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Having met several people taking calls on similar numbers (in European countries though) and also called a few times myself, I can tell you: They help more than you can imagine.

Most callers are not suicidal, they just need someone empathetic they can talk to. 'Suicide hotline' is just one of the few keywords that are very effective, it catches people in their most vulnerable state right before it's too late for help. Type 'suicide' into google and they show you a number above all results.

To everyone who doesn't have a support structure, please just search for 'suicide/depression/anxiety/* hotline' in your language. You most likely will find someone who will talk to you for an hour at 4am. Don't feel bad about it, you are not bothering anyone, they often do it voluntarily and just want to help others.