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Demographic, Clinical, and Service Utilization Factors Associated with Suicide‐Related Visits among Alaska Native and American Indian Adults
Author(s) -
Dillard Denise A.,
Avey Jaedon P.,
Robinson Renee F.,
Smith Julia J.,
Beals Janette,
Manson Spero M.,
Comtois Katherine Anne
Publication year - 2017
Publication title -
suicide and life‐threatening behavior
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.544
H-Index - 90
eISSN - 1943-278X
pISSN - 0363-0234
DOI - 10.1111/sltb.12259
Subject(s) - medicine , residence , odds , suicide prevention , specialty , occupational safety and health , ambulatory , odds ratio , injury prevention , health care , poison control , ambulatory care , gerontology , emergency department , medical emergency , family medicine , demography , environmental health , psychiatry , logistic regression , pathology , sociology , economics , economic growth
Alaska Native and American Indian people ( AN / AI s) 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.