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Rural Status, Suicide Ideation, and Telemental Health: Risk Assessment in a Clinical Sample.

Kevin R Tarlow1, Tina A Johnson1, Carly E McCord1

  • 1School of Public Health, Texas A&M University, College Station, Texas.

The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association
|June 26, 2018
PubMed
Summary
This summary is machine-generated.

Telemental health services reach rural individuals, but suicide ideation is common. Depression, not rural status, significantly predicts suicidal thoughts in these clients.

Keywords:
health disparitiesrural mental healthsuicidetelehealthtelepsychology

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Area of Science:

  • Mental Health
  • Rural Health
  • Telemedicine

Background:

  • Rural populations experience higher suicide rates.
  • Telemental health improves access to care for rural individuals.
  • Identifying at-risk telemental health clients is crucial.

Purpose of the Study:

  • To assess the predictive value of rural status and demographics on suicide ideation.
  • To understand suicide risk factors in telemental health clients.

Main Methods:

  • 457 low-income clients in the Brazos Valley, Texas, were studied.
  • The Patient Health Questionnaire assessed depression and suicide ideation.
  • Data collected during initial counseling appointments.

Main Results:

  • Approximately 40% of clients reported recent suicide ideation.
  • Suicide ideation rates did not differ by rural/metropolitan status, gender, or race.
  • Depression severity strongly predicted suicide ideation.

Conclusions:

  • Telemental health effectively serves isolated rural clients.
  • Clinicians in underserved areas must anticipate high rates of suicide ideation and depression.
  • Clinical factors, particularly depression, are better predictors of suicide ideation than demographics.