摘要

Objective: Higher rates of health care service use prior to suicide were previously reported in Western countries; however, these studies have tended to suffer from small sample sizes. This nationwide, population-based study examines the distribution and patterns of health care service use among suicide victims in Taiwan. Method: A retrospective cohort study was conducted using linked population-based data to determine the proportion of health care service use among suicide victims aged 15 years and older within the 1-year and 1-month period prior to their deaths. After adjusting for demographic, socioeconomic and health care indices, the differences in health care service use patterns were assessed for age and sex. Results: Among the 19 426 suicide victims in the sample, 83.1% had used nonmental health care services within the 1-year period prior to their death, while only 22.2% had used mental health care services. Men, and suicide victims aged 55 years and older, were less likely to have had any contact with mental health care professionals prior to their deaths (P <0.001). Conclusions: In line with prior studies, similarly high rates and distinct patterns of health care service use were found in Taiwan prior to suicide. These findings will be of practical interest and should support designing appropriate methods of suicide intervention and effective preventive strategies.
原文英語
頁(從 - 到)377-383
頁數7
期刊Canadian Journal of Psychiatry
53
發行號6
出版狀態已發佈 - 六月 2008

指紋

Taiwan
Health Personnel
Suicide
Mental Health
Delivery of Health Care
Health Services
Population
Mental Health Services
Sample Size
Cohort Studies
Retrospective Studies
Demography

ASJC Scopus subject areas

  • Psychiatry and Mental health

引用此文

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title = "Contact of mental and nonmental health care providers prior to suicide in Taiwan: A population-based study",
abstract = "Objective: Higher rates of health care service use prior to suicide were previously reported in Western countries; however, these studies have tended to suffer from small sample sizes. This nationwide, population-based study examines the distribution and patterns of health care service use among suicide victims in Taiwan. Method: A retrospective cohort study was conducted using linked population-based data to determine the proportion of health care service use among suicide victims aged 15 years and older within the 1-year and 1-month period prior to their deaths. After adjusting for demographic, socioeconomic and health care indices, the differences in health care service use patterns were assessed for age and sex. Results: Among the 19 426 suicide victims in the sample, 83.1{\%} had used nonmental health care services within the 1-year period prior to their death, while only 22.2{\%} had used mental health care services. Men, and suicide victims aged 55 years and older, were less likely to have had any contact with mental health care professionals prior to their deaths (P <0.001). Conclusions: In line with prior studies, similarly high rates and distinct patterns of health care service use were found in Taiwan prior to suicide. These findings will be of practical interest and should support designing appropriate methods of suicide intervention and effective preventive strategies.",
keywords = "Data linkage, Health care service use, Population-based, Suicide",
author = "Lee, {Hsin Chien} and Lin, {Herng Ching} and Liu, {Tsai Ching} and Shiyng-Yu Lin",
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month = "6",
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pages = "377--383",
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TY - JOUR

T1 - Contact of mental and nonmental health care providers prior to suicide in Taiwan

T2 - A population-based study

AU - Lee, Hsin Chien

AU - Lin, Herng Ching

AU - Liu, Tsai Ching

AU - Lin, Shiyng-Yu

PY - 2008/6

Y1 - 2008/6

N2 - Objective: Higher rates of health care service use prior to suicide were previously reported in Western countries; however, these studies have tended to suffer from small sample sizes. This nationwide, population-based study examines the distribution and patterns of health care service use among suicide victims in Taiwan. Method: A retrospective cohort study was conducted using linked population-based data to determine the proportion of health care service use among suicide victims aged 15 years and older within the 1-year and 1-month period prior to their deaths. After adjusting for demographic, socioeconomic and health care indices, the differences in health care service use patterns were assessed for age and sex. Results: Among the 19 426 suicide victims in the sample, 83.1% had used nonmental health care services within the 1-year period prior to their death, while only 22.2% had used mental health care services. Men, and suicide victims aged 55 years and older, were less likely to have had any contact with mental health care professionals prior to their deaths (P <0.001). Conclusions: In line with prior studies, similarly high rates and distinct patterns of health care service use were found in Taiwan prior to suicide. These findings will be of practical interest and should support designing appropriate methods of suicide intervention and effective preventive strategies.

AB - Objective: Higher rates of health care service use prior to suicide were previously reported in Western countries; however, these studies have tended to suffer from small sample sizes. This nationwide, population-based study examines the distribution and patterns of health care service use among suicide victims in Taiwan. Method: A retrospective cohort study was conducted using linked population-based data to determine the proportion of health care service use among suicide victims aged 15 years and older within the 1-year and 1-month period prior to their deaths. After adjusting for demographic, socioeconomic and health care indices, the differences in health care service use patterns were assessed for age and sex. Results: Among the 19 426 suicide victims in the sample, 83.1% had used nonmental health care services within the 1-year period prior to their death, while only 22.2% had used mental health care services. Men, and suicide victims aged 55 years and older, were less likely to have had any contact with mental health care professionals prior to their deaths (P <0.001). Conclusions: In line with prior studies, similarly high rates and distinct patterns of health care service use were found in Taiwan prior to suicide. These findings will be of practical interest and should support designing appropriate methods of suicide intervention and effective preventive strategies.

KW - Data linkage

KW - Health care service use

KW - Population-based

KW - Suicide

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