The National Suicide Prevention Lifeline was launched on January 1, 2005 and answered just over 46,000 calls in the first year of the operation. In 2017, it answered more than 2 million.

The Lifeline has significantly increased the call volume, but there are still people in crisis who can not reach it. Some people with suicidal thoughts are afraid to call, afraid that they do so, can compromise their privacy or their autonomy.

USA TODAY spoke with the Lifeline director John Draper and communications director Frances Gonzalez about what happens when someone calls 800-273-TALK (8255).

Who is calling the lifeline?

Gonzalez: "Twenty-five to thirty percent of the callers have a problem with suicide, others call this because they are emotionally in trouble or are looking for sources and information."