The 988 Suicide and Crisis Lifeline provides free, 24/7 crisis support for individuals at risk of suicide; however, little is known about college students' help-seeking intentions and behavior related to the service. We therefore sought to examine reported levels of knowledge, use, and intentions to use the Lifeline among college students at elevated risk of suicide. Findings inform counseling practice and suggest outreach and intervention strategies to increase engagement of the Lifeline.