title: Mental Health Service Use Across the Life Course Among Adults With Psychiatric Disorders and Prior Suicidal Behavior.
abstract: OBJECTIVE
  Little is known about mental health service use by adults with prior suicidal behavior and current mood or anxiety disorders. This study determined nationally representative prevalence estimates of current mental health service use by these adults, examining racial-ethnic, age, and gender differences.
  
  
  METHODS
  Service use across the life course was examined with Collaborative Psychiatric Epidemiology Survey data from 1,139 adults with a history of suicidal behavior and current mood or anxiety disorders.
  
  
  RESULTS
  Overall service use was 47.3%. Across the life course, African Americans showed increasing service use that paralleled use by non-Hispanic whites, Hispanics, and others, whereas use by these three groups decreased in the latter half of the life course (p interaction=.01).
  
  
  CONCLUSIONS
  Adults with prior suicidal behavior and current mood or anxiety disorders have low mental health service use. Findings of racial-ethnic disparities in use can help identify those in need of care.
authors.affiliation: Dr. Byers, Dr. Nelson, and Dr. Yaffe are with the Department of Psychiatry, University of California, San Francisco (e-mail: amy.byers@ucsf.edu ). Dr. Byers and Dr. Yaffe are also with the San Francisco Veterans Affairs Medical Center, where Ms. Lai is affiliated. Dr. Arean is with the Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle.
authors.forename: Amy L
authors.initials: AL
authors.lastname: Byers
authors.affiliation: Dr. Byers, Dr. Nelson, and Dr. Yaffe are with the Department of Psychiatry, University of California, San Francisco (e-mail: amy.byers@ucsf.edu ). Dr. Byers and Dr. Yaffe are also with the San Francisco Veterans Affairs Medical Center, where Ms. Lai is affiliated. Dr. Arean is with the Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle.
authors.forename: Amy X
authors.initials: AX
authors.lastname: Lai
authors.affiliation: Dr. Byers, Dr. Nelson, and Dr. Yaffe are with the Department of Psychiatry, University of California, San Francisco (e-mail: amy.byers@ucsf.edu ). Dr. Byers and Dr. Yaffe are also with the San Francisco Veterans Affairs Medical Center, where Ms. Lai is affiliated. Dr. Arean is with the Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle.
authors.forename: Patricia
authors.initials: P
authors.lastname: Arean
authors.affiliation: Dr. Byers, Dr. Nelson, and Dr. Yaffe are with the Department of Psychiatry, University of California, San Francisco (e-mail: amy.byers@ucsf.edu ). Dr. Byers and Dr. Yaffe are also with the San Francisco Veterans Affairs Medical Center, where Ms. Lai is affiliated. Dr. Arean is with the Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle.
authors.forename: J Craig
authors.initials: JC
authors.lastname: Nelson
authors.affiliation: Dr. Byers, Dr. Nelson, and Dr. Yaffe are with the Department of Psychiatry, University of California, San Francisco (e-mail: amy.byers@ucsf.edu ). Dr. Byers and Dr. Yaffe are also with the San Francisco Veterans Affairs Medical Center, where Ms. Lai is affiliated. Dr. Arean is with the Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle.
authors.forename: Kristine
authors.initials: K
authors.lastname: Yaffe
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D000368:Aged; D001008:Anxiety Disorders / Q000453:epidemiology / Q000628:therapy*; D006801:Humans; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D019964:Mood Disorders / Q000453:epidemiology / Q000628:therapy*; D015995:Prevalence; D013406:Suicide, Attempted / Q000706:statistics & numerical data; D014481:United States / Q000453:epidemiology; D055815:Young Adult