Factors associated with professional mental health service use among adults with suicidal ideation

被引:9
作者
Batterham, Philip J. [1 ,2 ]
Calear, Alison L. [1 ,2 ]
Reily, Natalie [2 ]
Tang, Samantha [2 ]
Han, Jin [2 ]
Christensen, Helen [2 ]
机构
[1] Australian Natl Univ, Ctr Mental Hlth Res, Res Sch Populat Hlth, Canberra, ACT 2601, Australia
[2] Univ New South Wales, Black Dog Inst, Sydney, NSW, Australia
基金
英国医学研究理事会; 澳大利亚国家健康与医学研究理事会;
关键词
Professional service use; Suicidal ideation; Disclosure; Personality; Mental health; HELP-SEEKING; PSYCHOMETRIC PROPERTIES; LIFETIME RISK; COMMUNITY; PREVENTION; DEPRESSION; BEHAVIORS; CARE; ENTRAPMENT; THOUGHTS;
D O I
10.1016/j.jad.2022.04.013
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: The uptake of professional mental health services among people with suicidal ideation remains low, yet few community-based studies have characterised modifiable individual barriers to service use. Our aims were (1) to identify factors associated with use of professional mental health services among people experiencing suicidal ideation, and (2) to distinguish subgroups with varying levels of service use. Methods: 1462 Australian adults (78.8% female) were recruited online to participate in a cross-sectional survey. Logistic regression analysis was used to identify factors associated with professional service use. A decision tree model was used to identify subgroups with varying rates of professional service use. Results: Most participants (62%) had used professional services for mental health concerns in the past 12 months. Greater rates of service use were observed in participants who were middle aged, spoke English, disclosed to informal sources or helplines, met criteria for a mental health disorder, had higher levels of entrapment, psychological distress, and disinhibition, and lower levels of detachment and antagonism. At the terminal nodes of the decision tree analysis, service use ranged from 21% to 94%. The most important determinants of service use were meeting criteria for a mental disorder and disclosure of suicidal ideation to family/friends and helplines. Conclusion: These findings suggest that interventions to support the safe disclosure of suicidal ideation may assist in increasing service use. There is also the need for services that meet the needs of individuals who do not meet criteria for a mental health condition.
引用
收藏
页码:278 / 285
页数:8
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