Youth Suicidality and Mental Health Service Use

青少年自杀与心理健康服务的使用

• 批准号: 6937550
• 负责人: STACEY L. FREEDENTHAL
• 金额: $ 1.27万
• 依托单位: WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-03-17 至 2005-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6937550
• 关键词: adolescence (12-20); behavioral /social science research tag; child mental health service; clinical research; gender difference; health care service utilization; health services research tag; human data; mental health services; patient oriented research; predoctoral investigator; racial /ethnic difference; socioeconomics; suicide

DESCRIPTION (provided by applicant): This dissertation research will use secondary data from the 2000 National Household Survey on Drug Abuse to investigate 1) rates, types, and intensity of mental health service use among adolescents with recent suicidal ideation or attempt, 2) factors associated with mental health service use in the sub-sample of recently suicidal adolescents (N=2,386), and 3) independent and interactive associations of suicidality with mental health service use in all adolescents (N=19,430). The study will use as its conceptual framework the behavioral model of health care utilization, which posits that predisposing characteristics (such as race and gender) and enabling factors (such as income and health insurance) predict service use along with need for services. The study hypothesizes that, in the subsample of recently suicidal youth, significant differences exist in mental health service use according to race, gender, income, and other factors generally unrelated to need for care, but that psychiatric symptoms, substance use diagnoses, and degree of suicidality most strongly relate to service use. Further, in analyses measuring mental health service use among all youth, it is hypothesized that suicidality independently and interactively with other indicators of need (e.g., psychiatric symptoms) is associated with increased likelihood of service use. Because research indicates the majority of suicidal youth forego professional help, testing of these hypotheses will provide critical information for efforts to increase service use and prevent suicide.

描述（由申请人提供）：本论文研究将使用2000年全国家庭滥用毒品调查的次要数据调查1）在具有最近自杀念头或尝试的青少年中使用心理健康服务使用的速度，类型和强度青少年（n = 19,430）。该研究将用作其概念框架的卫生保健利用行为模型，该模型假定了诱人的特征（例如种族和性别），以及有能力的因素（例如收入和健康保险）预测服务以及对服务的需求。该研究假设，在最近自杀的年轻人的子样本中，根据种族，性别，收入和其他通常无关无需护理的因素，精神卫生服务使用中存在显着差异，但是精神病症状，药物使用诊断和自杀程度与服务使用最密切相关。此外，在分析所有年轻人的精神卫生服务使用的分析中，假设自杀性与其他需求指标（例如，精神病症状）独立和互动性与使用服务的可能性增加有关。由于研究表明大多数自杀年轻人放弃专业帮助，因此对这些假设的检验将为增加服务使用和预防自杀提供关键信息。