PLoS ONE,
Год журнала:
2025,
Номер
20(3), С. e0319396 - e0319396
Опубликована: Март 19, 2025
Autistic
people
experience
higher
risk
of
suicidal
ideation
(SI)
and
suicide
attempts
(SA)
compared
to
non-autistic
people,
yet
there
is
limited
understanding
complex,
multilevel
factors
that
drive
this
disparity.
Further,
determinants
mental
health
service
receipt
among
population
are
unknown.
This
study
will
identify
socioecological
associated
with
increased
SI
SA
for
autistic
evaluate
care
receipt.
link
information
individuals
aged
12-64
years
in
healthcare
claims
data
(IBM®
MarketScan®
Research
Database
CMS
Medicaid)
publicly
available
databases
containing
community
policy
factors,
thereby
creating
a
unique,
dataset
includes
health,
demographic,
community,
information.
Machine
learning
reduction
methods
be
applied
reduce
the
dimensionality
prior
nested,
empirical
estimation.
These
techniques
allow
robust
identification
clusters
1)
2)
services
(type,
dose,
delivery
modality).
Throughout,
research
team
partner
an
established
group
partners
promote
relevance,
as
well
receive
input
guidance
from
council
practice
advisors.
We
hypothesize
nested
individual
(co-occurring
conditions,
age,
sex),
(healthcare
availability,
social
vulnerabilities),
(state
legislation,
state
Medicaid
expansion)
heightened
SA,
receipt,
interdependent
at
all
three
levels.
The
approach
lead
facilitate
or
impede
delivery.
then
engage
partners,
advisors
inform
development
recommendations
improve
population.
Frontiers in Psychiatry,
Год журнала:
2022,
Номер
13
Опубликована: Дек. 6, 2022
Although
global
rates
of
suicide
have
dropped
in
the
last
30
years,
youth
low-
and
middle-income
countries
(LMICs)
continue
to
be
highly
represented
statistics
yet
underrepresented
research.
In
this
review
we
present
epidemiology
suicide,
suicidal
ideation,
attempts
among
LMICs.
We
also
describe
population-level
(attitudes
toward
socioeconomic,
societal
factors)
individual-level
clinical
psychosocial
risk
factors,
highlighting
specific
considerations
pertaining
These
factors
within
population
can
inform
how
multi-level
prevention
strategies
may
targeted
meet
their
needs.
Prevention
intervention
relying
on
stepped-care
framework
focusing
population-,
community-,
individual
level
targets
while
considering
locally-
culturally
relevant
practices
are
key
addition,
systemic
approaches
favoring
school-based
family-based
interventions
important
youth.
Cross-culturally
adapted
multimodal
targeting
heterogeneity
that
exists
healthcare
systems,
rates,
these
should
accorded
a
high
priority
reduce
burden
Proceedings of the National Academy of Sciences,
Год журнала:
2023,
Номер
120(19)
Опубликована: Май 1, 2023
In
recent
years,
the
United
States
has
been
experiencing
historically
high
suicide
rates.
face
of
mental
health
care
provider
shortages
that
leave
millions
needing
to
travel
longer
find
providers
with
schedule
openings,
if
any
are
available
at
all,
inaccessibility
become
increasingly
central
in
explaining
suicidality.
To
examine
relationship
between
access
and
suicide,
we
leverage
a
dataset
mapping
all
licensed
US
psychiatrists
psychotherapists
(
N
=
711,214),
as
early
2020,
employ
real-world
transportation
data
model
patients’
mobility
barriers.
We
strong
association
reduced
spatial-social
accessibility
heightened
risk.
Using
machine
learning
approach
condition
on
host
22
contextual
factors
known
be
implicated
(e.g.,
race,
education,
divorce,
gun
shop
prevalence),
locales
where
individuals
seeking
can
fewer
providers,
already
more
likely
saturated
by
demand,
risk
is
increased
(3.2%
for
each
SD
psychiatrist
accessibility;
2.3%
psychotherapists).
Additionally,
observe
local
inequalities
associated
further
underscoring
need
research
account
highly
localized
barriers
preventing
many
Americans
from
accessing
needed
services.
