title: Risk for suicide among medicaid beneficiaries.
abstract: Demographic, diagnostic, and service expenditure characteristics of Florida Medicaid enrollees who died by suicide were investigated. Among persons receiving Medicaid and Supplemental Security Income (SSI), findings indicate the most powerful predictors of suicide were involuntary psychiatric examination, mental health hospitalization, and high mental health service use. Among Medicaid enrollees not receiving SSI, strongest suicide predictors were mental health hospitalization, high expenditures for physical health medications, and involuntary psychiatric examination. Findings suggest reducing involuntary psychiatric examinations and mental health hospitalizations while improving physical health may reduce suicide in the Medicaid population. Comprehensive hospital discharge planning, adherence monitoring with follow-up care, training mental health providers in assessing suicide lethality, and providing adequate assessment time are all crucial to achieve these objectives.
authors.affiliation: Department of Aging and Mental Health Disparities, MHC1419, Louis de la Parte Florida Mental Health Institute, College of Behavioral & Community Sciences, University of South Florida, Tampa, FL 33612, USA. becker@fmhi.usf.edu
authors.forename: Marion
authors.initials: M
authors.lastname: Becker
authors.forename: Lisa
authors.initials: L
authors.lastname: Brown
authors.forename: Ezra
authors.initials: E
authors.lastname: Ochshorn
authors.forename: Ronald
authors.initials: R
authors.lastname: Diamond
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000437:Alcoholism / Q000175:diagnosis / Q000191:economics / Q000401:mortality / Q000523:psychology; D003134:Commitment of Persons with Psychiatric Disorders / Q000191:economics / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D005260:Female; D005431:Florida; D017048:Health Care Costs / Q000706:statistics & numerical data; D006304:Health Status; D006760:Hospitalization / Q000191:economics / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008484:Medicaid / Q000191:economics / Q000706:statistics & numerical data*; D001523:Mental Disorders / Q000175:diagnosis / Q000191:economics / Q000401:mortality / Q000523:psychology; D008605:Mental Health Services / Q000191:economics / Q000706:statistics & numerical data; D008875:Middle Aged; D012307:Risk Factors; D012943:Social Security / Q000191:economics / Q000706:statistics & numerical data*; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000191:economics / Q000401:mortality; D013405:Suicide / Q000523:psychology / Q000706:statistics & numerical data*; D014481:United States; D014600:Utilization Review / Q000706:statistics & numerical data; D055815:Young Adult; D000092864:Suicide Prevention