Abstract
Demographic, clinical, and service utilization factors associated with suicide-related visits among Alaska Native and American Indian adults.
Dillard, D., Avey, J., Robinson, R., Smith, J., Beals, J., Manson, S., & Comtois, K.
Alaska Native and American Indian people (AN/AIs) are disproportionately affected by suicide. Within a large AN/AI health service organization, demographic, clinical, and service utilization factors were compared between those with a suicide-related health visit and those without. Cases had higher odds of a behavioral health diagnosis, treatment for an injury, behavioral health specialty care visits, and opioid medication dispensation in the year prior to a suicide-related visit compared to gender-, age-, and residence- (urban versus rural) matched controls. Odds of a suicide-related visit were lower among those with private insurance and those with non-primary care ambulatory clinic visits.