Mental Health Service Use Across the Life Course Among Adults With Psychiatric Disorders and Prior Suicidal Behavior

Psychiatr Serv. 2016 Apr 1;67(4):452-5. doi: 10.1176/appi.ps.201500019. Epub 2016 Jan 14.

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.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Anxiety Disorders / epidemiology
  • Anxiety Disorders / therapy*
  • Black or African American / statistics & numerical data*
  • Humans
  • Mental Health Services / statistics & numerical data*
  • Middle Aged
  • Mood Disorders / epidemiology
  • Mood Disorders / therapy*
  • Prevalence
  • Suicide, Attempted* / statistics & numerical data
  • United States / epidemiology
  • Young Adult