Suicide hotlines tend to cause more problems than help. It's nice that people volunteer their time to try and help people at their breaking point, that can't be easy, but they're often forced to just read from a script instead of trying to empathize with the caller on a human level. It feels like talking to a robot instead of another person. If the volunteer suspects the caller is in danger of going through with it, cops get called, you get hauled off to the hospital. Several thousand dollars worth of medical bills and the possible stigma of people close to you knowing, especially if they were the instigator doesn't seem like a viable solution to someone trying to reach out for help.