Cheung Amy, Dewa Carolyn, Cairney John, Veldhuizen Scott, Schaffer Ayal
Health Systems Research and Consulting Unit, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Community Ment Health J. 2009 Aug;45(4):300-6. doi: 10.1007/s10597-009-9205-8. Epub 2009 Jun 28.
Using data from a national survey, this study examined different factors and their association with mental health service use in youth aged 15-24 with depression and/or suicidality. Our sample consisted of 1,252 youth with depression and/or suicidality. In youth aged 15-18 years old, two factors influenced service use: (1) co-occurrence of depression and suicidality (OR 3.23, 95% CI 1.43, 7.32) and (2) chronic health condition (OR 2.44, 95% CI 1.22, 4.84). Several factors were associated with service use in youth aged 19-24 including gender (female) (OR 1.77, 95% CI 1.14, 2.76), and low income (OR 1.89, 95% CI 1.11, 3.23). The findings suggest differences in the factors associated with mental health service use between youth aged 15-18 and 19-24 with depression and/or suicidality.
本研究利用一项全国性调查的数据,考察了15至24岁患有抑郁症和/或有自杀倾向的青少年中,不同因素及其与心理健康服务利用之间的关联。我们的样本包括1252名患有抑郁症和/或有自杀倾向的青少年。在15至18岁的青少年中,有两个因素影响服务利用:(1)抑郁症和自杀倾向同时出现(比值比3.23,95%置信区间1.43,7.32),以及(2)慢性健康状况(比值比2.44,95%置信区间1.22,4.84)。在19至24岁的青少年中,有几个因素与服务利用有关,包括性别(女性)(比值比1.77,95%置信区间1.14,2.76)和低收入(比值比1.89,95%置信区间1.11,3.23)。研究结果表明,15至18岁与19至24岁患有抑郁症和/或有自杀倾向的青少年在与心理健康服务利用相关的因素上存在差异。