@skountouros
The justification I used in my mind was that if someone is calling a crisis hotline, they must want help, and you're right, the number of EMS calls my supervisor had to make was roughly 1% of all calls, despite the fact that 70-80% of people I talked to mentioned self-harm or ending their own life.
Nonetheless, the issues around privacy, including (but not limited to) calling EMS bothered me. When I was asked to misdirect, or not answer someone with a full, truthful answer caused me trauma. When someone would say "Is it just us talking?" or "Can anyone else read our conversation?" I was trained to give non answers like "It's just you and me." but I knew full well that my supervisor, or the system as a whole kept the conversations, mining it for information.
When someone had made it clear that they were in imminent danger, and it became clear to them that I'd need to call EMS, it was traumatic for both of us...
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