Amy L Byers1, Amy X Lai1, Patricia Arean1, J Craig Nelson1, Kristine Yaffe1. 1. Dr. Byers, Dr. Nelson, and Dr. Yaffe are with the Department of Psychiatry, University of California, San Francisco (e-mail: amy.byers@ucsf.edu ). Dr. Byers and Dr. Yaffe are also with the San Francisco Veterans Affairs Medical Center, where Ms. Lai is affiliated. Dr. Arean is with the Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle.
Abstract
OBJECTIVE: Little is known about mental health service use by adults with prior suicidal behavior and current mood or anxiety disorders. This study determined nationally representative prevalence estimates of current mental health service use by these adults, examining racial-ethnic, age, and gender differences. METHODS: Service use across the life course was examined with Collaborative Psychiatric Epidemiology Survey data from 1,139 adults with a history of suicidal behavior and current mood or anxiety disorders. RESULTS: Overall service use was 47.3%. Across the life course, African Americans showed increasing service use that paralleled use by non-Hispanic whites, Hispanics, and others, whereas use by these three groups decreased in the latter half of the life course (p interaction=.01). CONCLUSIONS: Adults with prior suicidal behavior and current mood or anxiety disorders have low mental health service use. Findings of racial-ethnic disparities in use can help identify those in need of care.
OBJECTIVE: Little is known about mental health service use by adults with prior suicidal behavior and current mood or anxiety disorders. This study determined nationally representative prevalence estimates of current mental health service use by these adults, examining racial-ethnic, age, and gender differences. METHODS: Service use across the life course was examined with Collaborative Psychiatric Epidemiology Survey data from 1,139 adults with a history of suicidal behavior and current mood or anxiety disorders. RESULTS: Overall service use was 47.3%. Across the life course, African Americans showed increasing service use that paralleled use by non-Hispanic whites, Hispanics, and others, whereas use by these three groups decreased in the latter half of the life course (p interaction=.01). CONCLUSIONS: Adults with prior suicidal behavior and current mood or anxiety disorders have low mental health service use. Findings of racial-ethnic disparities in use can help identify those in need of care.
Authors: Matthew K Nock; Guilherme Borges; Evelyn J Bromet; Christine B Cha; Ronald C Kessler; Sing Lee Journal: Epidemiol Rev Date: 2008-07-24 Impact factor: 6.222
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