title: Social determinants of mental health service utilization in Switzerland.
abstract: OBJECTIVE
  To investigate whether mental health services utilization in Switzerland is equitably distributed (i.e., predicted only by the need of a person).
  
  
  METHODS
  Data on 17,789 participants of the Swiss Health Survey 2012 (≥15 years) was analysed. Logistic regression analyses were conducted to predict: having been in treatment for a psychological problem; having used psychotropic medication; having had medical treatment for depression; and having visited a psychologist or psychotherapist. Need (depression severity and risky alcohol consumption) and socio-demographic variables were used as independent variables.
  
  
  RESULTS
  Depression severity was the strongest predictor for using mental health services. In contrast, risky alcohol consumption was not associated with an increased likelihood of using mental health services. After adjusting for need, the following groups were less likely to use (some of) the mental health services: males, young people, participants who (almost) work full-time, single/unmarried, non-Swiss people and those living in rural areas. Education and income were not significantly associated with the outcomes in the adjusted analyses.
  
  
  CONCLUSIONS
  Some socio-demographic subgroups are less likely to use mental health services despite having the same need.
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; D000368:Aged; D003863:Depression / Q000523:psychology; D005260:Female; D006297:Health Services Accessibility; D006306:Health Surveys; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D012720:Severity of Illness Index; D064890:Social Determinants of Health; D012959:Socioeconomic Factors; D013557:Switzerland
keywords: Alcohol; Behavioural model of health services use; Depression; Mental health services