Demographic, Clinical, and Service Utilization Factors Associated with Suicide-Related Visits among Alaska Native and American Indian Adults.
Alaska Native and American Indian people (AN/AIs) are disproportionately affected by suicide. Within a large AN/AI health service organization, demographic, clinical, and service utilization factors were compared between those with a suicide-related health visit and those without. Cases had higher odds of a behavioral health diagnosis, treatment for an injury, behavioral health specialty care visits, and opioid medication dispensation in the year prior to a suicide-related visit compared to gender-, age-, and residence- (urban versus rural) matched controls. Odds of a suicide-related visit were lower among those with private insurance and those with non-primary care ambulatory clinic visits.
Southcentral Foundation, Anchorage, AK, USA.
Denise A
DA
Dillard
Southcentral Foundation, Anchorage, AK, USA.
Jaedon P
0000-0002-3858-0595
JP
Avey
Southcentral Foundation, Anchorage, AK, USA.
Renee F
RF
Robinson
Southcentral Foundation, Anchorage, AK, USA.
Julia J
JJ
Smith
University of Colorado-Anschutz Medical Campus, Aurora, CO, USA.
Janette
J
Beals
University of Colorado-Anschutz Medical Campus, Aurora, CO, USA.
Spero M
SM
Manson
University of Washington, Seattle, WA, USA.
Katherine Anne
KA
Comtois
D000328:Adult; D000072957:Alaska Natives / Q000523:psychology / Q000706:statistics & numerical data; D003710:Demography; D005260:Female; D054625:Healthcare Disparities / Q000706:statistics & numerical data; D006801:Humans; D007198:Indians, North American / Q000523:psychology / Q000706:statistics & numerical data; D008297:Male; D008603:Mental Health / Q000208:ethnology*; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D012424:Rural Population / Q000706:statistics & numerical data; D012959:Socioeconomic Factors; D013405:Suicide / Q000208:ethnology / Q000523:psychology; D014481:United States / Q000453:epidemiology; D000092864:Suicide Prevention