Predictors of treatment utilization in major depression

Arch Suicide Res. 2011;15(2):160-71. doi: 10.1080/13811118.2011.566052.


Suicide attempters with major depression are at risk for repeat attempts and often do not utilize treatment. Identifying predictors of treatment non-utilization could inform interventions to motivate treatment use and reduce suicide risk in major depression. Two hundred and seventy three participants with a major depressive episode as part of a major depressive disorder or bipolar disorder, were assessed for socio-demographic and clinical characteristics at baseline and again 1 year later to identify predictors of treatment utilization. Treatment utilization rate was high 1 year after initial evaluation (72.5%). Severity of baseline depression, baseline treatment status, and education were associated with treatment utilization at 1 year. Interventions focused on increasing knowledge about depression and treatment efficacy may improve treatment adherence when treating depression.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Bipolar Disorder / diagnosis*
  • Bipolar Disorder / psychology
  • Bipolar Disorder / therapy
  • Depressive Disorder, Major / diagnosis*
  • Depressive Disorder, Major / psychology
  • Depressive Disorder, Major / therapy
  • Diagnostic and Statistical Manual of Mental Disorders
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Mental Health Services / statistics & numerical data*
  • Middle Aged
  • New York
  • Patient Acceptance of Health Care / psychology*
  • Patient Compliance / psychology*
  • Psychotherapy
  • Psychotropic Drugs / therapeutic use
  • Risk Factors
  • Severity of Illness Index
  • Socioeconomic Factors
  • Suicide / psychology*
  • Suicide / statistics & numerical data
  • Young Adult


  • Psychotropic Drugs