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Journal Article

Citation

Gontijo Guerra S, Vasiliadis HM. Crisis 2016; 37(4): 290-298.

Affiliation

1 Department of Community Health Sciences, Faculty of Medicine and Health Sciences of the University of Sherbrooke, Charles Le Moyne Hospital Research Center, Longueuil, QC, Canada.

Copyright

(Copyright © 2016, International Association for Suicide Prevention, Publisher Hogrefe Publishing)

DOI

10.1027/0227-5910/a000387

PMID

27245811

Abstract

BACKGROUND: Healthcare service use among suicide decedents must be well characterized and understood since a key strategy for preventing suicide is to improve healthcare providers' ability to effectively detect and treat those in need. AIMS: To determine gender differences in healthcare service use 12 months prior to suicide.

METHOD: Data for 1,231 young Quebec residents (≤ 25 years) who died by suicide between 2000 and 2007 were collected from public health insurance agency databases and coroner registers. Healthcare visits were categorized according to the setting (emergency department [ED], outpatient, and hospital) and their nature (mental health vs. non-mental health).

RESULTS: Girls were more likely than boys (82.5% vs. 74.9%, p =.011) to have used healthcare services in the year prior to death. A higher proportion of girls had used outpatient services (79.0% vs. 69.5%, p =.003), had been hospitalized (25.7% vs. 15.6%, p <.001) and had received a mental health-related diagnosis (46.7% vs. 33.1%, p <.001). However, no gender differences were observed in ED visits (59.5% vs. 54.5%, p =.150).

CONCLUSION: There is an important proportion of suicide decedents who did not receive a mental health diagnosis and healthcare services in the year prior to death. Future studies should focus on examining gender-specific individual and health system barriers among suicide decedents as well as the quality of care offered regarding detection and treatment.


Language: en

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