Characteristics of U.S. Suicide Decedents in 2005–2010 Who Had Received Mental Health Treatment
Open accessAbstract
OBJECTIVE: To inform suicide prevention efforts in mental health treatment, the study assessed associations between recent mental health treatment, personal characteristics, and circumstances of suicide among suicide decedents. METHODS: Data from 18 states reporting to the National Violent Death Reporting System between 2005 and 2010 (N=57,877 suicides) were used to compare circumstances among adult decedents receiving any or no type of mental health treatment within two months before death. RESULTS: Of suicide decedents, 28.5% received treatment before suicide. Several variables were associated with higher odds of receiving treatment, including death by poisoning with commonly prescribed substances (adjusted odds ratio [AOR]=3.04, 95% confidence interval [CI]=2.84-3.26), a history of suicide attempts (AOR=2.77, CI=2.64-2.90), depressed mood (AOR=1.69, CI=1.62-1.76), and nonalcoholic substance abuse or dependence (AOR=1.13, CI=1.07-1.19). CONCLUSIONS: For nearly a third of all suicide decedents, better mental health care might have prevented death. Efforts to reduce access to lethal doses of prescription medications seem warranted to prevent overdosing with commonly prescribed substances.
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Approximately 90% of suicides have a current diagnosable psychiatric disorder, most commonly major depression untreated at time of death.
“Approximately 90% of suicides have a current diagnosable psychiatric disorder, most commonly a major depression that was untreated at time of death.(111, 143, 144)”
From Improving Suicide Prevention Through Evidence-Based Strategies: A Systematic Review (2021) · cites this paper as [144]
The Results (page unavailable) report that 28.5% of adult suicide decedents received recent mental health treatment and that depressed mood was associated with receiving treatment. Our copy does not report the proportion with a current diagnosable psychiatric disorder or establish that untreated major depression was the most common disorder; searches for those terms found no such passage. (LLM, conf=0.76)
Experimental — accuracy not yet measuredThe majority of suicidal people do not seek mental health treatment.
“one of the most striking issues is that the majority of suicidal people simply do not seek mental health treatment.”
From One Size Does Not Fit All: A Comprehensive Clinical Approach to Reducing Suicidal Ideation, Attempts, and Deaths (2019) · cites this paper as [79]
Only 38.5% of suicide decedents were engaged in mental health care within two months of their death.
“Niederkrotenthaler and colleagues [79] found that only 38.5% suicide decedents were engaged in mental health care within two months of their death.”
From One Size Does Not Fit All: A Comprehensive Clinical Approach to Reducing Suicidal Ideation, Attempts, and Deaths (2019) · cites this paper as [79]
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Cites
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Improving Suicide Prevention Through Evidence-Based Strategies: A Systematic Review
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“suicides than ever before, as evidenced by success stories(188) and publications.(189,190) We have seen evidence of suicide reductions in clinical care.”
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- Authors
- Niederkrotenthaler, T., Logan, J. E., Karch, D. L., & Crosby, A.
- Affiliations
- Centers for Disease Control and Prevention (US)
- Venue
- Psychiatric Services
- Published
- 2014-03
- Volume
- 65
- Issue
- 3
- Pages
- 387-390
- ISSN
- 0022-1597 (ISSN-L)
- 1075-2730
- 1557-9700
- PMC
- PMC4959535
- OpenAlex
- W1999744502
- Cited by
- 27
- References
- 13
- Citations by year
- 2026: 1 · 2024: 3 · 2023: 4 · 2022: 3 · 2021: 3 · 2020: 2 · 2019: 2 · 2017: 1 · 2016: 4 · 2015: 2 · 2014: 2
- FWCI
- 3.54
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychiatric Services (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (CC999999)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Keywords
- suicide, psychotherapy, suicide prevention, National Violent Death Reporting System, suicide attempts, depression, substance abuse, prescription drug overdose, suicide decedents
- MeSH terms
- Suicide Prevention, Adult, Age Factors, Aged, Cause of Death, Depression, Female, Humans, Interpersonal Relations, Male, Mental Health Services, Middle Aged, Sex Factors, Socioeconomic Factors, Suicide, Suicide, Attempted, Time Factors, United States, Substance-Related Disorders, Young Adult
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