title: Reluctance to seek professional help among suicidal people: results from the Swiss Health Survey.
abstract: OBJECTIVE
  To investigate whether help-negation (not accepting or accessing available helping resources) among suicidal people can also be found in a Swiss sample.
  
  
  METHODS
  Data on 16,640 participants (aged 15 and older) from the Swiss Health Survey 2012 was analyzed. Logistic regression analyses were conducted to study the association between suicidality (categorized into "not at all"; "several days"; and "more than half of the days") and currently being in treatment for depression (covariates: depression and socio-demographic variables).
  
  
  RESULTS
  Less than 1/3 of the participants with the highest level of suicidality were currently in treatment (males: 27.0 %; females: 29.6 %). Participants who were experiencing suicidality for several days were more likely to be in treatment relative to non-suicidal people. However, people with the highest level of suicidality did not differ from the other two groups in regard to treatment frequency. Help-negation was particularly pronounced among males and young people (15-24-year olds).
  
  
  CONCLUSIONS
  The reluctance to seek professional help is problematic because treatment might reduce the risk of suicide.
authors.affiliation: Population Mental Health Group, Centre for Mental Health, Melbourne School of Population and Global Health, University of Melbourne, 207 Bouverie Street, Melbourne, VIC, 3010, Australia. michelle.dey@unimelb.edu.au.
authors.forename: Michelle
authors.initials: M
authors.lastname: Dey
authors.affiliation: Population Mental Health Group, Centre for Mental Health, Melbourne School of Population and Global Health, University of Melbourne, 207 Bouverie Street, Melbourne, VIC, 3010, Australia.
authors.forename: Anthony Francis
authors.initials: AF
authors.lastname: Jorm
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D003863:Depression / Q000453:epidemiology*; D005260:Female; D006306:Health Surveys; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology / Q000706:statistics & numerical data*; D012737:Sex Factors; D012959:Socioeconomic Factors; D059020:Suicidal Ideation; D013405:Suicide / Q000523:psychology / Q000706:statistics & numerical data*; D013406:Suicide, Attempted / Q000523:psychology / Q000706:statistics & numerical data; D013557:Switzerland; D055815:Young Adult
keywords: Depression; Help-negation; Suicidality; Swiss Health Survey; Treatment
references.citation: J Affect Disord. 2010 Jan;120(1-3):32-9
references.pmid: 19411113
references.citation: J Clin Psychol. 2001 Jul;57(7):901-14
references.pmid: 11406803
references.citation: J Gen Intern Med. 2001 Sep;16(9):606-13
references.pmid: 11556941
references.citation: J Am Coll Health. 2010;59(2):110-6
references.pmid: 20864437
references.citation: Environ Health Prev Med. 2008 Sep;13(5):243-56
references.pmid: 19568911
references.citation: Aust N Z J Psychiatry. 2009 Jul;43(7):635-43
references.pmid: 19530020
references.citation: BMC Public Health. 2006 Feb 16;6:34
references.pmid: 16480522
references.citation: Psychiatr Serv. 2012 Oct;63(10):989-96
references.pmid: 22910768
references.citation: Lancet. 2007 Sep 8;370(9590):841-50
references.pmid: 17826169
references.citation: Pediatrics. 2003 Apr;111(4 Pt 1):e388-93
references.pmid: 12671157
references.citation: J Youth Adolesc. 2010 Mar;39(3):291-305
references.pmid: 19957103
references.citation: J Consult Clin Psychol. 1995 Jun;63(3):499-503
references.pmid: 7608366
references.citation: Acad Psychiatry. 2008 Mar-Apr;32(2):136-42
references.pmid: 18349334
references.citation: Suicide Life Threat Behav. 2010 Oct;40(5):438-50
references.pmid: 21034207
references.citation: Psychiatr Serv. 2010 Jan;61(1):17-24
references.pmid: 20044413
references.citation: Epidemiol Rev. 2008;30:133-54
references.pmid: 18653727
references.citation: Aust N Z J Psychiatry. 2009 Jul;43(7):615-23
references.pmid: 19530018
references.citation: Depress Anxiety. 2005;22(3):130-7
references.pmid: 16175563
references.citation: Soc Sci Med. 2010 Feb;70(4):597-604
references.pmid: 19931962
references.citation: J Adolesc. 2000 Feb;23(1):35-45
references.pmid: 10700370
references.citation: J Am Acad Child Adolesc Psychiatry. 2004 Sep;43(9):1124-33
references.pmid: 15322416
references.citation: JAMA. 2005 Oct 26;294(16):2064-74
references.pmid: 16249421
references.citation: Aging Ment Health. 2006 Nov;10(6):574-82
references.pmid: 17050086
references.citation: J Clin Psychol. 2005 Dec;61(12):1525-39
references.pmid: 16173086
references.citation: J Youth Adolesc. 2010 Apr;39(4):343-56
references.pmid: 20229227