The "just reach out for help" is the biggest lie ever. I'm glad if it works for some people and it's worth trying I guess, but mostly it just takes away any remaining shred of illusion that anyone cares.
Everyone knows, I've begged everyone for help, no one who could help will. They say the right things, and then no matter how little I ask, they won't do it. Anything from inviting me to a holiday, to texting me ever again after I tell them just hearing from them makes all the difference. I have two friends who actually reach out to me and try to be supportive, and they are both in way worse situations than I am, and I feel terrible I can't help them either.
I'm an extreme extrovert and have spent my life trying to build community and help people and build a safety net for myself. I make "friends" and connect to people super easily. Thousands of people, hundreds of "friends", many "close" over my lifetime (45) Across many groups and interests, locally and online internationally. It is NOT that I just need to keep trying because I haven't met the right people yet.
This is literally 95% of the reason I'm suicidal. The other 5% being complex physical disabilities and chronic pain, but if I were loved and respected, I could survive those.
My doctor and therapist know. They also know I'm completely rational, logical, have tried everything and my situation isn't changeable or survivable. It makes my therapist mad because she is lazy and not getting to feel good about helping me. My doctor keeps trying me on new meds but my insanely wonky metabolism means most things are either totally inert, have horrific side effects, or both. The good part of that is I have a huge stockpile of meds I could use to ctb, but the bad part is who even knows if they would even work at any dose.
988 is just formulaic. They listen, validate, then try to make a "safety plan" to get you off the phone, and get angry when their rudimentary ideas won't work. It might help some people who need someone to listen or haven't tried anything themselves.