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Published in: Community Mental Health Journal 4/2009

01-08-2009 | Brief Report

Factors Associated with Use of Mental Health Services for Depressed and/or Suicidal Youth Aged 15–24

Authors: Amy Cheung, Carolyn Dewa, John Cairney, Scott Veldhuizen, Ayal Schaffer

Published in: Community Mental Health Journal | Issue 4/2009

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Abstract

Using data from a national survey, this study examined different factors and their association with mental health service use in youth aged 15–24 with depression and/or suicidality. Our sample consisted of 1,252 youth with depression and/or suicidality. In youth aged 15–18 years old, two factors influenced service use: (1) co-occurrence of depression and suicidality (OR 3.23, 95% CI 1.43, 7.32) and (2) chronic health condition (OR 2.44, 95% CI 1.22, 4.84). Several factors were associated with service use in youth aged 19–24 including gender (female) (OR 1.77, 95% CI 1.14, 2.76), and low income (OR 1.89, 95% CI 1.11, 3.23). The findings suggest differences in the factors associated with mental health service use between youth aged 15–18 and 19–24 with depression and/or suicidality.
Literature
go back to reference Alegria, M., Canino, G., Rios, R. et al. (2002). Inequalities in use of specialty mental health services among Latinos, African Americans, and non-Latino whites. Psychiatric Services, 53, 1547–1555.PubMedCrossRef Alegria, M., Canino, G., Rios, R. et al. (2002). Inequalities in use of specialty mental health services among Latinos, African Americans, and non-Latino whites. Psychiatric Services, 53, 1547–1555.PubMedCrossRef
go back to reference American Psychiatric Association (1994). Diagnostic and statistical manual (IV ed.). Washington, D. C: American Psychiatric Association. American Psychiatric Association (1994). Diagnostic and statistical manual (IV ed.). Washington, D. C: American Psychiatric Association.
go back to reference Angold, A., Messer, S. C., Stangl, D. et al. (1998). Perceived parental burden and service use for child and adolescent psychiatric disorders. American Journal of Public Health, 88, 75–80.PubMedCrossRef Angold, A., Messer, S. C., Stangl, D. et al. (1998). Perceived parental burden and service use for child and adolescent psychiatric disorders. American Journal of Public Health, 88, 75–80.PubMedCrossRef
go back to reference Beiser, M. (1999). Strangers at the gate: The boat peoples’ first ten years in Canada. Toronto and Buffalo: University of Toronto Press. Beiser, M. (1999). Strangers at the gate: The boat peoples’ first ten years in Canada. Toronto and Buffalo: University of Toronto Press.
go back to reference Bergeron, E., Poirier, L. R., Fournier, L. et al. (2005). Determinants of service use among young Canadians with mental disorders. Canadian Journal of Psychiatry, 50, 629–636. Bergeron, E., Poirier, L. R., Fournier, L. et al. (2005). Determinants of service use among young Canadians with mental disorders. Canadian Journal of Psychiatry, 50, 629–636.
go back to reference Bland, R. C., Newman, S. C., & Orn, H. (1997). Help-seeking for psychiatric disorders. Canadian Journal of Psychiatry, 42, 935–942. Bland, R. C., Newman, S. C., & Orn, H. (1997). Help-seeking for psychiatric disorders. Canadian Journal of Psychiatry, 42, 935–942.
go back to reference Brent, D. A. (1993). Depression and suicide in children and adolescents. Pediatrics in Review, 14, 380–388.PubMedCrossRef Brent, D. A. (1993). Depression and suicide in children and adolescents. Pediatrics in Review, 14, 380–388.PubMedCrossRef
go back to reference Brent, D. A., Perper, J. A., Moritz, G. et al. (1993). Psychiatric risk factors for adolescent suicide: A case-control study. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 521–529.PubMedCrossRef Brent, D. A., Perper, J. A., Moritz, G. et al. (1993). Psychiatric risk factors for adolescent suicide: A case-control study. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 521–529.PubMedCrossRef
go back to reference Cairney, J. (1998). Gender differences in the prevalence of depression among Canadian adolescents. Canadian Journal of Public Health, 89, 181–182. Cairney, J. (1998). Gender differences in the prevalence of depression among Canadian adolescents. Canadian Journal of Public Health, 89, 181–182.
go back to reference Cairney, J., Boyle, M. H., Lipman, E. L. et al. (2004). Single mothers and the use of professionals for mental health care reasons. Social Science and Medicine, 59, 2535–2546.PubMedCrossRef Cairney, J., Boyle, M. H., Lipman, E. L. et al. (2004). Single mothers and the use of professionals for mental health care reasons. Social Science and Medicine, 59, 2535–2546.PubMedCrossRef
go back to reference Cairney, J., & Wade, T. J. (2002). Single parent mothers and mental health care service use. Social Psychiatry and Psychiatric Epidemiology, 37, 236–242.PubMedCrossRef Cairney, J., & Wade, T. J. (2002). Single parent mothers and mental health care service use. Social Psychiatry and Psychiatric Epidemiology, 37, 236–242.PubMedCrossRef
go back to reference Cheung, A. H., & Dewa, C. S. (2007). Mental health service use among adolescents and young adults with major depressive disorder and suicidality. Canadian Journal of Psychiatry, 52, 228–232. Cheung, A. H., & Dewa, C. S. (2007). Mental health service use among adolescents and young adults with major depressive disorder and suicidality. Canadian Journal of Psychiatry, 52, 228–232.
go back to reference Cuffe, S. P., Waller, J. L., Addy, C. L. et al. (2001). A longitudinal study of adolescent mental health service use. The Journal of Behavioral Health Services & Research, 28, 1–11.CrossRef Cuffe, S. P., Waller, J. L., Addy, C. L. et al. (2001). A longitudinal study of adolescent mental health service use. The Journal of Behavioral Health Services & Research, 28, 1–11.CrossRef
go back to reference Dulcan, M. K., Costello, E. J., Costello, A. J. et al. (1990). The pediatrician as gatekeeper to mental health care for children: Do parents’ concerns open the gate? Journal of the American Academy of Child and Adolescent Psychiatry, 29, 453–458.PubMedCrossRef Dulcan, M. K., Costello, E. J., Costello, A. J. et al. (1990). The pediatrician as gatekeeper to mental health care for children: Do parents’ concerns open the gate? Journal of the American Academy of Child and Adolescent Psychiatry, 29, 453–458.PubMedCrossRef
go back to reference Goodman, E., & Huang, B. (2001). Socioeconomic status, depression, and health service utilization among adolescent women. Womens Health Issues, 11, 416–426.PubMedCrossRef Goodman, E., & Huang, B. (2001). Socioeconomic status, depression, and health service utilization among adolescent women. Womens Health Issues, 11, 416–426.PubMedCrossRef
go back to reference Gravel, R., & Beland, Y. (2005). The Canadian community health survey: Mental health and well-being. Canadian Journal of Psychiatry, 50, 573–579. Gravel, R., & Beland, Y. (2005). The Canadian community health survey: Mental health and well-being. Canadian Journal of Psychiatry, 50, 573–579.
go back to reference Haarasilta, L., Marttunen, M., Kaprio, J. et al. (2002). Major depressive episode and health care use among adolescents and young adults. Social Psychiatry and Psychiatric Epidemiology, 38, 366–372. Haarasilta, L., Marttunen, M., Kaprio, J. et al. (2002). Major depressive episode and health care use among adolescents and young adults. Social Psychiatry and Psychiatric Epidemiology, 38, 366–372.
go back to reference Kataoka, S. H., Zhang, L., & Wells, K. B. (2002). Unmet need for mental health care among US children: Variation by ethnicity and insurance status. American Journal of Psychiatry, 159, 1548–1555.PubMedCrossRef Kataoka, S. H., Zhang, L., & Wells, K. B. (2002). Unmet need for mental health care among US children: Variation by ethnicity and insurance status. American Journal of Psychiatry, 159, 1548–1555.PubMedCrossRef
go back to reference Kessler, R. C., & Ustun, T. B. (2004). The World Mental Health (WMH) Survey Initiative Version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI). International Journal of Methods in Psychiatric Research, 13, 93–121.PubMedCrossRef Kessler, R. C., & Ustun, T. B. (2004). The World Mental Health (WMH) Survey Initiative Version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI). International Journal of Methods in Psychiatric Research, 13, 93–121.PubMedCrossRef
go back to reference Kessler, R. C., & Walters, E. E. (1998). Epidemiology of DSM-III-R major depression and minor depression among adolescents and young adults in the National Comorbidity Survey. Depress Anxiety, 7, 3–14.PubMedCrossRef Kessler, R. C., & Walters, E. E. (1998). Epidemiology of DSM-III-R major depression and minor depression among adolescents and young adults in the National Comorbidity Survey. Depress Anxiety, 7, 3–14.PubMedCrossRef
go back to reference Kirby, M. J. L., The Standing Senate Committee on Social Affairs, Science and Technology. (2006). Out of the shadows at last: Transforming mental health, mental illness and addiction services in Canada. Ottawa, Canada. Kirby, M. J. L., The Standing Senate Committee on Social Affairs, Science and Technology. (2006). Out of the shadows at last: Transforming mental health, mental illness and addiction services in Canada. Ottawa, Canada.
go back to reference Kramer, T., & Garralda, M. E. (1998). Psychiatric disorders in adolescents in primary care. British Journal of Psychology, 173, 508–513.CrossRef Kramer, T., & Garralda, M. E. (1998). Psychiatric disorders in adolescents in primary care. British Journal of Psychology, 173, 508–513.CrossRef
go back to reference Leaf, P. J., Livingston, M. M., Tischler, G. L. et al. (1985). Contact with health professionals for the treatment of psychiatric and emotional problems. Medical Care, 23, 1322–1337.PubMedCrossRef Leaf, P. J., Livingston, M. M., Tischler, G. L. et al. (1985). Contact with health professionals for the treatment of psychiatric and emotional problems. Medical Care, 23, 1322–1337.PubMedCrossRef
go back to reference Leavey, J., Goering, P., MacFarlane, D., Bradley, S., & Cochrane J. (2000). The gap: Moving toward youth-centred mental health care for transitional aged youth (16–24). Toronto: Centre for Addiction and Mental Health, Health Systems Research & Consulting Unit. Leavey, J., Goering, P., MacFarlane, D., Bradley, S., & Cochrane J. (2000). The gap: Moving toward youth-centred mental health care for transitional aged youth (16–24). Toronto: Centre for Addiction and Mental Health, Health Systems Research & Consulting Unit.
go back to reference Leonard, B. E., & Song, C. (2002). Changes in the immune system in rodent models of depression. The International Journal of Neuropsychopharmacology, 5, 345–356.PubMedCrossRef Leonard, B. E., & Song, C. (2002). Changes in the immune system in rodent models of depression. The International Journal of Neuropsychopharmacology, 5, 345–356.PubMedCrossRef
go back to reference Lin, E., Goering, P., Offord, D. R. et al. (1996). The use of mental health services in Ontario: Epidemiologic findings. Canadian Journal of Psychiatry, 41, 572–577. Lin, E., Goering, P., Offord, D. R. et al. (1996). The use of mental health services in Ontario: Epidemiologic findings. Canadian Journal of Psychiatry, 41, 572–577.
go back to reference Logan, D. E., & King, C. A. (2002). Parental identification of depression and mental health service use among depressed adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 296–304.PubMedCrossRef Logan, D. E., & King, C. A. (2002). Parental identification of depression and mental health service use among depressed adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 296–304.PubMedCrossRef
go back to reference Offord, D. R., Boyle, M. H., Campbell, D. et al. (1996). One-year prevalence of psychiatric disorder in Ontarians 15 to 64 years of age. Canadian Journal of Psychiatry, 41, 559–563. Offord, D. R., Boyle, M. H., Campbell, D. et al. (1996). One-year prevalence of psychiatric disorder in Ontarians 15 to 64 years of age. Canadian Journal of Psychiatry, 41, 559–563.
go back to reference Ponce, N. A., Hays, R. D., & Cunningham, W. E. (2006). Linguistic disparities in health care access and health status among older adults. Journal of General Internal Medicine, 21, 786–791.PubMedCrossRef Ponce, N. A., Hays, R. D., & Cunningham, W. E. (2006). Linguistic disparities in health care access and health status among older adults. Journal of General Internal Medicine, 21, 786–791.PubMedCrossRef
go back to reference Pumariega, A. J., Glover, S., Holzer, C. E., III et al. (1998). Administrative update: Utilization of services. II. Utilization of mental health services in a tri-ethnic sample of adolescents. Community Mental Health Journal, 34, 145–156.PubMedCrossRef Pumariega, A. J., Glover, S., Holzer, C. E., III et al. (1998). Administrative update: Utilization of services. II. Utilization of mental health services in a tri-ethnic sample of adolescents. Community Mental Health Journal, 34, 145–156.PubMedCrossRef
go back to reference Rhodes, A. E., Bethell, J., & Bondy, S. J. (2006). Suicidality, depression, and mental health service use in Canada. Canadian Journal of Psychiatry, 51, 35–41. Rhodes, A. E., Bethell, J., & Bondy, S. J. (2006). Suicidality, depression, and mental health service use in Canada. Canadian Journal of Psychiatry, 51, 35–41.
go back to reference Rhodes, A. E., Goering, P. N., To, T. et al. (2002). Gender and outpatient mental health service use. Social Science and Medicine, 54, 1–10.PubMedCrossRef Rhodes, A. E., Goering, P. N., To, T. et al. (2002). Gender and outpatient mental health service use. Social Science and Medicine, 54, 1–10.PubMedCrossRef
go back to reference Sayal, K. (2004). The role of parental burden in child mental health service use: Longitudinal study. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 1328–1333.PubMedCrossRef Sayal, K. (2004). The role of parental burden in child mental health service use: Longitudinal study. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 1328–1333.PubMedCrossRef
go back to reference Schaffer, A., Cairney, J., Cheung, A. et al. (2006a). Use of treatment services and pharmacotherapy for bipolar disorder in a general population-based mental health survey. Journal of Clinical Psychiatry, 67, 386–393.PubMedCrossRef Schaffer, A., Cairney, J., Cheung, A. et al. (2006a). Use of treatment services and pharmacotherapy for bipolar disorder in a general population-based mental health survey. Journal of Clinical Psychiatry, 67, 386–393.PubMedCrossRef
go back to reference Schaffer, A., Cairney, J., Cheung, A. et al. (2006b). Community survey of bipolar disorder in Canada. Canadian Journal of Psychiatry, 51, 9–16. Schaffer, A., Cairney, J., Cheung, A. et al. (2006b). Community survey of bipolar disorder in Canada. Canadian Journal of Psychiatry, 51, 9–16.
go back to reference Sen, B. (2004). Adolescent propensity for depressed mood and help seeking: Race and gender differences. The Journal of Mental Health Policy and Economics, 7, 133–145.PubMed Sen, B. (2004). Adolescent propensity for depressed mood and help seeking: Race and gender differences. The Journal of Mental Health Policy and Economics, 7, 133–145.PubMed
go back to reference Sourander, A., Helstela, L., Ristkari, T. et al. (2001). Child and adolescent mental health service use in Finland. Social Psychiatry and Psychiatric Epidemiology, 36, 294–298.PubMedCrossRef Sourander, A., Helstela, L., Ristkari, T. et al. (2001). Child and adolescent mental health service use in Finland. Social Psychiatry and Psychiatric Epidemiology, 36, 294–298.PubMedCrossRef
go back to reference Statistics Canada HSD (2002). Canadian community health survey Cycle 1.2. Mental health and well-being. Ottawa: Ministry of Industry. Statistics Canada HSD (2002). Canadian community health survey Cycle 1.2. Mental health and well-being. Ottawa: Ministry of Industry.
go back to reference Steele, L. S., Glazier, R. H., & Lin, E. (2006). Inequity in mental health care under Canadian universal health coverage. Psychiatric Services, 57, 317–324.PubMedCrossRef Steele, L. S., Glazier, R. H., & Lin, E. (2006). Inequity in mental health care under Canadian universal health coverage. Psychiatric Services, 57, 317–324.PubMedCrossRef
go back to reference Vasiliadis, H. M., Lesage, A., Adair, C. et al. (2005). Service use for mental health reasons: Cross-provincial differences in rates, determinants, and equity of access. Canadian Journal of Psychiatry, 50, 614–619. Vasiliadis, H. M., Lesage, A., Adair, C. et al. (2005). Service use for mental health reasons: Cross-provincial differences in rates, determinants, and equity of access. Canadian Journal of Psychiatry, 50, 614–619.
go back to reference Verhulst, F. C., & van der Ende, J. (1997). Factors associated with child mental health service use in the community. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 901–909.PubMedCrossRef Verhulst, F. C., & van der Ende, J. (1997). Factors associated with child mental health service use in the community. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 901–909.PubMedCrossRef
go back to reference Wang, J., Patten, S. B., Williams, J. V. et al. (2005). Help-seeking behaviours of individuals with mood disorders. Canadian Journal of Psychiatry, 50, 652–659. Wang, J., Patten, S. B., Williams, J. V. et al. (2005). Help-seeking behaviours of individuals with mood disorders. Canadian Journal of Psychiatry, 50, 652–659.
go back to reference Weissman, M. M., Wolk, S., Goldstein, R. B. et al. (1999). Depressed adolescents grown up. JAMA, 281, 1707–1713.PubMedCrossRef Weissman, M. M., Wolk, S., Goldstein, R. B. et al. (1999). Depressed adolescents grown up. JAMA, 281, 1707–1713.PubMedCrossRef
go back to reference Wu, P., Hoven, C. W., Bird, H. R. et al. (1999). Depressive and disruptive disorders and mental health service utilization in children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 1081–1090.PubMedCrossRef Wu, P., Hoven, C. W., Bird, H. R. et al. (1999). Depressive and disruptive disorders and mental health service utilization in children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 1081–1090.PubMedCrossRef
go back to reference Wu, P., Hoven, C. W., Cohen, P. et al. (2001). Factors associated with use of mental health services for depression by children and adolescents. Psychiatric Services, 52, 189–195.PubMedCrossRef Wu, P., Hoven, C. W., Cohen, P. et al. (2001). Factors associated with use of mental health services for depression by children and adolescents. Psychiatric Services, 52, 189–195.PubMedCrossRef
go back to reference Zwaanswijk, M., Verhaak, P. F., Bensing, J. M. et al. (2003). Help seeking for emotional and behavioural problems in children and adolescents: A review of recent literature. European Child and Adolescent Psychiatry, 12, 153–161.PubMedCrossRef Zwaanswijk, M., Verhaak, P. F., Bensing, J. M. et al. (2003). Help seeking for emotional and behavioural problems in children and adolescents: A review of recent literature. European Child and Adolescent Psychiatry, 12, 153–161.PubMedCrossRef
Metadata
Title
Factors Associated with Use of Mental Health Services for Depressed and/or Suicidal Youth Aged 15–24
Authors
Amy Cheung
Carolyn Dewa
John Cairney
Scott Veldhuizen
Ayal Schaffer
Publication date
01-08-2009
Publisher
Springer US
Published in
Community Mental Health Journal / Issue 4/2009
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-009-9205-8

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