Han Beth, Compton Wilson M, Gfroerer Joseph, McKeon Richard
Beth Han, Joseph Gfroerer, and Richard McKeon are with Substance Abuse and Mental Health Services Administration, Rockville, MD. Wilson M. Compton is with the National Institute on Drug Abuse, National Institutes of Health, Bethesda, MD.
Am J Public Health. 2014 Dec;104(12):2359-68. doi: 10.2105/AJPH.2014.302163. Epub 2014 Oct 16.
We examined mental health treatment patterns among adults with suicide attempts in the past 12 months in the United States.
We examined data from 2000 persons, aged 18 years or older, who participated in the 2008 to 2012 National Survey on Drug Use and Health and who reported attempting suicide in the past 12 months. We applied descriptive analyses and multivariable logistic regression models.
In adults who attempted suicide in the past year, 56.3% received mental health treatment, but half of those who received treatment perceived unmet treatment needs, and of the 43.0% who did not receive mental health treatment, one fourth perceived unmet treatment needs. From 2008 to 2012, the mental health treatment rate among suicide attempters remained unchanged. Factors associated with receipt of mental health treatment varied by perceived unmet treatment need and receipt of medical attention that resulted from a suicide attempt.
Suicide prevention strategies that focus on suicide attempters are needed to increase their access to mental health treatments that meet their needs. To be effective, these strategies need to account for language and cultural differences and barriers to financial and treatment delivery.
我们研究了美国过去12个月内有自杀未遂经历的成年人的心理健康治疗模式。
我们分析了2000名年龄在18岁及以上的参与者的数据，这些人参加了2008年至2012年的全国药物使用和健康调查，并报告在过去12个月内有过自杀未遂行为。我们应用了描述性分析和多变量逻辑回归模型。
在过去一年有自杀未遂行为的成年人中，56.3%接受了心理健康治疗，但接受治疗的人中一半认为治疗需求未得到满足，而在未接受心理健康治疗的43.0%的人中，四分之一认为治疗需求未得到满足。从2008年到2012年，自杀未遂者的心理健康治疗率保持不变。与接受心理健康治疗相关的因素因感知到的未满足治疗需求以及自杀未遂后接受的医疗关注而异。
需要制定以自杀未遂者为重点的自杀预防策略，以增加他们获得满足其需求的心理健康治疗的机会。为了有效，这些策略需要考虑语言和文化差异以及经济和治疗提供方面的障碍。
