Mental Health Service Use Among Suicidal Adolescents: Findings From a U.S. National Community Survey
Open accessAbstract
Objective This study assessed patterns of mental health service use among adolescents who had attempted suicide and examined factors associated with their service use at individual, family, and community levels.Methods Bivariate and multiple logistic regression analyses were conducted with data from 877 adolescents aged 12-17 who had attempted suicide in the past 12 months and who participated in the 2000 National Household Survey on Drug Abuse.Results Of the 877 adolescents, less than half (45%) reported that they had used mental health services in the past 12 months. Adolescents from racial-ethnic minority groups were less likely than whites to receive inpatient or outpatient mental health treatment, even when the analyses controlled for other demographic, individual, and family and community characteristics. Poor self-perceived health and living in a single-parent family were associated with use of inpatient services. Female gender, higher family income, participation in extracurricular activities, and the presence of symptoms of anxiety or disruptive disorders were associated with use of outpatient services. Use of school-based mental health services was associated only with participation in extracurricular activities.Conclusions The mental health service needs of suicidal adolescents, especially those from ethnic minority groups and lower-income families, too frequently remain unmet. Larger racial-ethnic disparities were found in use of inpatient and outpatient mental health services than in use of school-based services. Mental health services offered within school settings can reach suicidal adolescents who need services but may experience barriers to standard types of care.
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Youth of color at risk for suicidal thoughts and behaviors have lower rates of access to mental health services or longer delays compared to White peers.
“At the same time, studies find lower rates of access to mental health services or delays in service access for youth of color at risk for suicidal thoughts and behaviors compared to their White peers (3–8).”
From Structural Racism and Suicide Prevention for Ethnoracially Minoritized Youth: A Conceptual Framework and Illustration Across Systems (2022) · cites this paper as [7]
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- Authors
- Wu, P., Katic, B. J., Liu, X., Fan, B., & Fuller, C. J.
- Affiliations
- Columbia University (US)
- ORCID
- Venue
- Psychiatric Services
- Published
- 2010-01
- Volume
- 61
- Issue
- 1
- Pages
- 17-24
- ISSN
- 0022-1597 (ISSN-L)
- 1075-2730
- 1557-9700
- OpenAlex
- W2143206053
- Cited by
- 94
- References
- 48
- Citations by year
- 2026: 4 · 2025: 1 · 2024: 8 · 2023: 6 · 2022: 9 · 2021: 4 · 2020: 2 · 2019: 5 · 2018: 6 · 2017: 4 · 2016: 7 · 2015: 5 · 2014: 12 · 2013: 4 · 2012: 9
- FWCI
- 5.94
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Psychiatric Services (publishedVersion)
- PubMed (publishedVersion)
- Funders
- American Foundation for Suicide Prevention
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- adolescent suicide attempts, mental health service utilization, racial and ethnic disparities, psychiatric inpatient care, outpatient mental health services, school-based mental health services, single-parent families, household income, extracurricular activities, anxiety symptoms, disruptive behavior disorders, unmet mental health needs, National Survey on Drug Use and Health
- MeSH terms
- Adolescent, Child, Female, Humans, Male, Mental Health Services, Suicide, Attempted, United States, Logistic Models, Health Care Surveys
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