Evaluation of the low-threshold support service krisenchat.de regarding utilization, acceptance, feasibility, user satisfaction and help-seeking behavior

Conditions

Mental symptoms and acute stress experience/crises, subclinical and clinical mental illness. F00-F99

Juliane Hug, Elisabeth Kohls, Konrad Jakob Endres, Melanie Eckert, Richard Wundrack et al. (9 authors)

Frontiers in Digital Health2026-01-23

10.3389/fdgth.2025.1735723

Who are frequent chatters? Characterization of frequent users in a 24/7 messenger-based psychological chat counseling service for children and adolescents.

Efe Z, Baldofski S, Eckert M, Guenthner L, Saee S, Thomas J, Wundrack R, Kohls E, Rummel-Kluge C.

2023-06-162 citations

10.1016/j.invent.2023.100638

The Impact of a Messenger-Based Psychosocial Chat Counseling Service on Further Help-Seeking Among Children and Young Adults: Longitudinal Study

Sabrina Baldofski, Elisabeth Kohls, Zeki Efe, Melanie Eckert, Shadi Saee et al. (8 authors)

JMIR Mental Health2023-03-2219 citations

10.2196/43780

Suicidal Ideation Among Children and Young Adults in a 24/7 Messenger-Based Psychological Chat Counseling Service

Elisabeth Kohls, Lukas Guenthner, Sabrina Baldofski, Melanie Eckert, Zeki Efe et al. (10 authors)

Frontiers in Psychiatry2022-03-2819 citations

10.3389/fpsyt.2022.862298

Acceptability and feasibility of a messenger-based psychological chat counselling service for children and young adults (“krisenchat”): A cross-sectional study

Melanie Eckert, Zeki Efe, Lukas Guenthner, Sabrina Baldofski, Katharina Kuehne et al. (10 authors)

Internet Interventions2022-02-1234 citations

10.1016/j.invent.2022.100508

Interventions

Group 1: The study (follow-up survey) will include participants who have used the chat-based counseling through krisenchat.de and have received a referral to the care system. (Question 1 is non-interv

Eligibility

Sex/Gender

All

Age

10 Years to 25 Years

Inclusion criteria

Inclusion criteria: present declaration of consent for the follow-up survey; male/female/diverse; users from 10 years and above who used the counseling service of krisenchat, have received a recommendation for further referral to the care system by the counselors in the chat. Sufficient vision and reading ability.

Exclusion criteria

Exclusion criteria: No sufficient knowledge of German, no internet access.

Design outcomes

Primary

Measure	Time frame
Interventional study: current help-seeking behavior and implementation of received referral into the health care system 4 weeks after the chat consultation. Non-interventional study: Retrospective analysis of anonymous user data and chat meta-data based on all chat sessions from May 2020 to July 2021 (N = 7000). Extension of the Retrospective Analysis to the Period from January 2023 to December 2023 (N = 29,387) in the Context of Suspected Child Welfare Endangerment and gender-specific subgroup analysis.	—

Measure

Time frame

Interventional study: current help-seeking behavior and implementation of received referral into the health care system 4 weeks after the chat consultation. Non-interventional study: Retrospective analysis of anonymous user data and chat meta-data based on all chat sessions from May 2020 to July 2021 (N = 7000). Extension of the Retrospective Analysis to the Period from January 2023 to December 2023 (N = 29,387) in the Context of Suspected Child Welfare Endangerment and gender-specific subgroup analysis.

—

Secondary

Measure	Time frame
Interventional study: Named barriers of help-seeking in the health care system in case of the absence of seek out to support services.	—

Countries

Germany

Outcome results

None listed