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Cited by 141Suicide and Self-Harm StudiesMental Health Treatment and AccessOpioid Use Disorder Treatment

The DOI matches its Crossref record; 8 of the 8 references it cites were found in a registry or an index.

Racial/Ethnic Differences in Health Care Visits Made Before Suicide Attempt Across the United States

Open access
Ahmedani, Brian K., Stewart, Christine, Simon, Gregory E., Lynch, Frances, Lu, Christine Y., Waitzfelder, Beth E., Solberg, Leif I., Owen-Smith, Ashli A., Beck, Arne, Copeland, Laurel A., Hunkeler, Enid M., Rossom, Rebecca C., Williams, Keoki·2015·Medical Care
DOI 10.1097/mlr.0000000000000335PMC PMC4397662
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Abstract

BACKGROUND: Suicide is a public health concern, but little is known about the patterns of health care visits made before a suicide attempt, and whether those patterns differ by race/ethnicity. OBJECTIVES: To examine racial/ethnic variation in the types of health care visits made before a suicide attempt, when those visits occur, and whether mental health or substance use diagnoses were documented. RESEARCH DESIGN: Retrospective, longitudinal study, 2009-2011. PARTICIPANTS: 22,387 individuals who attempted suicide and were enrolled in the health plan across 10 health systems in the Mental Health Research Network. MEASURES: Cumulative percentage of different types of health care visits made in the 52 weeks before a suicide attempt, by self-reported racial/ethnicity and diagnosis. Data were from the Virtual Data Warehouse at each site. RESULTS: Over 38% of the individuals made any health care visit within the week before their suicide attempt and ∼95% within the preceding year; these percentages varied across racial/ethnic groups (P<0.001). White individuals had the highest percentage of visits (>41%) within 1 week of suicide attempt. Asian Americans were the least likely to make visits within 52 weeks. Hawaiian/Pacific Islanders had proportionally the most inpatient and emergency visits before an attempt, but were least likely to have a recorded mental health or substance use diagnosis. Overall, visits were most common in primary care and outpatient general medical settings. CONCLUSIONS: This study provides temporal evidence of racial/ethnic differences in health care visits made before suicide attempt. Health care systems can use this information to help focus the design and implementation of their suicide prevention initiatives.

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  • More than 80% of people visit a healthcare provider in the year before suicide or a suicide attempt, but most of those visits are in general medical settings and lack a recorded mental health or substance use disorder diagnosis.

    “These data are consistent with other studies, which have found that >80% of individuals make a healthcare visit in the year before suicide or suicide attempt, though most visits occur in general medical settings and do not include a recorded mental health or substance use disorder diagnosis.11–14”

    From Variation in patterns of health care before suicide: a population case-control study. (2019) · cites this paper as [14]

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Citations

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Research works printed but not linked: 27

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Metadata

Authors
Ahmedani, B. K., Stewart, C., Simon, G. E., Lynch, F., Lu, C. Y., Waitzfelder, B. E., Solberg, L. I., Owen-Smith, A. A., Beck, A., Copeland, L. A., Hunkeler, E. M., Rossom, R. C., & Williams, K.
Affiliations
  • Group Health Cooperative (US)
  • Kaiser Permanente (US)
  • Harvard University (US)
  • HealthPartners (US)
  • Henry Ford Health (US)
Corresponding author
  • Ahmedani, Brian K.
  • Beck, Arne
  • Williams, Keoki
ORCID
Venue
Medical Care
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2015-05
Volume
53
Issue
5
Pages
430-435
ISSN
0025-7079 (ISSN-L)
DOI
10.1097/mlr.0000000000000335
PMC
PMC4397662
OpenAlex
W2004664771
Cited by
141
References
8
Citations by year
2026: 4 · 2025: 36 · 2024: 9 · 2023: 11 · 2022: 13 · 2021: 14 · 2020: 16 · 2019: 11 · 2018: 15 · 2017: 6 · 2016: 4 · 2015: 1
FWCI
10.76
Type
journal article
Language
en
Open access
Locations
  • Medical Care (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Mental Health (U19MH092201)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
Keywords
suicide attempts, racial and ethnic disparities, health care utilization, mental health diagnoses, primary care visits, emergency department visits, inpatient visits, suicide prevention, Asian Americans
MeSH terms
Adolescent, Adult, Aged, Mental Disorders, Ethnicity, Female, Health Services, Humans, Longitudinal Studies, Male, Middle Aged, Retrospective Studies, Suicide, Suicide, Attempted, United States, Substance-Related Disorders, Racial Groups, Young Adult

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