‘Am I really the priority here?’: Help-seeking experiences of university students who self-harmed

Background Self-harm is a significant problem in university students because of its association with emotional distress, physical harm, broader mental health issues and potential suicidality. Research suggests that fewer than half of students who have self-harmed seek professional help when at university. Aims This study aimed to explore the help-seeking journeys of university students who […]

Racial and gender disparities in suicide and mental health care utilization in a pediatric primary care setting

Purpose: We examined racial and gender disparities in the underrecognition of mental health disorders in adolescents and young adults as defined by a suicide-related diagnosis without a previous mental or behavioral health diagnosis. Methods: We employed a series of adjusted mixed multilevel logistic regression models to determine the odds of specific mental health diagnoses (anxiety, […]

Perspectives of service users and carers with lived experience of a diagnosis of personality disorder: A qualitative study

Abstract: INTRODUCTION: There is limited understanding of the experience of people with complex mental health (CMH) needs, including those with a diagnosis of personality disorder (PD) and carers of those individuals. Little is known about carers of those in inpatient forensic settings, yet it has been identified that they may have additional needs when compared to […]

An exploration of suicidal ideation and attempts, and care use and unmet need among suicide‑ideators in a Belgian population study

Background Suicidal ideation, or thinking about death and suicide, is common across all layers of society. The aim of this paper is to add to the understanding of suicidal ideation in the general population, as well as help-seeking behaviors and perceived unmet mental health needs among those who report suicidal thoughts. Methods The research is […]

Utilization of psychiatric services prior to suicide: A retrospective comparison of users with and without previous suicide attempts

Introduction: The aim was to investigate psychiatric health care utilization two years before death by suicide among individuals with previous suicide attempts (PSA) compared with those without (NSA). Method: A retrospective population-based cohort study was conducted including 484 individuals who died by suicide in Sweden in 2015 and were in contact with psychiatric services within the two […]

Caring transitions: A care coordination intervention to reduce suicide risk among youth discharged from inpatient psychiatric hospitalization

Background: Suicide risk following youth psychiatric hospitalization is of significant concern. This study evaluated Linking Individuals Needing Care (LINC), a theory-driven, comprehensive care coordination approach for youth discharged from crisis services. Aims: To pilot LINC’s potential effectiveness in increasing service utilization and decreasing suicide risk. Method: Participants were 460 youth patients who received LINC for approximately 90 days following discharge […]

Implementing a suicide audit in Montreal: Taking suicide review further to make concrete recommendations for suicide prevention

Objective A suicide audit was pilot implemented in order to generate recommendations on how to improve suicide prevention. Methods Thirty-nine consecutive suicides that occurred in Montreal, Canada from January to October 2016 were audited. A retrospective analysis of their life trajectory and service utilization was conducted using the psychological autopsy method, which included interviewing suicide-bereaved […]

Correlates of non-receipt of formal mental health services among Australian men experiencing thoughts of suicide

Background The majority of suicide deaths occur in men. Men are also less likely to receive formal mental health services prior to dying by suicide compared to women. Identifying correlates of non-receipt of services among men at risk of suicide may aid the development of tailored interventions and service pathways. Methods A total of 415 […]

Characteristics of suicide decedents with no federally funded mental health service contact in the 12 months before death in a population-based sample of Australians 45 years of age and over

Introduction More than half of suicide decedents have no contact with mental health services 12 months before death. It is uncertain if they have different characteristics than decedents who use mental health services. Methods A case-series design. Participants 45 years and older, who died by suicide (2006–2018). Comparisons were made between those who did and did not […]

Association of youth suicides and county-level mental health professional shortage areas in the US

Importance: Suicide is the second leading cause of death among US adolescents. Workforce shortages of mental health professionals in the US are widespread, but the association between mental health workforce shortages and youth suicides is not well understood. Objective: To assess the association between youth suicide rates and mental health professional workforce shortages at the county level, […]

Considerations in the assessment of help-seeking and mental health service use in suicide prevention research

Objective The connection of individuals at elevated suicide risk to mental healthcare services represents a critical component of suicide prevention efforts. This article provides recommendations for enhancing the assessment of help-seeking and mental health service use within the context of suicide prevention research. Method We discuss evidence-based and theoretical rationale for improving current approaches to […]

Associations between veteran encounters with suicide prevention team and suicide-related outcomes

Objective Suicide rates have been of increasing concern across the United States, particularly among military veterans. The Veterans Health Administration has initiated multiple suicide prevention initiatives, but little research has examined the impact of these programs. The purpose of this study was to test the hypothesis that more frequent contact with suicide prevention clinicians would […]

Established outpatient care and follow-up after acute psychiatric service use among youths and young adults

Objective: This study explored follow-up after hospitalization and emergency room (ER) use for mental health among youths and young adults with private insurance. Methods: The IBM MarketScan commercial database (2013-2018) was used to identify people ages 12-27 with a mental health hospitalization (N=95,153) or ER use (N=108,576). Factors associated with outpatient mental health follow-up within 7 and […]

Mental health service utilization, school experiences, and religious involvement among a national sample of black adolescents who attempt suicide: Examining within and cross-race group differences

Prior suicide attempt serves as one of the strongest predictors of future suicide attempt and risk for death by suicide among youth. Disparities, however, persist in determining which groups have access to services following an attempt. Thus, we compare the experiences of Black youth with a history of lifetime suicide attempt to youth from other […]