Help Seeking and Perceived Need for Mental Health Care Among Individuals in Canada With Suicidal Behaviors

Pagura, Jina; Fotti, Sarah; Katz, Laurence Y.; Sareen, Jitender

doi:10.1176/ps.2009.60.7.943

Cited by 74 publications

(34 citation statements)

References 32 publications

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“…Finally, the current study found that 4.3% of participants reported past-year SI. A nationally-representative study of the Canadian general population found a past-year SI rate of approximately 3.3% [53], while data from the US military’s Post-Deployment Health Assessment survey found that 1.3% of participants reported “some” to “a lot” of SI [51]. Similarly to mental health disorders, SI may be susceptible to underreporting in actively serving military populations for a number of reasons (“healthy soldier” effect, fears about job security, stigma, etc.).…”

Section: Discussionmentioning

confidence: 99%

Insomnia, psychiatric disorders and suicidal ideation in a National Representative Sample of active Canadian Forces members

et al. 2017

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BackgroundPast research on the association between insomnia and suicidal ideation (SI) has produced mixed findings. The current study explored the relationship between insomnia, SI, and past-year mental health status among a large Canadian Forces (CF) sample.MethodData was obtained from the 2013 Canadian Forces Mental Health Survey (CFMHS), and included a large representative sample of Canadian Regular Forces personnel (N = 6700). A series of univariate logistic regressions were conducted to test individual associations between past-year mental health status, insomnia, and potential confounds and SI. Mental health status included three groups: 0, 1, or two or more probable diagnoses of posttraumatic stress disorder (PTSD), major depressive disorder (MDD), generalized anxiety disorder (GAD), panic disorder (PD) and alcohol abuse/dependence. Stepwise multivariate logistic regression was used to assess the relationship between insomnia and SI with mental health status as a moderator.Results40.8% of respondents reported experiencing insomnia. Both insomnia and number of mental health conditions incrementally increased the risk of SI. However, past-year mental health status was a significant moderator of this relationship, such that for CF personnel with either no (AOR = 1.61, 1.37–1.89) or only one past-year mental health condition (AOR = 1.39, 1.12–1.73), an incremental increase in insomnia was associated with an increased likelihood of SI. However, in personnel with two or more past-year mental health disorders, insomnia was no longer significantly associated with SI (AOR = 1.04, 0.81–1.33).ConclusionsInsomnia significantly increased the odds of SI, but only among individuals with no or one mental health condition. Findings highlight the importance of assessing insomnia among CF members in order to further suicide prevention efforts.

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Section: Discussionmentioning

confidence: 99%

Insomnia, psychiatric disorders and suicidal ideation in a National Representative Sample of active Canadian Forces members

et al. 2017

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“…Overall, few adolescents with mental health problems independently seek help from formal helpers such as school counselors (Husky et al, 2010), and most teens seek help only from their peers (Raviv et al, 2009). Low help seeking from adults is more pronounced among adolescents with suicidal thoughts or behavior, with SI associated with reduced help seeking among adolescents compared to those with a mental health condition alone (Pagura et al, 2009). Therefore understanding factors that facilitate or inhibit suicidal adolescents from seeking out adults is an important topic for research.…”

Section: Disclosure and Receiving Helpmentioning

confidence: 99%

Association Between School Engagement and Disclosure of Suicidal Ideation to Adults Among Latino Adolescents

Luca

Wyman

2012

J Primary Prevent

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We examined associations between Latino adolescents’ school engagement and their likelihood of disclosing suicidal ideation (SI) to adults and asking help for SI. Analyses were conducted on the entire sample of 14 schools and a second set of analyses was conducted with Latino youth from “Latino-representative” high schools. The criterion for ‘Latino-representative’ was that ≥10% of the school’s total population consisted of Latinos. Among 663 Latino/a adolescents from all 14 high schools, 110 reported SI in the past year (17%), compared to 13% for Non-Hispanic White students and 11% for African American students. Among Latinos with SI, 26/110 (24%) told an adult and 38/110 (35%) sought help. Higher levels of reported school engagement were associated with a greater likelihood of receiving help (OR=6.17) and disclosure to an adult (OR=7.64) among Latino boys in the Latino representative schools. For Latinas, school engagement was not associated with disclosure of SI or seeking help. Additional research is needed to clarify processes, including social connectedness, contributing to disclosure and help-seeking for SI among Latinos.

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“…[22] Data on suicidal ideation supports that depressed patients with suicidal thoughts more actively seek care then those who do not have suicidal thoughts. [23] Increased education levels are associated with greater care seeking behaviors, potentially implying that the inability to properly self-identify depression (particularly in mild to moderate cases where symptoms may not be as obvious) may be a possible barrier. [24]…”

Section: Introductionmentioning

confidence: 99%

Access to Care and Depression among Emergency Department Patients

Abar

Hong

Aaserude

et al. 2017

The Journal of Emergency Medicine

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Background The prevalence of depression among patients in the emergency department (ED) is significantly higher than in the general population, making the ED a potentially important forum for the identification of depression and intervention. Concomitant to the identification of depression is the issue of patient access to appropriate care. Objectives This study sought to establish prevalence estimates of potential barriers to care among ED patients and relate these barriers with symptoms of depression. Methods Two medical students conducted brief surveys on all ED patients ≥ 18 years on demographics, perceived access to care, and depression. Results A total of 636 participants were enrolled. The percentage of participants with mild or greater depression was 42%. The majority of patients reported experiencing some barriers to care, with the most prominent being difficulty finding transportation, work responsibilities, and the feeling that the doctor is not responsive to their concerns. Higher depression scores were bivariately associated with higher overall barriers to care mean scores (r=0.44, p<0.001), suggesting that greater symptoms of depression are associated with greater difficulties accessing care. Particularly strong associations were observed between symptoms of depression and difficulty finding transportation, the feeling that the doctor is not responsive to patients’ concerns, embarrassment about a potential illness and confusion trying to schedule an appointment. Conclusion Across all barriers analyzed, there was a greater incidence of depression associated with a greater perception of barriers. These barriers may be used as potential targets for intervention to increase access to health care resources.

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Help Seeking and Perceived Need for Mental Health Care Among Individuals in Canada With Suicidal Behaviors

Cited by 74 publications

References 32 publications

Insomnia, psychiatric disorders and suicidal ideation in a National Representative Sample of active Canadian Forces members

Insomnia, psychiatric disorders and suicidal ideation in a National Representative Sample of active Canadian Forces members

Association Between School Engagement and Disclosure of Suicidal Ideation to Adults Among Latino Adolescents

Access to Care and Depression among Emergency Department Patients

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