Uniformed Services University of the Health Sciences, Bethesda.
J Nerv Ment Dis. 2020 Sep;208(9):646-653. doi: 10.1097/NMD.0000000000001192.
This article examines mental health care utilization and psychiatric diagnoses among US military personnel who died by suicide. We employed an existing electronic health record dataset including 800 US military suicide decedents and 800 matched controls. Suicide decedents were more likely to have received outpatient and inpatient mental health care and to have been diagnosed with depression, bipolar, and nonaffective psychotic disorders. Younger decedents and those in the US Marine Corps were less likely to receive MH care before suicide. Given that approximately half of the suicide decedents in our sample had no mental health care visits before their death, our study suggests the need for programs to increase treatment engagement by at-risk individuals. Such programs could address barriers to care such as stigma regarding mental illness and concerns that seeking mental health care would damage a service member's career.
本文研究了美国军人自杀死亡者的心理健康护理利用情况和精神科诊断。我们使用了一个现有的电子健康记录数据集，其中包括 800 名美国军人自杀死亡者和 800 名匹配对照者。自杀死亡者更有可能接受门诊和住院心理健康护理，并被诊断为抑郁症、双相情感障碍和非情感性精神病障碍。年轻的死者和美国海军陆战队员在自杀前接受心理健康护理的可能性较小。鉴于我们样本中约有一半的自杀死亡者在去世前没有接受过心理健康护理，我们的研究表明，需要制定计划来增加高危人群的治疗参与度。这些计划可以解决诸如对精神疾病的污名化和担心寻求心理健康护理会损害军人职业等护理障碍。
