Racial and ethnic differences in suicidal behavior and mental health service use among US adults, 2009-2020
被引:18
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作者:
Bommersbach, Tanner J.
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机构:
Mayo Clin, Dept Psychiat & Psychol, Rochester, MN USAMayo Clin, Dept Psychiat & Psychol, Rochester, MN USA
Bommersbach, Tanner J.
[1
]
Rosenheck, Robert A.
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机构:
Yale Sch Med, Dept Psychiat, New Haven, CT 06510 USA
VA Connecticut Healthcare Syst, New England Mental Illness Res Educ & CLin Ctr, West Haven, CT 06516 USAMayo Clin, Dept Psychiat & Psychol, Rochester, MN USA
Rosenheck, Robert A.
[2
,3
]
Rhee, Taeho Greg
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机构:
Yale Sch Med, Dept Psychiat, New Haven, CT 06510 USA
VA Connecticut Healthcare Syst, New England Mental Illness Res Educ & CLin Ctr, West Haven, CT 06516 USA
Univ Connecticut, Dept Publ Hlth Sci, Sch Med, Farmington, CT 06032 USAMayo Clin, Dept Psychiat & Psychol, Rochester, MN USA
Rhee, Taeho Greg
[2
,3
,4
]
机构:
[1] Mayo Clin, Dept Psychiat & Psychol, Rochester, MN USA
[2] Yale Sch Med, Dept Psychiat, New Haven, CT 06510 USA
[3] VA Connecticut Healthcare Syst, New England Mental Illness Res Educ & CLin Ctr, West Haven, CT 06516 USA
BackgroundWhile suicide rates have recently declined for White individuals, rates among Black and Hispanic individuals have increased. Yet, little is known about racial/ethnic differences in precursors to suicide, including suicidal ideation (SI) and suicide attempts (SA). MethodsData from 2009-2020 National Survey of Drug Use and Health (NSDUH) consisted of non-institutionalized US civilians aged > 18 (n = 426 008). We compared proportions of White, Black, and Hispanics among adults reporting no past-year suicidal thoughts/behavior, SI, and SA. Multivariable-adjusted analyses were used to evaluate the independence of observed racial/ethnic differences in past-year SI, SA, and mental health service use. ResultsIn the entire sample, 20 791 (4.9%) reported past-year SI only and 3661 (0.9%) reported a SA. Compared to White individuals, Black and Hispanic individuals were significantly less likely to report past-year SI [OR 0.73 (95% CI 0.69-0.77); OR 0.75 (95% CI 0.71-0.79), respectively], but more likely to report a past-year SA [OR 1.45 (95% CI 1.28-1.64); OR 1.19 (95% CI 1.04-1.37), respectively] even after multivariable adjustment. Black and Hispanic individuals were significantly less likely to use mental health services, but the lack of significant interactions between race/ethnicity and SI/SA in association with service use suggests differences in service use do not account for differences in SI or SA. ConclusionsBlack and Hispanic individuals are significantly less likely than White individuals to report SI but more likely to report SAs, suggesting differences in suicidal behavior across race/ethnicity that may be impacted by socio-culturally acceptable expressions of distress and structural racism in the healthcare system.
机构:
VA Connecticut Healthcare Syst, West Haven, CT USA
Yale Sch Med, Dept Psychiat, New Haven, CT USAVA Connecticut Healthcare Syst, West Haven, CT USA
Na, Peter J.
Bommersbach, Tanner J.
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Yale Sch Med, Dept Psychiat, New Haven, CT USAVA Connecticut Healthcare Syst, West Haven, CT USA
Bommersbach, Tanner J.
Petrakis, Ismene L.
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机构:
VA Connecticut Healthcare Syst, West Haven, CT USA
Yale Sch Med, Dept Psychiat, New Haven, CT USAVA Connecticut Healthcare Syst, West Haven, CT USA
Petrakis, Ismene L.
Rhee, Taeho Greg
论文数: 0引用数: 0
h-index: 0
机构:
VA Connecticut Healthcare Syst, West Haven, CT USA
Yale Sch Med, Dept Psychiat, New Haven, CT USA
Univ Connecticut, Sch Med, Dept Publ Hlth Sci, Farmington, CT USAVA Connecticut Healthcare Syst, West Haven, CT USA
机构:
Brown Univ, Alpert Med Sch, Bradley Hosp, Dept Psychiat & Human Behav, 1011 Vet Mem Parkway, East Providence, RI 02915 USABrown Univ, Alpert Med Sch, Bradley Hosp, Dept Psychiat & Human Behav, 1011 Vet Mem Parkway, East Providence, RI 02915 USA
Sheehan, Ana E.
Walsh, Rachel F. L.
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Brown Univ, Alpert Med Sch, Bradley Hosp, Dept Psychiat & Human Behav, 1011 Vet Mem Parkway, East Providence, RI 02915 USABrown Univ, Alpert Med Sch, Bradley Hosp, Dept Psychiat & Human Behav, 1011 Vet Mem Parkway, East Providence, RI 02915 USA
Walsh, Rachel F. L.
Liu, Richard T.
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机构:
Brown Univ, Alpert Med Sch, Bradley Hosp, Dept Psychiat & Human Behav, 1011 Vet Mem Parkway, East Providence, RI 02915 USABrown Univ, Alpert Med Sch, Bradley Hosp, Dept Psychiat & Human Behav, 1011 Vet Mem Parkway, East Providence, RI 02915 USA
机构:
Calif State Univ San Bernardino, Dept Hlth Sci & Human Ecol, San Bernardino, CA 92407 USACalif State Univ San Bernardino, Dept Hlth Sci & Human Ecol, San Bernardino, CA 92407 USA
Arias, Devin
Becerra, Benjamin J.
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机构:
Loma Linda Univ, Sch Allied Hlth, Loma Linda, CA 92350 USA
Loma Linda Univ, Sch Publ Hlth, Loma Linda, CA 92350 USACalif State Univ San Bernardino, Dept Hlth Sci & Human Ecol, San Bernardino, CA 92407 USA
Becerra, Benjamin J.
Becerra, Monideepa B.
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机构:
Calif State Univ San Bernardino, Dept Hlth Sci & Human Ecol, San Bernardino, CA 92407 USACalif State Univ San Bernardino, Dept Hlth Sci & Human Ecol, San Bernardino, CA 92407 USA
机构:
Brown Univ, Alpert Med Sch, Dept Psychiat & Human Behav, Bradley Hosp, 1011 Vet Mem Pkwy, East Providence, RI 02915 USABrown Univ, Alpert Med Sch, Dept Psychiat & Human Behav, Bradley Hosp, 1011 Vet Mem Pkwy, East Providence, RI 02915 USA
Nestor, Bridget A.
Cheek, Shayna M.
论文数: 0引用数: 0
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机构:
Brown Univ, Alpert Med Sch, Dept Psychiat & Human Behav, Bradley Hosp, 1011 Vet Mem Pkwy, East Providence, RI 02915 USABrown Univ, Alpert Med Sch, Dept Psychiat & Human Behav, Bradley Hosp, 1011 Vet Mem Pkwy, East Providence, RI 02915 USA
Cheek, Shayna M.
Liu, Richard T.
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机构:
Brown Univ, Alpert Med Sch, Dept Psychiat & Human Behav, Bradley Hosp, 1011 Vet Mem Pkwy, East Providence, RI 02915 USABrown Univ, Alpert Med Sch, Dept Psychiat & Human Behav, Bradley Hosp, 1011 Vet Mem Pkwy, East Providence, RI 02915 USA
机构:
Univ Michigan, Sch Publ Hlth, Dept Epidemiol, Ann Arbor, MI 48109 USA
Univ Kentucky, Coll Med, Dept Behav Sci, Lexington, KY 40536 USA
Univ Kentucky, Ctr Hlth Equ Transformat, Coll Med, Lexington, KY 40536 USAUniv Michigan, Sch Publ Hlth, Dept Epidemiol, Ann Arbor, MI 48109 USA
Mattingly, Delvon T.
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Mezuk, Briana
Elliott, Michael R.
论文数: 0引用数: 0
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机构:
Univ Michigan, Sch Publ Hlth, Dept Biostat, Ann Arbor, MI 48109 USA
Univ Michigan, Inst Social Res, Survey Res Ctr, Ann Arbor, MI 48104 USAUniv Michigan, Sch Publ Hlth, Dept Epidemiol, Ann Arbor, MI 48109 USA
Elliott, Michael R.
Neighbors, Harold W.
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机构:
Tulane Univ, Sch Publ Hlth & Trop Med, Dept Social Behav & Populat Sci, New Orleans, LA 70112 USAUniv Michigan, Sch Publ Hlth, Dept Epidemiol, Ann Arbor, MI 48109 USA
Neighbors, Harold W.
Fleischer, Nancy L.
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Univ Michigan, Sch Publ Hlth, Dept Epidemiol, Ann Arbor, MI 48109 USAUniv Michigan, Sch Publ Hlth, Dept Epidemiol, Ann Arbor, MI 48109 USA