{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T18:09:37Z","timestamp":1778609377027,"version":"3.51.4"},"reference-count":71,"publisher":"Public Library of Science (PLoS)","issue":"5","license":[{"start":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T00:00:00Z","timestamp":1778544000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100009646","name":"Gulf Research Program","doi-asserted-by":"publisher","award":["Award No. SCON-10001154"],"award-info":[{"award-number":["Award No. SCON-10001154"]}],"id":[{"id":"10.13039\/100009646","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009646","name":"Gulf Research Program","doi-asserted-by":"publisher","award":["Award No. SCON-10001154"],"award-info":[{"award-number":["Award No. SCON-10001154"]}],"id":[{"id":"10.13039\/100009646","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosdigitalhealth.org"],"crossmark-restriction":false},"short-container-title":["PLOS Digit Health"],"abstract":"<jats:p>Extreme weather events pose significant mental health risks for youth, yet few studies have examined the temporal dynamics of crisis help-seeking following multiple hurricanes using real-time anonymized transcripts. We analyzed 2,149 anonymized crisis text conversations from Louisiana youth (2018\u20132023) using structural topic modeling (STM) to identify thematic patterns and temporal trajectories following six hurricanes, including Hurricane Ida. Conversations were assigned to the closest hurricane using a temporal proximity algorithm and classified into eight mutually exclusive recovery periods based on days elapsed since landfall, ranging from the immediate hurricane period (days \u22121 to +2) through beyond one year post-exposure (&gt;365 days). Compound disaster effects (hurricane\u2009+\u2009COVID-19) were also examined. We identified 12 distinct crisis topics organized into four domains (Crisis, Coping, Stressor, Resource\/Process) and documented a systematic \u201cthree waves\u201d pattern of post-disaster psychological response. Wave 1 (Immediate: 0\u201330 days) was characterized by resource-seeking, with Crisis Hotline Protocol (17.4%) and Louisiana Services (9.8%) peaking during active storms. Wave 2 (Delayed: 31\u201390 days) revealed the emergence of acute crises, with Suicide Ideation &amp; Self-Harm increasing from 5.1% during hurricanes to 8.9% at 61\u201390 days post-landfall (p\u2009=\u20090.006). Wave 3 (Long-term: 3\u2009+\u2009months) was dominated by interpersonal stressors peaking at &gt;12 months, including Relationships (17.8%) and Family Conflict (10.3%), with Abuse &amp; Safety Concerns showing delayed emergence at 9\u2009+\u2009months. Compound disasters (74% of sample) were associated with elevated Grief (+3.3 percentage points) and Abuse &amp; Safety Concerns (+1.8 percentage points). Crisis text data reveal distinct temporal phases of youth mental health help-seeking following hurricanes, with a critical delayed suicide ideation peak at 61\u201390 days. These findings suggest potential windows for stepped-care frameworks and demonstrate the utility of crisis hotline data as a real-time tool for disaster mental health surveillance.<\/jats:p>","DOI":"10.1371\/journal.pdig.0001393","type":"journal-article","created":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T17:29:02Z","timestamp":1778606942000},"page":"e0001393","update-policy":"https:\/\/doi.org\/10.1371\/journal.pdig.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Temporal dynamics of teen crisis help-seeking following hurricanes: A structural topic model analysis"],"prefix":"10.1371","volume":"5","author":[{"given":"Margaret M.","family":"Sugg","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0852-3733","authenticated-orcid":true,"given":"Sophia C.","family":"Ryan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer D.","family":"Runkle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charlie S.","family":"Reed","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"LaVondra","family":"Dobbs","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victoria","family":"Schwandt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2026,5,12]]},"reference":[{"key":"pdig.0001393.ref001","doi-asserted-by":"crossref","unstructured":"Knutson T, Camargo SJ, Chan JCL, Emanuel K, Ho CH, Kossin J. 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Wertis","year":"2023","journal-title":"Geohealth"},{"key":"pdig.0001393.ref026","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1016\/j.jad.2024.05.080","article-title":"Crisis response in Texas youth impacted by Hurricane Harvey: A difference-in-differences analysis","volume":"359","author":"T Williamson","year":"2024","journal-title":"J Affect Disord"},{"issue":"1","key":"pdig.0001393.ref027","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1016\/j.jadohealth.2021.10.003","article-title":"Crisis Response and Suicidal Patterns in U.S. Youth Before and During COVID-19: A Latent Class Analysis","volume":"70","author":"JD Runkle","year":"2022","journal-title":"J Adolesc Health"},{"issue":"1","key":"pdig.0001393.ref028","article-title":"Disparities in suicide risk trajectories among youth during the COVID-19 pandemic","volume":"36","author":"SC Ryan","year":"2026","journal-title":"J Res 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notes","volume":"30","author":"M Levis","year":"2023","journal-title":"Clin Psychol Psychother"},{"key":"pdig.0001393.ref032","doi-asserted-by":"crossref","first-page":"116097","DOI":"10.1016\/j.psychres.2024.116097","article-title":"Using natural language processing to evaluate temporal patterns in suicide risk variation among high-risk Veterans","volume":"339","author":"M Levis","year":"2024","journal-title":"Psychiatry Res"},{"key":"pdig.0001393.ref033","volume-title":"Topic Models","author":"DM Blei","year":"2009"},{"issue":"1","key":"pdig.0001393.ref034","first-page":"1757","article-title":"A scoping review of preprocessing methods for unstructured text data to assess data quality","volume":"7","author":"M Nesca","year":"2022","journal-title":"Int J Popul Data Sci"},{"issue":"4","key":"pdig.0001393.ref035","doi-asserted-by":"crossref","first-page":"1064","DOI":"10.1111\/ajps.12103","article-title":"Structural Topic Models for Open\u2010Ended Survey Responses","volume":"58","author":"ME Roberts","year":"2014","journal-title":"American J Political Sci"},{"issue":"2","key":"pdig.0001393.ref036","doi-asserted-by":"crossref","DOI":"10.18637\/jss.v091.i02","article-title":"stm: An R Package for Structural Topic Models","volume":"91","author":"ME Roberts","year":"2019","journal-title":"J Stat Soft"},{"key":"pdig.0001393.ref037","first-page":"993","article-title":"Latent dirichlet allocation","volume":"3","author":"DM Blei","year":"2003","journal-title":"J Mach Learn Res"},{"issue":"1","key":"pdig.0001393.ref038","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1080\/1369118X.2025.2500489","article-title":"From tragedy to advocacy: how celebrity suicides transform mental health conversations on Facebook","volume":"29","author":"HM Kim","year":"2025","journal-title":"Information, Communication & Society"},{"issue":"1","key":"pdig.0001393.ref039","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1111\/jssr.12639","article-title":"Dimensions of Religion and Spirituality: A Longitudinal Topic Modeling Approach","volume":"59","author":"S Kim","year":"2020","journal-title":"Scientific Study of Religion"},{"key":"pdig.0001393.ref040","volume-title":"Text as data: A new framework for machine learning and the social sciences","author":"J Grimmer","year":"2022"},{"key":"pdig.0001393.ref041","first-page":"262","author":"D Mimno","year":"2011"},{"key":"pdig.0001393.ref042","doi-asserted-by":"crossref","first-page":"1381","DOI":"10.1080\/01621459.2015.1051182","article-title":"Improving and evaluating topic models and other models of text","volume":"111","author":"EM Airoldi","year":"2016","journal-title":"Journal of the American Statistical Association"},{"key":"pdig.0001393.ref043","article-title":"Field manual for mental health and human service workers in major disasters.","author":"D DeWolfe","year":"2000"},{"key":"pdig.0001393.ref044","unstructured":"SAMHSA. Disaster Behavioral Health Resources. https:\/\/www.samhsa.gov\/technical-assistance\/dtac\/resources 2024. 2026 February 12."},{"key":"pdig.0001393.ref045","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1521\/psyc.65.3.207.20173","article-title":"60,000 disaster victims speak: Part I. An empirical review of the empirical literature, 1981-2001","volume":"65","author":"FH Norris","year":"2002","journal-title":"Psychiatry"},{"issue":"4","key":"pdig.0001393.ref046","doi-asserted-by":"crossref","first-page":"632","DOI":"10.2105\/AJPH.2013.301668","article-title":"A rapid needs assessment of the Rockaway Peninsula in New York City after Hurricane Sandy and the relationship of socioeconomic status to recovery","volume":"104","author":"S Subaiya","year":"2014","journal-title":"Am J Public Health"},{"key":"pdig.0001393.ref047","doi-asserted-by":"crossref","first-page":"1447","DOI":"10.1017\/dmp.2021.102","article-title":"Using NYC 311 call center data to assess short- and long-term needs following Hurricane Sandy","volume":"16","author":"A Eugene","year":"2022","journal-title":"Disaster Med Public Health Prep"},{"issue":"4","key":"pdig.0001393.ref048","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1038\/sj.mp.4002119","article-title":"Trends in mental illness and suicidality after Hurricane Katrina","volume":"13","author":"RC Kessler","year":"2008","journal-title":"Mol Psychiatry"},{"key":"pdig.0001393.ref049","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1007\/s12144-015-9348-4","article-title":"Perceptions of trauma and loss among children and adolescents exposed to disasters: a mixed-methods study","volume":"34","author":"LS King","year":"2015","journal-title":"Current Psychology"},{"key":"pdig.0001393.ref050","doi-asserted-by":"crossref","first-page":"682714","DOI":"10.3389\/fpubh.2021.682714","article-title":"The Contributing Factors of Delayed-Onset Post-traumatic Stress Disorder Symptoms: A Nested Case-Control Study Conducted After the 2008 Wenchuan Earthquake","volume":"9","author":"Y Yang","year":"2021","journal-title":"Front Public Health"},{"issue":"12","key":"pdig.0001393.ref051","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1007\/s11920-021-01293-1","article-title":"Child and Adolescent Psychosocial Support Programs Following Natural Disasters-a Scoping Review of Emerging Evidence","volume":"23","author":"L Gibbs","year":"2021","journal-title":"Curr Psychiatry Rep"},{"key":"pdig.0001393.ref052","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyt.2021.638940","article-title":"It\u2019s Complicated\u2014Adolescent Grief in the Time of Covid-19","volume":"12","author":"L Weinstock","year":"2021","journal-title":"Frontiers in Psychiatry"},{"issue":"1","key":"pdig.0001393.ref053","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1016\/j.jadohealth.2022.08.021","article-title":"Spatio-Temporal Clustering of Adolescent Bereavement in the United States During the Extended Response to COVID-19: A Follow-Up Study","volume":"72","author":"SC Ryan","year":"2023","journal-title":"J Adolesc Health"},{"issue":"21","key":"pdig.0001393.ref054","doi-asserted-by":"crossref","first-page":"2117","DOI":"10.1001\/jama.2021.20846","article-title":"Thousands of US Youths Cope With the Trauma of Losing 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