I had a thought.
There is a very cool food bank near me. They have a big distribution one week a month with meats, staples, dairy, etc (about 6-8 bags groceries), and then smaller distributions with fresh fruit, veg and bakery products every other week. Volunteers glean from local farms; other volunteers grow in a greenhouse so fresh veggies are available all year.
I talked to them when considering doing some web work for them. The employee who showed me around told me her story, she had lost her job, went there as a recipient, when she went back to work, she became a volunteer, and when they needed to hire someone, they asked her. So she'd been a recipient and volunteer before she became an employee.
They have lots of choices and the people who need assistance shop with grocery carts so as to choose what they want, as opposed to food banks that give you a random bag of food, including stuff you can't eat or don't want to.
The reason I'm bringing this up is... what impressed me most about this food bank is there is so little distinction between employees, volunteers and recipients. Many have gone from one to another, some are in 2 roles at a time.
So... it doesn't feel like a bunch of snotty people helping those "beneath" them; it's much more egalitarian than any food bank I've ever known of. It's not an "us vs. them" kind of situation.
I think that makes a big difference in how "help" is perceived by the recipient.
Someone who has never been suicidal has no business working a hotline. They don't get it, are likely to spout all the stupid platitudes we've all heard a bazillion times, and have a tendency to be annoyingly patronizing.
I support the Trevor Project, because a lot of kids live in extremely hostile environments and talking to someone who "gets" it may help them survive until they can escape. Though honestly, I don't know if they'd call a welfare check on someone or not, and I do think being pro-choice is terribly important.
But overall, I'd rather the folks who make LGBTQIA kids lives miserable were the ones who killed themselves. In fact, I'd support a hotline that *encouraged* those fuckheads.