Does Availability of Mental Health Resources Prevent Recurrent Suicidal Behavior? An Ecological Analysis

This study examines whether availability of mental health resources in the county of residence is associated with subsequent suicidal behaviour after a previous suicide attempt. Among 10,922 individuals who attempted suicide in Colorado between 1998-2002, residence in a county that offered a minimum safety-net of mental health services significantly reduced the risk of suicidal behaviour for at least 1 year after the index attempt. Safety-net services included mental health treatment, crisis treatment, & case management. Results suggest one strategy for the prevention of suicidal behaviours that could inform state-level health policy development & resource allocation. (17 refs.)