{"id":"https://openalex.org/W7225240757","doi":"https://doi.org/10.1111/sltb.70148","title":"Suicide\u2010Related Medical Claims, Downstream Healthcare Costs, and the Economic Impact of Enhanced Outpatient Services","display_name":"Suicide\u2010Related Medical Claims, Downstream Healthcare Costs, and the Economic Impact of Enhanced Outpatient Services","publication_year":2026,"publication_date":"2026-11-04","ids":{"openalex":"https://openalex.org/W7225240757","doi":"https://doi.org/10.1111/sltb.70148","pmid":"https://pubmed.ncbi.nlm.nih.gov/42980072"},"language":"en","primary_location":{"id":"doi:10.1111/sltb.70148","doi":"https://doi.org/10.1111/sltb.70148","is_oa":true,"landing_page_url":"https://doi.org/10.1111/sltb.70148","pdf_url":null,"source":{"id":"https://openalex.org/S50059124","display_name":"Suicide and Life-Threatening Behavior","issn_l":"0363-0234","issn":["0363-0234","1943-278X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","erih-plus","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Suicide and Life-Threatening Behavior","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.1111/sltb.70148","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5029485038","display_name":"Scott A. Graupensperger","orcid":"https://orcid.org/0000-0002-8655-1190","observed_orcids":["https://orcid.org/0000-0002-8655-1190"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Scott Graupensperger","raw_affiliation_strings":["Spring Health  New York New York USA"],"raw_orcid":"https://orcid.org/0000-0002-8655-1190","affiliations":[{"raw_affiliation_string":"Spring Health  New York New York USA","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160238877","display_name":"Kate H. Bentley","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Kate H. Bentley","raw_affiliation_strings":["Spring Health  New York New York USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Spring Health  New York New York USA","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5084631767","display_name":"Millard D. Brown","orcid":"https://orcid.org/0000-0003-2225-9243","observed_orcids":["https://orcid.org/0000-0003-2225-9243"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Millard Brown","raw_affiliation_strings":["Spring Health  New York New York USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Spring Health  New York New York USA","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5013958031","display_name":"Adam Mourad Chekroud","orcid":"https://orcid.org/0000-0002-0497-596X","observed_orcids":["https://orcid.org/0000-0002-0497-596X"]},"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":"Adam Chekroud","raw_affiliation_strings":["Spring Health  New York New York USA","Yale School of Medicine, Psychiatry  New Haven Connecticut USA"],"raw_orcid":"https://orcid.org/0000-0002-0497-596X","affiliations":[{"raw_affiliation_string":"Spring Health  New York New York USA","institution_ids":[]},{"raw_affiliation_string":"Yale School of Medicine, Psychiatry  New Haven Connecticut USA","institution_ids":["https://openalex.org/I32971472"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5016627714","display_name":"Matt Hawrilenko","orcid":"https://orcid.org/0000-0001-9556-4391","observed_orcids":["https://orcid.org/0000-0001-9556-4391"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Matt Hawrilenko","raw_affiliation_strings":["Spring Health  New York New York USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Spring Health  New York New York USA","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5029485038"],"corresponding_institution_ids":[],"apc_list":{"value":3700,"currency":"USD","value_usd":3700},"apc_paid":{"value":3700,"currency":"USD","value_usd":3700},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.89543245,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"56","issue":"6","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10376","display_name":"Suicide and Self-Harm Studies","score":0.9926999807357788,"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":0.9926999807357788,"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/T10391","display_name":"Healthcare Policy and Management","score":0.0035000001080334187,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13944","display_name":"Psychiatric care and mental health services","score":0.0008999999845400453,"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"}}],"keywords":[],"concepts":[{"id":"https://openalex.org/C2776207758","wikidata":"https://www.wikidata.org/wiki/Q5303302","display_name":"Downstream (manufacturing)","level":2,"score":0.6926000118255615},{"id":"https://openalex.org/C188897","wikidata":"https://www.wikidata.org/wiki/Q5333508","display_name":"Economic impact analysis","level":2,"score":0.690500020980835},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6179999709129333},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.6064000129699707},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.6011999845504761},{"id":"https://openalex.org/C2909321700","wikidata":"https://www.wikidata.org/wiki/Q181600","display_name":"Outpatient visits","level":3,"score":0.4999000132083893},{"id":"https://openalex.org/C145096142","wikidata":"https://www.wikidata.org/wiki/Q5333450","display_name":"Economic cost","level":2,"score":0.4593999981880188},{"id":"https://openalex.org/C3018838755","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Medical care","level":2,"score":0.4223000109195709},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.4221000075340271},{"id":"https://openalex.org/C191172861","wikidata":"https://www.wikidata.org/wiki/Q7899321","display_name":"Upstream (networking)","level":2,"score":0.41429999470710754},{"id":"https://openalex.org/C2777895361","wikidata":"https://www.wikidata.org/wiki/Q1758614","display_name":"Longitudinal study","level":2,"score":0.3824000060558319},{"id":"https://openalex.org/C524218345","wikidata":"https://www.wikidata.org/wiki/Q31218","display_name":"Health economics","level":3,"score":0.37869998812675476},{"id":"https://openalex.org/C2776125615","wikidata":"https://www.wikidata.org/wiki/Q18391886","display_name":"Economic evaluation","level":2,"score":0.34549999237060547},{"id":"https://openalex.org/C124306116","wikidata":"https://www.wikidata.org/wiki/Q2512965","display_name":"Ambulatory care","level":3,"score":0.33640000224113464},{"id":"https://openalex.org/C2777382242","wikidata":"https://www.wikidata.org/wiki/Q6017816","display_name":"Index (typography)","level":2,"score":0.328900009393692},{"id":"https://openalex.org/C12725497","wikidata":"https://www.wikidata.org/wiki/Q810247","display_name":"Baseline (sea)","level":2,"score":0.32120001316070557},{"id":"https://openalex.org/C3019354653","wikidata":"https://www.wikidata.org/wiki/Q5690885","display_name":"Medical costs","level":3,"score":0.3149999976158142},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.30390000343322754},{"id":"https://openalex.org/C2776674806","wikidata":"https://www.wikidata.org/wiki/Q12135","display_name":"Mental illness","level":3,"score":0.2989000082015991},{"id":"https://openalex.org/C3018075012","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Medical services","level":3,"score":0.29750001430511475},{"id":"https://openalex.org/C2780877353","wikidata":"https://www.wikidata.org/wiki/Q2518253","display_name":"Health services research","level":3,"score":0.29350000619888306},{"id":"https://openalex.org/C127454912","wikidata":"https://www.wikidata.org/wiki/Q942582","display_name":"Cost\u2013benefit analysis","level":2,"score":0.2827000021934509},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.2825999855995178},{"id":"https://openalex.org/C2985697011","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economic analysis","level":2,"score":0.27619999647140503},{"id":"https://openalex.org/C2775909303","wikidata":"https://www.wikidata.org/wiki/Q3259564","display_name":"Inpatient care","level":3,"score":0.2750000059604645},{"id":"https://openalex.org/C2992545881","wikidata":"https://www.wikidata.org/wiki/Q6817473","display_name":"Mental health care","level":3,"score":0.2694999873638153},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.25999999046325684},{"id":"https://openalex.org/C162118730","wikidata":"https://www.wikidata.org/wiki/Q1128453","display_name":"Actuarial science","level":1,"score":0.2563999891281128},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.25369998812675476},{"id":"https://openalex.org/C100001284","wikidata":"https://www.wikidata.org/wiki/Q2248246","display_name":"Public economics","level":1,"score":0.2531000077724457},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.25099998712539673}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000553","descriptor_name":"Ambulatory Care","qualifier_ui":"Q000191","qualifier_name":"economics","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":"D007345","descriptor_name":"Insurance Claim Review","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008137","descriptor_name":"Longitudinal Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008605","descriptor_name":"Mental Health Services","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013405","descriptor_name":"Suicide","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D013405","descriptor_name":"Suicide","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D017048","descriptor_name":"Health Care Costs","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1111/sltb.70148","doi":"https://doi.org/10.1111/sltb.70148","is_oa":true,"landing_page_url":"https://doi.org/10.1111/sltb.70148","pdf_url":null,"source":{"id":"https://openalex.org/S50059124","display_name":"Suicide and Life-Threatening Behavior","issn_l":"0363-0234","issn":["0363-0234","1943-278X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","erih-plus","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Suicide and Life-Threatening Behavior","raw_type":"journal-article"},{"id":"pmid:42980072","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42980072","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":"Suicide & life-threatening behavior","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1111/sltb.70148","doi":"https://doi.org/10.1111/sltb.70148","is_oa":true,"landing_page_url":"https://doi.org/10.1111/sltb.70148","pdf_url":null,"source":{"id":"https://openalex.org/S50059124","display_name":"Suicide and Life-Threatening Behavior","issn_l":"0363-0234","issn":["0363-0234","1943-278X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","erih-plus","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Suicide and Life-Threatening Behavior","raw_type":"journal-article"},"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":40,"referenced_works":["https://openalex.org/W19972694","https://openalex.org/W1840547390","https://openalex.org/W2328997579","https://openalex.org/W2520553003","https://openalex.org/W2804266670","https://openalex.org/W2892652839","https://openalex.org/W2897731936","https://openalex.org/W2928370349","https://openalex.org/W2970680949","https://openalex.org/W2991522945","https://openalex.org/W3082682808","https://openalex.org/W3094828322","https://openalex.org/W3109316157","https://openalex.org/W3131404594","https://openalex.org/W3164984637","https://openalex.org/W4206698548","https://openalex.org/W4210492329","https://openalex.org/W4220980812","https://openalex.org/W4223496231","https://openalex.org/W4282047257","https://openalex.org/W4283697772","https://openalex.org/W4293162168","https://openalex.org/W4293761886","https://openalex.org/W4312155727","https://openalex.org/W4321168994","https://openalex.org/W4387101253","https://openalex.org/W4388857690","https://openalex.org/W4399326765","https://openalex.org/W4400414498","https://openalex.org/W4406801906","https://openalex.org/W4407157603","https://openalex.org/W4410010761","https://openalex.org/W4410697593","https://openalex.org/W4411473331","https://openalex.org/W4413330835","https://openalex.org/W4414323694","https://openalex.org/W4416209014","https://openalex.org/W4416722095","https://openalex.org/W7161949097","https://openalex.org/W7196995924"],"related_works":[],"abstract_inverted_index":{"OBJECTIVE:":[0],"Suicide-related":[1,161],"medical":[2,35],"claims":[3,36,61,101,162],"are":[4,163],"often":[5],"followed":[6],"by":[7],"sustained":[8,166],"healthcare":[9,185],"utilization.":[10],"This":[11],"study":[12],"quantified":[13],"post-crisis":[14],"cost":[15],"trajectories":[16],"and":[17,55,171],"examined":[18],"whether":[19],"coordinated":[20,175],"outpatient":[21,176],"mental":[22,73,177],"health":[23,74,172,178,203],"care":[24,179],"was":[25,143,180],"associated":[26,144,164,181],"with":[27,44,99,136,145,165,182],"lower":[28,147,183],"downstream":[29],"spending.":[30],"METHODS:":[31],"We":[32],"analyzed":[33],"longitudinal":[34],"from":[37],"13":[38],"employers.":[39],"In":[40,65],"Aim":[41,66],"1,":[42],"individuals":[43,68,98],"a":[45,80,137],"suicide-related":[46,81,100,114,138,206],"claim":[47,82],"(n":[48,62,83,90],"=":[49,63,84,91],"5574)":[50],"were":[51,86],"matched":[52,87,96],"to":[53,88,95,117],"demographically":[54],"clinically":[56],"similar":[57],"controls":[58],"without":[59],"such":[60],"16,632).":[64],"2,":[67],"who":[69],"used":[70],"an":[71],"employer-sponsored":[72],"program":[75,141],"within":[76],"1":[77],"month":[78,123,129],"of":[79,120,130,200],"248)":[85],"non-users":[89],"248).":[92],"RESULTS:":[93],"Relative":[94],"controls,":[97],"incurred":[102],"more":[103],"than":[104],"double":[105],"the":[106,110,113,128,131,196],"monthly":[107,148],"costs":[108],"during":[109],"year":[111],"following":[112,205],"claim,":[115,139],"corresponding":[116],"adjusted":[118],"excess":[119],"$547":[121],"per":[122,156],"($6564":[124],"annually),":[125],"not":[126],"including":[127],"index":[132],"claim.":[133],"Among":[134],"those":[135],"early":[140],"engagement":[142],"37%":[146],"spending":[149,188],"over":[150],"Months":[151],"1-12":[152],"post-claim":[153],"($720":[154],"less":[155],"month;":[157],"$8637":[158],"annually).":[159],"CONCLUSIONS:":[160],"economic":[167,198],"burden":[168],"for":[169],"employers":[170],"plans.":[173],"Early":[174],"subsequent":[184],"spending,":[186],"especially":[187],"in":[189],"acute,":[190],"high-cost":[191],"settings.":[192],"These":[193],"findings":[194],"highlight":[195],"potential":[197],"value":[199],"structured":[201],"behavioral":[202],"services":[204],"claims.":[207]},"counts_by_year":[],"updated_date":"2026-11-05T12:25:35.769452","created_date":"2026-11-05T00:00:00"}
