Who Calls and Why: Kyrgyzstan’s Helpline Patterns (2021

Abstract

This study analyzes patterns, demographic characteristics, and primary concerns of callers to Kyrgyzstan’s national helpline over a 3-year period (2021–2023). Descriptive analysis of 7,800 calls examined caller demographics, yearly trends, and primary concerns disaggregated by age and gender. Adults represented 71.1% of callers, with peak volume in 2022 (N = 3,100). Adults most frequently requested social assistance (20.6%) and administrative support (11.2%), while children reported psychological concerns (28%), family conflict (19.1%), and child-protection issues (16.7%). Female callers (62.1%) consistently outnumbered males across all categories. Findings reveal distinct age-based patterns, with adults seeking primarily instrumental support and children presenting psychological and relational concerns. The study underscores implications for strengthening age-appropriate helpline services and tailoring psychosocial resources for child callers in Kyrgyzstan and similar cultural contexts.

Keywords

helpline children and adults help-seeking behavior low- and middle-income countries

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References

Ahad

A. A.

Sanchez-Gonzalez

Junquera

(2023). Understanding and addressing mental health stigma across cultures for improving psychiatric care: A narrative review. Cureus, 15(5), e39549. https://doi.org/10.7759/cureus.39549

Andara

Estep

Salas-Betsch

(2025). Breadwinning women are a lifeline for their families and the economy. Center for American Progress. https://www.americanprogress.org/article/breadwinning-women-are-a-lifeline-for-their-families-and-the-economy/

Asamoah

Abokyi

S. N.

Fannam Nunfam

(2024). Challenges of parents of young adults misusing psychoactive substances in small-scale mining communities in Ghana. Cogent Mental Health, 3(1), 1–37. https://doi.org/10.1080/28324765.2024.2382182

Batchelor

Stoyanov

Pirkis

Kõlves

(2021). Use of kids helpline by children and young people in Australia during the COVID-19 pandemic. Journal of Adolescent Health, 68(6), 1067–1074. https://doi.org/10.1016/j.jadohealth.2021.03.015

Brülhart

Klotzbücher

Lalive

(2023). Young people’s mental and social distress in times of international crisis: Evidence from helpline calls, 2019–2022. Scientific Reports, 13(1), 11858. https://doi.org/10.1038/s41598-023-39064-y

Capdevila

Zurbriggen

E. L.

(2023). Introduction: Feminist theorizing on power, gender, and psychology. In Zurbriggen

E. L.

Capdevila

(Eds.), The Palgrave handbook of power, gender, and psychology (pp. 1–9). Palgrave Macmillan. https://doi.org/10.1007/978-3-031-41531-9_1

Carlick

May-Chahal

(2025). Children’s access to child protection social work through mobile apps. The British Journal of Social Work. Advance online publication. https://doi.org/10.1093/bjsw/bcaf274

Cornally

McCarthy

(2011). Help-seeking behaviour: A concept analysis. International Journal of Nursing Practice, 17(3), 280–288. https://doi.org/10.1111/j.1440-172x.2011.01936.x

Curll

Mazzer

Rickwood

(2024). The development of a core outcome set for crisis helplines: A three-panel Delphi study. Journal of Affective Disorders Reports, 16, 100763. https://doi.org/10.1016/j.jadr.2024.100763

10.

Doherty

D. T.

Kartalova-O’Doherty

(2010). Gender and self-reported mental health problems: Predictors of help seeking from a general practitioner. British Journal of Health Psychology, 15(1), 213–228. https://doi.org/10.1348/135910709x457423

11.

Gould

M. S.

Lake

A. M.

Galfalvy

Kleinman

Munfakh

J. L.

Wright

McKeon

(2018). Follow-up with callers to the National Suicide Prevention Lifeline: Evaluation of callers’ perceptions of care. Suicide & Life-Threatening Behavior, 48(1), 75–86. https://doi.org/10.1111/sltb.12339

12.

Hammer

J. H.

Vogel

D. L.

Grzanka

P. R.

Kim

Keum

B. T.

Adams

Wilson

S. A.

(2024). The integrated behavioral model of mental health help seeking (IBM-HS): A health services utilization theory of planned behavior for accessing care. Journal of Counseling Psychology, 71(5), 315–327. https://doi.org/10.1037/cou0000754

13.

Hoffberg

A. S.

Stearns-Yoder

K. A.

Brenner

L. A.

(2020). The effectiveness of crisis line services: A systematic review. Frontiers in Public Health, 7, 399. https://doi.org/10.3389/fpubh.2019.00399

14.

Madonsela

Ware

L. J.

Scott

Watermeyer

(2023). The development and use of adolescent mobile mental health (m-mhealth) interventions in low- and middle-income countries: A scoping review. South African Journal of Psychology, 53(4), 471–483. https://doi.org/10.1177/00812463231186260

15.

Mahmood

Chari

Hamid

Khan

Pannilavithana

(2024). Outcomes used for the evaluation of mental health helplines: A systematic review. BJPsych Open, 10(S1), S194–S195. https://doi.org/10.1192/bjo.2024.488

16.

Mathieu

S. L.

Uddin

Brady

Batchelor

Ross

Spence

S. H.

Watling

Kõlves

(2021). Systematic review: The state of research into youth helplines. Journal of the American Academy of Child & Adolescent Psychiatry, 60(10), 1190–1233. https://doi.org/10.1016/j.jaac.2020.12.028

17.

Matthews

Cantor

J. H.

Brooks Holliday

Eberhart

N. K.

Breslau

Bialas

McBain

R. K.

(2023). Mental health emergency hotlines in the United States: A scoping review (2012–2021). Psychiatric Services, 74(5), 513–522. https://doi.org/10.1176/appi.ps.20220128

18.

McClellan

S. R.

Hunt

Olsho

L. E. W.

Dasgupta

Chowdhury

Sparks

A. C.

(2022). Satisfaction and mental health outcomes associated with a large regional helpline. Community Mental Health Journal, 58(6), 1214–1224. https://doi.org/10.1007/s10597-021-00931-5

19.

Ministry of Labor and Social Development of the Kyrgyz Republic [MLSD KR]. (2015). State institution “children’s helpline center” under the Ministry of Labor and Social Development of the Kyrgyz Republic [Gosudarstvennoe uchrezhdenie: Tsentr “telefon doveriya” dlya detey pri Ministerstve truda, sotsialnogo razvitiya KR]. https://mlsp.gov.kg/ru/gosudarstvennoe-uchrezhdenie-tsentr-telefon-doveriya-dlya-detej-pri-ministerstve-truda-i-sotsialnogo-razvitiya-kr/

20.

Ministry of Labor, Social Support and Migration of the Kyrgyz Republic [MLSSM KR]. (2024). Open data on children’s helpline. https://data.gov.kg/dataset/tejieqpoh-dobepnr-djir-deten

21.

Mirzaei-Alavijeh

Najafi

Veis

R. G.

Moradinazar

Farasati

Jalilian

(2025). Psychological distress and its association with gender, socioeconomic status, education and health conditions. Scientific Reports, 15, 29142. https://doi.org/10.1038/s41598-025-14848-6

22.

National Statistical Committee of the Kyrgyz Republic [NSC KR]. (2024). Demographic characteristics of children. https://www.stat.gov.kg/ru/statistika-o-detyah/demograficheskie-harakteristiki

23.

National Statistical Committee of the Kyrgyz Republic (NSC) and UNICEF. (2024). Kyrgyz Republic multiple indicator cluster survey 2023, survey findings report. https://mics.unicef.org/sites/mics/files/2024-10/Kyrgyzstan%202023%20MICS_English.pdf

24.

Planey

A. M.

Smith

S. M.

Moore

Walker

T. D.

(2019). Barriers and facilitators to mental health help-seeking among African American youth and their families: A systematic review study. Children and Youth Services Review, 101, 190–200. https://doi.org/10.1016/j.childyouth.2019.04.001

25.

Puente-Martínez

Reyes-Sosa

Ubillos-Landa

Iraurgi-Castillo

(2025). Social support seeking among women victims of intimate partner violence: A qualitative analysis of lived experiences. Journal of Family Violence, 40(3), 463–476. https://doi.org/10.1007/s10896-023-00622-7

26.

Puente-Martinez

Ubillos-Landa

Páez-Rovira

(2022). Problem-focused coping strategies used by victims of gender violence across the stages of change. Violence Against Women, 28(14), 3331–3351. https://doi.org/10.1177/10778012211054866

27.

Rauvola

R. S.

Rudolph

C. W.

(2023). An operational integration of lifespan development theories. Current Psychology, 42(13), 11184–11194. https://doi.org/10.1007/s12144-021-02385-0

28.

Rickwood

Deane

F. P.

Wilson

C. J.

Ciarrochi

(2005). Young people’s help-seeking for mental health problems. Australian e-Journal for the Advancement of Mental Health, 4, 218–251. https://ro.uow.edu.au/hbspapers/2106/

29.

Roth

K. B.

Szlyk

H. S.

(2020). Hotline use in the United States: Results from the collaborative psychiatric epidemiology surveys. Administration and Policy in Mental Health and Mental Health Services Research, 48(3), 564–578. https://doi.org/10.1007/s10488-020-01089-0

30.

Spengler

E. S.

Tierney

Elledge

L. C.

Grzanka

P. R.

(2023). Beyond the individual: Sexual minority help-seeking and the consequences of structural barriers. Journal of Counseling Psychology, 70(2), 133–145. https://psycnet.apa.org/doi/10.1037/cou0000657

31.

Sylaska

K. M.

Edwards

K. M.

(2014). Disclosure of intimate partner violence to informal social support network members: A review of the literature. Trauma Violence & Abuse, 15(1), 3–21. https://doi.org/10.1177/1524838013496335

32.

UNICEF. (2023). Situation of children in Kyrgyzstan [UNICEF report]. https://www.unicef.org/kyrgyzstan/reports/situation-children-kyrgyzstan

33.

van den Broek

Gandhi

Sureshkumar

D. S.

Prina

Bhatia

Patel

Singla

D. R.

Velleman

Weiss

H. A.

Garg

Sequeira

Pusdekar

Jordans

M. J. D.

Nadkarni

. (2023). Interventions to increase help-seeking for mental health care in low- and middle-income countries: A systematic review. PLOS Global Public Health, 3(9), e0002302. https://doi.org/10.1371/journal.pgph.0002302

34.

van der Burgt

M. C. A.

Mérelle

Brinkman

W. P.

Beekman

A. T. F.

Gilissen

. (2023). Breaking down barriers to a suicide prevention helpline: Protocol for a web-based randomized controlled trial. JMIR Research Protocols, 12, e41078. https://doi.org/10.2196/41078

35.

Vogel

D. L.

Heimerdinger-Edwards

S. R.

Hammer

J. H.

Hubbard

(2011). “Boys don’t cry”: Examination of the links between endorsement of masculine norms, self-stigma, and help-seeking attitudes for men from diverse backgrounds. Journal of Counseling Psychology, 58(3), 368–382. https://doi.org/10.1037/a0023688

36.

World Health Organization. (2018). Preventing suicide: A resource for establishing a crisis line. https://apps.who.int/iris/bitstream/handle/10665/311295/WHO-MSD-MER-18.4-eng.pdf

37.

Zippelius

Schreynemackers

Hegerl

Reich

(2025). Heightened demand for mental health information resources during the SARS-CoV-2 pandemic in Germany: A retrospective longitudinal analysis of helpline calls. Journal of Affective Disorders Reports, 20, 100885. https://doi.org/10.1016/j.jadr.2025.100885

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Who Calls and Why: Kyrgyzstan’s Helpline Patterns (2021–2023)

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