title: Latino suicidal adolescent psychosocial service utilization: The role of mood fluctuations and inattention.
abstract: BACKGROUND
  Little is known about the specific factors related to whether or not Latino adolescents with suicide ideation (SI) will seek services. Utilizing Andersen's Behavior Model of Health Services Use (2008) the goal of this study is to identify the factors related to utilization of mental health services by Latino adolescents with SI to inform and improve suicide prevention efforts.
  
  
  METHODS
  Data from Wave 1 of the National Longitudinal Study of Adolescent Health was examined. Predispositional (gender, age), enabling/disabling (income, lack of insurance, difficulty obtaining medical care), and need (depressed mood, suicide attempt, perceived health, impulsivity, mood fluctuations, difficulties with attention, etc.) variables were examined via logistic regression as potential correlates of mental health service utilization.
  
  
  RESULTS
  Twenty-eight percent of the Latino adolescents with suicidal ideation (SI) in our sample received mental health services. Need factors such as daily mood fluctuations within the past 12 months (OR=4.78) and frequent difficulty focusing attention within the past week (OR=4.96), but not impulsivity, were associated with an increased likelihood of receiving mental health services. No additional associations were observed.
  
  
  CONCLUSIONS
  The current study is based on cross-sectional data. Therefore, statements about causality cannot be made.
  
  
  CONCLUSIONS
  These findings suggest that emotion regulation (e.g., daily mood fluctuations) and neurocognitive factors (e.g., difficulty with focusing attention) may be important factors to consider in the clinical assessment of Latino adolescents with SI.
authors.affiliation: Graduate School of Social Work, Columbia University, 1255 Amsterdam Avenue, New York, NY 10027, USA. Electronic address: dl2298@columbia.edu.
authors.forename: Dana
authors.initials: D
authors.lastname: Alonzo
authors.affiliation: Graduate School of Social Work, Columbia University, 1255 Amsterdam Avenue, New York, NY 10027, USA.
authors.forename: Anne
authors.initials: A
authors.lastname: Conway
authors.affiliation: Graduate School of Education, Teachers College, Columbia University, 525 West 120th Street, New York, NY 10027, USA.
authors.forename: Anahid S
authors.initials: AS
authors.lastname: Modrek
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D000339:Affect; D001288:Attention; D003430:Cross-Sectional Studies; D003863:Depression; D004644:Emotions; D005260:Female; D006301:Health Services Needs and Demand; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D007175:Impulsive Behavior; D008297:Male; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D059020:Suicidal Ideation; D013405:Suicide / Q000523:psychology; D013406:Suicide, Attempted / Q000523:psychology
keywords: Hispanics; Suicidal ideation; Suicide; Treatment/service utilization