自杀死亡前一年的医疗保健利用率:一个多项式方法
Austin Porter1,2, Katy Allison3, Srinivasa B Gokarakonda4
1Fay W. Boozman College of Public Health, Department of Health Policy and Management, University of Arkansas for Medical Sciences, Little Rock, AR, 72205, USA. Austin.Porter@arkansas.gov.
The journal of behavioral health services & research
|November 3, 2025
概括
通过了解那些死于自杀的人的医疗保健机会,可以改善自杀预防工作. 年轻的成年人和男性使用心理健康服务的频率较低,这凸显了针对性干预的需要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 预防自杀是一个关键的公共卫生问题,初级保健机构提供了关键的干预机会.
- 许多有自杀风险的人不寻求必要的治疗,强调需要了解医疗保健利用模式.
- 检查自杀者在获得医疗保健方面的人口差异可以为有针对性的公共卫生战略提供信息.
研究的目的:
- 分析成年自杀者在医疗保健利用中的人口差异.
- 确定在死亡前一年获得精神卫生服务,非精神卫生服务和不使用医疗保健的模式.
主要方法:
- 利用了来自阿肯色州全付款人索赔数据库 (2013-2021) 的数据,与自杀死者的重要记录联系在一起.
- 将医疗保健的利用分为精神卫生保健,非精神卫生保健和没有获得的护理.
- 采用多项物流回归来确定医疗保健利用的预测因素,包括年龄,性别,种族,教育程度,婚姻状况和农村地区.
主要成果:
- 在1678名自杀死者中,38.9%获得了心理健康护理,23.5%获得了非心理健康护理,37.5%没有获得任何护理.
- 较年轻的死者 (18-44岁) 与老年人 (65岁以上) 相比,获得精神和非精神健康服务的可能性明显低.
- 男人比女性更少获得心理健康服务,而非裔美国人使用非心理健康服务的比例更高.
结论:
- 自杀者中医疗保健使用模式因人口因素而有很大差异.
- 需要有针对性的干预措施来解决年轻人和男性医疗保健机会较低的问题.
- 加强定期寻求医疗保健的行为,特别是在压力期间,对于预防自杀的努力至关重要.
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