To examine individual and contextual characteristics associated with receipt of mental health treatment prior to youth suicide. Data from the US National Violent Death Reporting System, Area Health Resource File, and Social Vulnerability Index were used to examine characteristics associated with receipt of mental health treatment within 2 months before death among youth suicide decedents aged 5 to 17 years from 2013 to 2020 (N = 6,229). The association between individual (demographic, precipitating circumstances, and clinical characteristics) and contextual-level variables (county health resources, Social Vulnerability Index) and mental health service use was modeled using logistic regression. Mental health treatment was received by 31.6% of youth suicide decedents (n = 1,967) in the 2 months before suicide. Male individuals and youth from all racial and ethnic minority groups were less likely to receive mental health treatment in the 2 months prior to suicide, as were youth residing in non-metropolitan counties and living in counties characterized by high compared to low levels of social vulnerability. A history of family problems, a recent crisis, criminal/legal problems, and suicidal thoughts and attempts were associated with increased odds of receiving mental health services. Youth suicide decedents who were male, members of a racial or ethnic minority group, and residing in counties that are non-metropolitan and/or socially disadvantaged were less likely to have received mental health services in the months prior to death. Suicide prevention efforts that focus on improving access to care are essential for these vulnerable populations at risk for suicide.

中文翻译：

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美国青少年自杀前心理健康治疗的相关特征


检查与青少年自杀前接受心理健康治疗相关的个人和背景特征。使用美国国家暴力死亡报告系统、地区卫生资源档案和社会脆弱性指数的数据来检查2013年至2020年5岁至17岁青少年自杀者死前2个月内接受心理健康治疗的相关特征（ N = 6,229）。使用逻辑回归对个人（人口统计、诱发情况和临床特征）和背景变量（县卫生资源、社会脆弱性指数）和心理健康服务使用之间的关联进行建模。 31.6% 的青少年自杀者 (n = 1,967) 在自杀前 2 个月接受过心理健康治疗。来自所有种族和族裔群体的男性和青少年在自杀前 2 个月内接受心理健康治疗的可能性较小，居住在非大都市县和生活在社会脆弱性水平较高与较低水平的县的青少年也是如此。家庭问题史、最近的危机、刑事/法律问题以及自杀念头和企图与接受心理健康服务的几率增加有关。男性、少数族裔成员、居住在非大都市和/或社会弱势县的青少年自杀死者在死亡前几个月接受心理健康服务的可能性较小。注重改善获得护理机会的自杀预防工作对于这些有自杀风险的弱势群体至关重要。