused further harm.

Some years ago, before the launch of the national lifeline’s text service, Rae Waters Haight contacted a text crisis line during a challenging period. The counselor asked a routine question to assess his safety: Was there anything in his house right now that he could use to hurt himself?

Like many autistic people, Haight’s mind interprets language in its most literal sense. Mentally he scanned the rooms of his Carlsbad home, envisioning various objects and the ways they might cause harm. He had no intention of using any of these items, but that wasn’t the question he had been asked.

Yes, he replied.

Haight ended the conversation and headed to bed, telling himself he’d feel better after a night’s sleep. To his alarm, police lights soon flashed through his bedroom window. They were officers dispatched by a concerned counselor who misinterpreted his factually accurate answer as a statement of intent.

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Haight is now part of a growing network of researchers and advocates working to ensure that crisis counselors have the tools they need to help autistic callers, and that autistic people and those who care for them understand what to expect from 988 and similar crisis intervention services before they need to dial.

“Misunderstandings happen frequently between autistic and non-autistic individuals, and this can be difficult at the best of times,” he said. “But during a crisis, the stakes are high.”

Autism spectrum disorder is a neurodevelopmental condition that manifests differently in nearly every person who has it. While the spectrum encompasses a wildly diverse range of behaviors, skills and communication styles, its core traits center on differences in social communication and sensory processing.

For a variety of reasons, autistic people of all ages are significantly more likely than neurotypical peers to experience suicidal thoughts and attempt suicide. In the compressed world of a 988 call, in which both counselor and caller are strangers with little information to go on besides the words they exchange, the potential for miscommunication is high.

“The crisis counselors try to help, but end up kind of just landing wrong.”

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“Autistic people are misunderstood and have difficulty conveying what they’re going through in a way that’s productive,” said Lisa Morgan, founder and co-chair of the Autism and Suicide Prevention Workgroup, a research collective dedicated to the issue. “The crisis counselors try to help, but end up kind of just landing wrong.”

An autistic person’s tone of voice or emotional affect may sound to a non-autistic person as if it doesn’t match the situation’s gravity. Some are mentally soothed by repeating specific words or phrases, a phenomenon known as echolalia, which can be misinterpreted by someone unfamiliar with the trait as mocking or uncooperative.

Many autistic people also have alexithymia, a trait that makes it exceptionally difficult to identify and describe emotions, and have been stymied by questions intended to assess their internal state.

Such misunderstandings can leave the caller feeling frustrated and alone. They can also inadvertently escalate a situation.

According to 988’s confidentiality policy, counselors may share a caller’s information with people outside of the lifeline system if they believe the caller or someone else is at immediate risk of harm, and discussing an alternative safety plan directly with the caller isn’t possible.

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Emergency services are contacted in fewer than 2% of calls, according to Vibrant Emotional Health, the nonprofit organization that administers 988, and most of these dispatches are made with the caller’s consent.

For many autistic people, even a slim prospect of an unwanted encounter with law enforcement or an emergency room is frightening.

“I’ve called 988, I’ve texted 988 before, and my experience was I don’t want to do it anymore.”

“I’ve called 988, I’ve texted 988 before, and my experience was I don’t want to do it anymore. You know why? Because the police will come. And they’ll take me to the hospital,” said Kayla Rodriguez, 29, an autistic woman who lives in the Greater Atlanta area.

Although an emergency room can keep someone safe, many autistic people find its bright lights, incessant noise and unfamiliarity to be more distressing than helpful. A hospitalization during one suicidal period triggered for Rodriguez a yearlong episode of autistic burnout, a form of exhaustion in which the ability to function or tolerate stimuli plummets.

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An encounter with police carries its own risks. Rodriguez was particularly unsettled by the March 1 death of Alex LaMorie, a 25-year-old autistic man who called 911 (not 988) during a suicidal crisis and was shot by responding officers after allegedly failing to drop a knife at their command.

“I wish there were more options to deal with suicidality than just the police and the hospital,” Rodriguez said. “But also, I just wish people would calm down … try to talk to us, try to engage with us and help de-escalate the situation, instead of making it worse.”

Autistic people who have called the crisis line say they don’t expect counselors to be mind readers. But they would like them to be open to adjusting their approach.

“Adapt to the person [calling]. Don’t make the person adapt,” said Andrea Bleifuss, 43, of Portland, Ore., who has worked in mental health care facilities and called the crisis line herself.

The counselors who made her feel truly understood “don’t even have to understand what I’m going through, but they do understand how to relate to someone, how to adapt whatever training they’ve had.”

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Morgan, who is herself autistic, and her research partner Brenna Maddox, a clinical psychologist and co-chair of the workgroup, set out to help the 988 system do just that.

In 2023, they published a guide to help crisis workers assess whether the person they are talking to could be on the autism spectrum. It also offered specific conversation strategies that could improve the call: asking if the person has any special interests; asking clear, short, direct questions; allowing ample time for the person to respond; and being open to the caller’s own suggestions for what works for them. The final page of the guide is a single sheet of tips that crisis workers can print out and hang by their desk.

“An autistic individual may say that spinning quarters is a good distraction technique for them,” reads one tip. “Even if that sounds unusual to the crisis center worker, it is still a valid and acceptable answer.”

The following year, they published a detailed guide for autistic adults on what to expect when contacting 988. This includes the likelihood of a wait time (the 988 number connects to a network of more than 200 individual call centers around the U.S. and it can take a few minutes to find an available counselor) and how to sign off on a call or text chat. Earlier this year, the workgroup released a version for autistic youth and their caregivers.

Then last year, they achieved a goal long in the works: direct training for 988 counselors. Morgan and Maddox conducted three one-hour webinars for Vibrant that covered the fundamentals of autism, autism-specific suicide warning signs and support strategies for autistic people in crisis.

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The sessions were voluntary, and their recordings were placed in the online library of continuing education materials available to all 988 counselors. More than 1,200 people have already viewed the training live or watched the webinars, according to Vibrant.

No single approach works for every 988 caller, autistic or not. The goal is to expand the skills and ideas a counselor can draw from when trying to form a connection.

“Across multiple trainings, we have had attendees say or put in the chat, ‘These recommendations would be helpful for anyone,’” Maddox said. “If anyone is in crisis, do they want you spewing a lot of words at them [and] having this really long, wordy conversation? Or do they want you to be concise, to the point?”

Haight is now pursuing a doctorate in autism studies at Towson University in Maryland, and hosts meetings for autistic peer support groups. His long-term goal is to create a crisis hotline specifically for people on the spectrum, staffed by counselors who are either autistic themselves or have been trained by autistic people.

Right now, 988 offers callers direct access to counselors with specialized training in supporting veterans, another population with higher suicide rates than the national average. (A dedicated option for LGBTQ+ youth disappeared last year after the Trump administration terminated its funding.) Haight believes autistic people should have something similar.

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“I was convinced that a unique crisis support for autistic people must exist, given our high rate of suicidality and unique needs, so I searched for one, but I found none. What I did find was a wealth of evidence that a dedicated support should exist,” he said. “Autistic people have unique communication needs, yet crisis supports were not created with autistic needs in mind.”

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