Connect with us

Science

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

Published

on

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.

Advertisement

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.

Advertisement

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.”

Advertisement

“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.

Advertisement

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.

Advertisement

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.”

Advertisement

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.

Advertisement

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.

Advertisement

“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.”

Science

Here’s why the Lincoln Memorial Reflecting Pool went green so fast

Published

on

Here’s why the Lincoln Memorial Reflecting Pool went green so fast

Just days after the Trump administration completed millions of dollars in renovations on the Lincoln Memorial Reflecting Pool to make it American flag-blue, residents and online users noted it had turned a phosphorescent green.

Here’s why:

The calm, still waters of the Reflecting Pool make it an ideal nursery for algae growth. Algae need nitrogen and phosphorus to grow, and the Reflecting Pool is primarily fed by the Potomac River, which gets heavy doses of those nutrients from nearby urban and agricultural lands.

The Potomac also absorbed one of the largest sewage spills in U.S. history earlier this year when a pipe burst five miles upstream of Washington, although that event probably happened too long ago to contribute to the algal bloom today.

Untreated sewage is high in nitrogen and phosphorus. When nutrient levels are high, feasting algae can quickly reproduce.

Advertisement

The Department of the Interior said when the algae first appeared that it was “residual,” from the supply lines to the pool.

Experts also speculate that the darker blue color may be helping the Reflecting Pool absorb more heat. The higher temperatures promote algae growth by allowing their metabolisms to shift into overdrive.

Summer temperatures in D.C. aren’t helping. This week, temperatures are as high as 95 degrees in the city, prompting a heat alert.

The combination probably explains the excessive growth, turning the water surface an opaque green and preventing onlookers from seeing the new blue hue of the concrete basin.

Algae are important and beneficial organisms when the ecosystem is in balance. They’re the base of the aquatic food chain, fed on by herbivores of all shapes and sizes, including shrimp and juvenile fish, which in turn feed organisms higher up the food chain. The single-celled organisms use the power of the sun to produce energy through photosynthesis, similar to houseplants on your balcony.

Advertisement

In an effort combat the algae in the Reflecting Pool, employees of the National Park Service were seen pouring in gallons of hydrogen peroxide, a chemical commonly used in pool maintenance.

The Department of the Interior also is employing a “high-tech nanobubble ozone technology” to destroy the cells of the algae.

Ozone — yes, the same irritant that is in smog — is a gas composed of three oxygen molecules, and the small size of the bubbles allow the most gas transfer into the water, where it can damage algal cells, similar to how it irritates our lungs.

This only treats the symptoms, however. Generally, ozone nanobubbling is effective as a temporary solution for algae blooms. Longer-term fixes would have to address what makes the Reflecting Pool so ideal for algae, such as its depth, darker color and inflow of nitrogen and phosphorus.

In California, ozone nanobubbles also have been used in a project to improve water quality in the Tijuana River. The 120-mile river that runs near the border in northern Mexico and Southern California was the site of a pilot study in 2025. The U.S. section of the International Boundary and Water Commission reported that the nanobubbling reduced “odors and bacteria,” but the project concluded prematurely after a flood swept some of the instrumentation into the river.

Advertisement
Continue Reading

Science

This plant extract can make a lethal drug cocktail. Can it also treat opioid addiction?

Published

on

This plant extract can make a lethal drug cocktail. Can it also treat opioid addiction?

A plant extract that’s gaining popularity as a pain cure-all and has been associated with multiple California deaths in its concentrated, synthetic form has been approved for research as a treatment for opioid addiction by the federal government.

Kratom is derived from the leaves of Mitragyna speciosa, a tree native to Southeast Asia, and is commonly made into a powder or pill.

Researchers say people in the U.S. are using kratom to alleviate anxiety, treat chronic pain or as a remedy for the symptoms associated with quitting opioids, due to its ability to bind with opioid receptors in the body. But recently, public health officials have raised alarms about a component of the leaf called 7-hydroxymitragynine, also known as 7-OH, an alkaloid that has the potential for abuse and addiction in high doses.

Last year, the Los Angeles County Public Health Department linked the deaths of six county residents to the use of 7-OH mixed with other substances. The toxicology screens for some of the deceased revealed both kratom and 7-OH, leading to a countywide crackdown of products with either compound because they’re unregulated.

Although there is no scientific consensus on whether kratom has therapeutic value, the Food and Drug Administration has recommended that its potent 7-OH form be classified as a controlled substance. Consumers who use 7-OH as a pain reliever expecting an experience similar to consuming kratom are at risk, said Dr. Mason Turner, president-elect of the California Society of Addiction Medicine.

Advertisement

“I have a couple of patients that I work with who use 7-OH for chronic pain management, not realizing the potential of the medication, and then developed an opioid use disorder,” Turner said. “I think in that case it was very clear they were seeking it for the chronic pain, not to get high, not to have some kind of experience, but really to reduce their pain.”

About two decades ago, Turner said, the healthcare industry started acknowledging the limits and risks of prescribing opioids for chronic pain. Some doctors pulled back on prescriptions, recognizing the potential for abuse.

That led some patients to find alternative solutions, he said.

“Maybe they don’t get a good benefit, or maybe the benefit from some of the other treatments is not as robust as what they got from opioids,” Turner said. “So they seek out some of these illicit products … or they look for kratom or 7-OH to be able to mitigate the pain.”

Turner said he supports further research into kratom and regulation because “it could be worth exploring as a treatment for chronic pain.”

Advertisement

On June 1, the National Institutes of Health announced that researchers from the University of Florida would begin the first phase of clinical trials on kratom to evaluate it as a potential treatment for opioid addiction. The research would be done with the FDA’s approval, according to officials.

“This … is a major step toward expanding treatment options for the millions of Americans struggling with opioid use disorder, which has contributed to historically high overdose mortality rates,” said Dr. Nora Volkow, director of NIH’s National Institute on Drug Abuse, in a statement.

Interest in kratom surged in the last couple of years as users have reported consuming the compound in the form of a pill, powder or tea to treat various ailments. A John Hopkins survey conducted in 2020 reported that 91% of respondents used kratom to treat chronic pain, 67% to treat anxiety, 64% for depression and 41% to treat opioid dependence.

A more recent study by the University of Michigan and Texas State University found that more than 5 million people in the U.S., including more than 100,000 children ages 12 to 17, have used kratom, the compound experts say is growing in popularity with young adults.

In the study, which analyzed data from the National Survey on Drug Use and Health collected between 2021 and 2024, researchers say that despite numerous state-level bans on kratom across the nation, its use is at an all-time high and is increasing.

Advertisement

People between the ages of 21 and 34 said they used kratom at least once and 1% said they used it in the last year. The share of children ages 12 and older who said they had used kratom increased from 1.6% in 2021 to 1.9% in 2024.

The FDA has stated that neither kratom nor 7-OH are approved as drug products, dietary supplements or food additives, but that hasn’t stopped storefronts and companies from selling them as such.

Up until November you could find kratom and 7-OH products in smoke shops and specialty stores in California, but that has stopped.

“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,” the California Department of Public Health told The Times via email.

Kratom “Feel Free Classic” liquid products are displayed at a smoke shop in Los Angeles in 2024 before they were banned.

Advertisement

(Michael Blackshire / Los Angeles Times)

In May, the California Department of Public Health and Atty. Gen. Rob Bonta filed a complaint against Ashlynn Marketing Group Inc., accusing the company of repeatedly flouting the state’s regulations on kratom products.

The filing, submitted in the San Diego County Superior Court, seeks a judge’s order to condemn and destroy the embargoed kratom products, halt ongoing unlawful manufacturing and impose civil penalties.

The California Department of Public Health “is pursuing legal action because Ashlynn’s continued manufacture and sale of these products pose a clear and preventable public‑health risk and violates state and federal law,” said Dr. Erica Pan, the department’s director and state public health officer. “7-OH and kratom-derived products have been associated with addiction, serious health harms, overdose and death.”

Advertisement

The state is alleging its inspectors visited Ashlynn Marketing Group’s facility in Santee in May 2025 and found kratom powders, capsules, liquids and chewable tablets being manufactured and held for sale.

During the visit, inspectors issued an embargo to prohibit the sale and distribution of all kratom-related materials on-site, according to the complaint.

Public health inspectors conducted follow-up visits at the facility in October and April, “collecting evidence at both inspections that indicated embargoed kratom products had been moved, tampered with and repackaged,” according to public health officials.

“In addition, investigators observed evidence of continued manufacturing and distribution of kratom materials,” officials said. “The firm’s owner continues to manufacture kratom products and ships orders weekly.”

To date, the California Department of Public Health has seized more than $5 million worth of kratom and 7-OH products, a spokesperson for the department told The Times.

Advertisement

California and Los Angeles County are considering whether to tighten regulations or ban the compounds altogether.

Continue Reading

Science

Scientists find a whale graveyard in the Indian Ocean that’s millions of years old

Published

on

Scientists find a whale graveyard in the Indian Ocean that’s millions of years old

Scientists have unearthed communities of marine life — including jellyfish, tubeworms and brittle stars — thriving on a whale graveyard that is millions of years old.

These graveyards form when whale carcasses fall to the sea floor, becoming a sustaining snack for nearby critters. This one, located up to 23,000 feet below the surface of the southeastern Indian Ocean, spans the largest area and is so far the deepest and oldest found.

A whale’s sheer size and the unique chemistry of its bones are the keys to forming these unique underwater neighborhoods, said Xikun Song, a biologist with the Chinese Academy of Sciences’ Institute of Deep-sea Science and Engineering.

“At the same time, the very nature of the deep ocean makes these sites exceptionally difficult for scientists to locate,” Song, who was involved with the latest find, wrote in an email.

Researchers explored the remains during multiple deep-sea submersible trips in 2023, collecting samples and mapping the extent of the necropolis. They found five carcass sites and fossils, including skulls belonging to beaked and baleen whales. The oldest bones date back 5.3 million years.

Advertisement

Feeding and living on the carcasses were myriad creatures, large and small, including sea cucumbers, squat lobsters and saltwater clams. Many of them are likely species that have never been documented, according to findings published Wednesday in the journal Nature.

“The potential number of specimens is just astounding,” said paleontologist Stephen Godfrey with the Calvert Marine Museum in Maryland, who wasn’t involved in the research.

Many factors likely conspired to preserve the bones for millions of years, according to the study authors. They’re dense enough to outlast attacks from bone-eating worms, and located deep enough in the ocean to avoid getting buried by dust and loose particles. The bones also were coated with a light layer of minerals from the surrounding seawater, which may have prevented them from degrading.

Why did so many whales die here? Maybe they were already living in the area and died of natural causes. A few could have perished from exhaustion or illness caused by deep-sea diving. The area’s shape, akin to the letter V, could also have funneled the remains to their resting spot, the authors wrote.

Such discoveries are important because they clue scientists into the vibrant communities that find a way to live even in remote, hard-to-reach environments.

Advertisement

Studying the whale graveyards “is important for understanding how life can adapt to such extreme conditions, not only due to the lack of light and oxygen but also to the incredibly high pressure,” said study co-author and paleontologist Giovanni Bianucci with the University of Pisa in Italy in an email.

Ramakrishnan writes for The Associated Press.

The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education and the Robert Wood Johnson Foundation.

Advertisement
Continue Reading
Advertisement

Trending