{"id":"https://openalex.org/W4206388971","doi":"https://doi.org/10.1001/jamapsychiatry.2021.3958","title":"National Trends of Mental Health Care Among US Adults Who Attempted Suicide in the Past 12 Months","display_name":"National Trends of Mental Health Care Among US Adults Who Attempted Suicide in the Past 12 Months","publication_year":2022,"publication_date":"2022-01-19","ids":{"openalex":"https://openalex.org/W4206388971","doi":"https://doi.org/10.1001/jamapsychiatry.2021.3958","pmid":"https://pubmed.ncbi.nlm.nih.gov/35044428","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/8771432"},"language":"en","primary_location":{"id":"doi:10.1001/jamapsychiatry.2021.3958","doi":"https://doi.org/10.1001/jamapsychiatry.2021.3958","is_oa":false,"landing_page_url":"https://doi.org/10.1001/jamapsychiatry.2021.3958","pdf_url":null,"source":{"id":"https://openalex.org/S2495708506","display_name":"JAMA Psychiatry","issn_l":"2168-622X","issn":["2168-622X","2168-6238"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-a","doyens","erih-plus","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA Psychiatry","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/8771432","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5025997974","display_name":"Tanner J. Bommersbach","orcid":"https://orcid.org/0000-0002-4827-1518","observed_orcids":["https://orcid.org/0000-0002-4827-1518"]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Tanner J. Bommersbach","raw_affiliation_strings":["Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut","institution_ids":["https://openalex.org/I32971472"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5027752754","display_name":"Robert Alan Rosenheck","orcid":"https://orcid.org/0000-0003-4314-4592","observed_orcids":["https://orcid.org/0000-0003-4314-4592"]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]},{"id":"https://openalex.org/I4210086971","display_name":"VA Connecticut Healthcare System","ror":"https://ror.org/000rgm762","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210086971","https://openalex.org/I4210095851"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Robert A. Rosenheck","raw_affiliation_strings":["Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut","New England Mental Illness, Research Education, and Clinical Center, Veterans Affairs Connecticut Healthcare System, West Haven"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut","institution_ids":["https://openalex.org/I32971472"]},{"raw_affiliation_string":"New England Mental Illness, Research Education, and Clinical Center, Veterans Affairs Connecticut Healthcare System, West Haven","institution_ids":["https://openalex.org/I4210086971"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5072363222","display_name":"Taeho Greg Rhee","orcid":"https://orcid.org/0000-0003-4961-3361","observed_orcids":["https://orcid.org/0000-0003-4961-3361"]},"institutions":[{"id":"https://openalex.org/I140172145","display_name":"University of Connecticut","ror":"https://ror.org/02der9h97","country_code":"US","type":"education","lineage":["https://openalex.org/I140172145"]},{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]},{"id":"https://openalex.org/I4210086971","display_name":"VA Connecticut Healthcare System","ror":"https://ror.org/000rgm762","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210086971","https://openalex.org/I4210095851"]},{"id":"https://openalex.org/I75929689","display_name":"UConn Health","ror":"https://ror.org/02kzs4y22","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I75929689"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Taeho Greg Rhee","raw_affiliation_strings":["Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut","Department of Public Health Sciences, University of Connecticut School of Medicine, Farmington","New England Mental Illness, Research Education, and Clinical Center, Veterans Affairs Connecticut Healthcare System, West Haven"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut","institution_ids":["https://openalex.org/I32971472"]},{"raw_affiliation_string":"Department of Public Health Sciences, University of Connecticut School of Medicine, Farmington","institution_ids":["https://openalex.org/I140172145","https://openalex.org/I75929689"]},{"raw_affiliation_string":"New England Mental Illness, Research Education, and Clinical Center, Veterans Affairs Connecticut Healthcare System, West Haven","institution_ids":["https://openalex.org/I4210086971"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":13.9159,"has_fulltext":false,"cited_by_count":79,"citation_normalized_percentile":{"value":0.9953801,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":99,"max":100},"biblio":{"volume":"79","issue":"3","first_page":"219","last_page":"219"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10376","display_name":"Suicide and Self-Harm Studies","score":1.0,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10376","display_name":"Suicide and Self-Harm Studies","score":1.0,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13605","display_name":"Homicide, Infanticide, and Child Abuse","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/suicide-attempts","display_name":"suicide attempts","score":0.9819999933242798},{"id":"https://openalex.org/keywords/mental-health-service-utilization","display_name":"mental health service utilization","score":0.7770000100135803},{"id":"https://openalex.org/keywords/young-adults","display_name":"young adults","score":0.7820000052452087},{"id":"https://openalex.org/keywords/young-women","display_name":"young women","score":0.5339999794960022},{"id":"https://openalex.org/keywords/racial-and-ethnic-disparities","display_name":"racial and ethnic disparities","score":0.527999997138977},{"id":"https://openalex.org/keywords/access-to-mental-health-care","display_name":"access to mental health care","score":0.3310000002384186},{"id":"https://openalex.org/keywords/national-survey-on-drug-use-and-health","display_name":"National Survey on Drug Use and Health","score":0.7599999904632568},{"id":"https://openalex.org/keywords/united-states-adults","display_name":"United States adults","score":0.5360000133514404},{"id":"https://openalex.org/keywords/sociodemographic-factors","display_name":"sociodemographic factors","score":0.5040000081062317},{"id":"https://openalex.org/keywords/clinical-conditions","display_name":"clinical conditions","score":0.6899999976158142},{"id":"https://openalex.org/keywords/substance-use-disorders","display_name":"substance use disorders","score":0.45500001311302185},{"id":"https://openalex.org/keywords/depression","display_name":"depression","score":0.35600000619888306},{"id":"https://openalex.org/keywords/anxiety-disorders","display_name":"anxiety disorders","score":0.48399999737739563},{"id":"https://openalex.org/keywords/posttraumatic-stress","display_name":"post-traumatic stress","score":0.4339999854564667}],"concepts":[{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.586860716342926},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.5778601765632629},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5710654854774475},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.5433812737464905},{"id":"https://openalex.org/C526869908","wikidata":"https://www.wikidata.org/wiki/Q3298118","display_name":"Suicide prevention","level":3,"score":0.5379003286361694},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.4642876386642456},{"id":"https://openalex.org/C187155963","wikidata":"https://www.wikidata.org/wiki/Q629029","display_name":"Occupational safety and health","level":2,"score":0.4575132727622986},{"id":"https://openalex.org/C3017944768","wikidata":"https://www.wikidata.org/wiki/Q1450463","display_name":"Poison control","level":2,"score":0.4532441198825836},{"id":"https://openalex.org/C2780842732","wikidata":"https://www.wikidata.org/wiki/Q3518184","display_name":"Suicide attempt","level":4,"score":0.4527280330657959},{"id":"https://openalex.org/C190385971","wikidata":"https://www.wikidata.org/wiki/Q373494","display_name":"Injury prevention","level":3,"score":0.4390721917152405},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.38206061720848083},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.3573756515979767},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.2506599426269531},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003865","descriptor_name":"Major Depressive Disorder","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008603","descriptor_name":"Mental Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013406","descriptor_name":"Suicide, Attempted","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1001/jamapsychiatry.2021.3958","doi":"https://doi.org/10.1001/jamapsychiatry.2021.3958","is_oa":false,"landing_page_url":"https://doi.org/10.1001/jamapsychiatry.2021.3958","pdf_url":null,"source":{"id":"https://openalex.org/S2495708506","display_name":"JAMA Psychiatry","issn_l":"2168-622X","issn":["2168-622X","2168-6238"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-a","doyens","erih-plus","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA Psychiatry","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:8771432","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/8771432","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA Psychiatry","raw_type":"Text"},{"id":"pmid:35044428","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/35044428","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA psychiatry","raw_type":"Journal Article"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:8771432","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/8771432","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA Psychiatry","raw_type":"Text"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[{"id":"https://openalex.org/G2188440642","display_name":"Effects of electroconvulsive therapy on suicide in geriatrics patients with major depressive disorder: a nationwide cohort study using propensity score matching and instrumental variable analysis","funder_award_id":"R21MH117438","funder_id":"https://openalex.org/F4320337346","funder_display_name":"National Institute of Mental Health"},{"id":"https://openalex.org/G4284489941","display_name":"Associations of Opioid Prescribing with Long-term Functional Outcomes and Mortality Rates in Older Nursing Home Residents","funder_award_id":"R21AG070666","funder_id":"https://openalex.org/F4320337337","funder_display_name":"National Institute on Aging"},{"id":"https://openalex.org/G9000905218","display_name":"Yale Training Program in Geriatric Clinical Epidemiology and Aging-Related Research","funder_award_id":"T32AG019134","funder_id":"https://openalex.org/F4320337337","funder_display_name":"National Institute on Aging"}],"funders":[{"id":"https://openalex.org/F4320337337","display_name":"National Institute on Aging","ror":"https://ror.org/049v75w11"},{"id":"https://openalex.org/F4320337346","display_name":"National Institute of Mental Health","ror":"https://ror.org/04xeg9z08"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":38,"referenced_works":["https://openalex.org/W1721687418","https://openalex.org/W1973271873","https://openalex.org/W1995183506","https://openalex.org/W2000008630","https://openalex.org/W2004664771","https://openalex.org/W2037299548","https://openalex.org/W2045899956","https://openalex.org/W2060417415","https://openalex.org/W2066709094","https://openalex.org/W2094502501","https://openalex.org/W2098562980","https://openalex.org/W2121592936","https://openalex.org/W2150633664","https://openalex.org/W2151906321","https://openalex.org/W2169361101","https://openalex.org/W2347176171","https://openalex.org/W2419443498","https://openalex.org/W2507442464","https://openalex.org/W2549390881","https://openalex.org/W2618096691","https://openalex.org/W2754964215","https://openalex.org/W2794085352","https://openalex.org/W2800279609","https://openalex.org/W2902808758","https://openalex.org/W2921616123","https://openalex.org/W2946202970","https://openalex.org/W3016987955","https://openalex.org/W3027901916","https://openalex.org/W3039517896","https://openalex.org/W3090072287","https://openalex.org/W3109757884","https://openalex.org/W3127162188","https://openalex.org/W3131404594","https://openalex.org/W3160080700","https://openalex.org/W3212371967","https://openalex.org/W4238048863","https://openalex.org/W4248575864","https://openalex.org/W6758170517"],"related_works":["https://openalex.org/W2754964215","https://openalex.org/W4224013063","https://openalex.org/W4224324684","https://openalex.org/W2767984016","https://openalex.org/W4253349984","https://openalex.org/W2004290958","https://openalex.org/W4402725462","https://openalex.org/W1973271873","https://openalex.org/W3028555879","https://openalex.org/W2121573012"],"abstract_inverted_index":{"IMPORTANCE:":[0],"Although":[1,537],"suicide":[2,26,44,101,121,161,180,204,242,284,357,388,493,538,551],"attempts":[3,27,45,102,122,162,181,205,358,539],"remain":[4],"the":[5,19,70,108,132,209,212,239,352,501,512],"strongest":[6],"risk":[7,23],"factor":[8],"for":[9,25,196,208,269,364],"future":[10],"suicide,":[11],"little":[12],"is":[13],"known":[14],"about":[15],"recent":[16],"trends":[17,113,148],"in":[18,107,131,149,500],"prevalence":[20],"of":[21,31,43,48,73,100,152,179,283,355,503,545],"and":[22,28,46,76,111,144,198,230,264,336,368,381,415,453],"factors":[24,200,370],"past-year":[29,150,160,203,505],"use":[30,47,151,417,544],"services":[32,51,155,520,546],"among":[33,52,156,288,547],"adults":[34,54,106,290,490],"who":[35,158,314,338,429,455,549],"attempted":[36,550],"suicide.":[37],"OBJECTIVE:":[38],"To":[39],"estimate":[40],"annual":[41,98],"rates":[42,99],"mental":[49,153,506],"health":[50,154,507],"US":[53,64,86],"from":[55,79,114,169,182,250,530],"2008":[56,80,115,183,236,531],"to":[57,116,127,171,184,192,237,252,293,516,532,541,558],"2019.":[58,82,185,533],"DESIGN,":[59],"SETTING,":[60],"AND":[61,176,535],"PARTICIPANTS:":[62],"This":[63],"nationally":[65],"representative":[66],"cross-sectional":[67],"study":[68,213,513],"used":[69,191,339],"National":[71],"Survey":[72],"Drug":[74],"Use":[75],"Health":[77],"(NSDUH)":[78],"through":[81],"Participants":[83],"included":[84],"noninstitutionalized":[85],"civilians":[87],"18":[88,292],"years":[89,224,295],"or":[90,225,325,433,443,467,470,474,477,508],"older":[91],"(n":[92],"=":[93,262,280,311],"484":[94,217],"732).":[95],"The":[96,147],"overall":[97],"per":[103,245],"100":[104,246],"000":[105,247],"general":[109],"population":[110,248],"national":[112],"2019":[117],"were":[118,138,163,167,190,222,315],"estimated,":[119],"with":[120,202,387,392,491,526],"defined":[123],"as":[124,425,427,457,564,566],"self-reported":[125],"efforts":[126],"kill":[128],"one's":[129],"self":[130],"past":[133],"12":[134],"months.":[135],"Subgroup":[136],"analyses":[137,189],"also":[139],"performed":[140],"by":[141],"demographic":[142],"characteristics":[143,271],"clinical":[145,199,369,382],"conditions.":[146],"those":[157,313,391,454,548],"reported":[159,430,518],"then":[164],"examined.":[165],"Data":[166],"analyzed":[168],"October":[170],"December":[172],"2021.":[173],"MAIN":[174],"OUTCOMES":[175],"MEASURES:":[177],"Rate":[178],"Multivariate-adjusted":[186],"logistic":[187],"regression":[188],"determine":[193],"whether":[194],"adjusting":[195],"sociodemographic":[197,270,367,380],"associated":[201,386],"could":[206],"account":[207],"change":[210,499,529],"within":[211],"period.":[214],"RESULTS:":[215],"Of":[216],"732":[218],"survey":[219],"participants,":[220],"most":[221],"35":[223],"younger":[226],"(69.8%),":[227],"women":[228,304],"(51.8%),":[229],"non-Hispanic":[231],"White":[232],"individuals":[233,337,428],"(65.7%).":[234],"From":[235],"2019,":[238],"weighted":[240],"unadjusted":[241],"attempt":[243,285],"rate":[244],"increased":[249,286],"481.2":[251],"563.9":[253],"(odds":[254],"ratio":[255],"[OR],":[256],"1.17":[257],"[95%":[258,276,298,307,319,330,343,373,398,409,437,448,461,483],"CI,":[259,277,299,308,320,331,344,374,399,410,438,449,462,484],"1.01-1.36];":[260],"P":[261,279,301,310,322,333,346,376,401,412,440,464,486],".04)":[263],"remained":[265,359,384],"significant":[266,360,366,498,528],"after":[267,362],"controlling":[268,363],"(adjusted":[272],"OR":[273],"[aOR],":[274],"1.23":[275],"1.05-1.44];":[278],".01).":[281],"Rates":[282],"particularly":[287],"young":[289],"aged":[291],"25":[294],"(aOR,":[296,305,317,328,341,371,396,407,419,435,446,459,481],"1.81":[297,420],"1.52-2.16];":[300],"<":[302,323,334,347,377,402,413,441,465,487],".001),":[303,335,403,414],"1.33":[306],"1.09-1.62];":[309],".005),":[312],"unemployed":[316,445],"2.22":[318],"1.58-3.12];":[321],".001)":[324,424,442,452,466],"never":[326],"married":[327],"1.60":[329],"1.31-1.96];":[332],"substances":[340],"1.44":[342],"1.19-1.75];":[345],".001).":[348,378,488],"In":[349],"multivariate":[350],"analyses,":[351],"temporal":[353],"trend":[354],"increasing":[356],"even":[361],"other":[365],"1.36":[372],"1.16-1.60];":[375],"Several":[379],"subgroups":[383],"independently":[385],"attempts,":[389],"especially":[390],"serious":[393],"psychological":[394],"distress":[395],"7.51":[397],"6.49-8.68];":[400],"major":[404],"depressive":[405],"episodes":[406],"2.90":[408],"2.57-3.27];":[411],"alcohol":[416],"disorder":[418],"[95%CI,":[421],"1.61-2.04];":[422],"P<":[423,451],"well":[426,565],"being":[431,444],"divorced":[432],"separated":[434],"1.65":[436],"1.35-2.02];":[439],"1.47":[447],"1.27-1.70];":[450],"identified":[456],"Black":[458],"1.41":[460],"1.24-1.60];":[463],"American":[468],"Indian":[469],"Alaska":[471],"Native,":[472],"Asian,":[473],"Native":[475],"Hawaiian":[476],"Other":[478],"Pacific":[479],"Islander":[480],"1.56":[482],"1.26-1.93];":[485],"Among":[489],"a":[492,556],"attempt,":[494],"there":[495],"was":[496],"no":[497,527],"likelihood":[502],"receiving":[504],"substance-related":[509],"services.":[510],"During":[511],"period,":[514],"34.8%":[515],"45.5%":[517],"needing":[519],"but":[521],"did":[522],"not":[523,553],"receive":[524],"them,":[525],"CONCLUSIONS":[534],"RELEVANCE:":[536],"appear":[540],"be":[542],"increasing,":[543],"has":[552],"increased,":[554],"suggesting":[555],"need":[557],"expand":[559],"service":[560],"accessibility":[561],"and/or":[562],"acceptability,":[563],"population-wide":[567],"prevention":[568],"efforts.":[569]},"counts_by_year":[{"year":2026,"cited_by_count":18},{"year":2025,"cited_by_count":12},{"year":2024,"cited_by_count":23},{"year":2023,"cited_by_count":17},{"year":2022,"cited_by_count":9}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2022-01-26T00:00:00"}
