Suicidality, mental disorder and the utilization of mental health services among Australian adolescents.

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Date: Apr. 2020
Publisher: Elsevier B.V.
Document Type: Survey; Report
Length: 604 words

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Abstract Introduction Suicidality among adolescents continues to be a serious public health concern worldwide, and suicide is the leading cause of death for young Australians. However, to develop effective preventive interventions, it is essential to understand the types and rates of mental health service utilization among adolescents. This study investigated the association between suicidality and mental health service utilization among Australian adolescents, and to test whether service use is affected by the simultaneous presence of suicidality and mental disorders. Method Adolescents aged 13--17 years (n = 2134) were used in this study from The Second Australian Child and Adolescent Mental Health and Wellbeing Survey -- Young Minds Matter (YMM), which is a nationwide cross-sectional survey. Data were collected through face-to-face interviews with parents using a structured-questionnaire, while, adolescents completed a computer-based self-reported questionnaire privately. The YMM reported four types of mental health service: (1) health services -- any services provided by a qualified health professional, regardless of where that service was provided; (2) school services -- any services such as counseling or support programs provided by school or any educational institution; (3) telephone counseling services; and (4) online services. Both bivariate and multivariate analyses were used to assess the relationships between independent variables (suicidality, mental disorder) and their distributions over outcome variables (mental health services), adjusting for relevant sociodemographic and potential risk factors such as age, gender, remoteness, household income, family type, family functioning, parents' education, parents' employment, substance use by the child. An interaction between mental disorders and suicidality were included in the regression to examine whether and to what extent service use is affected if an adolescent has both suicidality and a mental disorder. Results Overall, 168 (8%) adolescents reported suicidality and prevalence of suicidality (ideation, plan and attempt) was higher in adolescents with mental disorders (P Conclusion The limited number of suicidal adolescents is using mental health services, which is alarming for prevention of suicide. Further research is warranted to understand the quality of service received by adolescents and the factors influencing service utilization due to mental health-related problems. Also, interventions to improve care, prevention and monitoring are solely required for this group of people. Author Affiliation: (a) Centre for Health, Informatics, and Economic Research and School of Commerce, University of Southern Queensland, West Street, Darling Heights, Toowoomba, Queensland 4350, Australia (b) Maternal and Child Health Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), 68, Shaheed Tajuddin Ahmed Sarani, Mohakhali, Dhaka 1212, Bangladesh * Corresponding author at: Centre for Health, Informatics, and Economic Research and School of Commerce, University of Southern Queensland, Workstation 15, Room T450, Block T, West Street, Darling Heights, Toowoomba, Queensland 4350, Australia. Maternal and Child Health Division (Level-7), International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), 68, Shaheed Tajuddin Ahmed Sarani Mohakhali, Dhaka 1212, Bangladesh. Article History: Received 24 November 2019; Revised 30 January 2020; Accepted 30 January 2020 Byline: Md. Irteja Islam [irteja.islam@icddrb.org] (a,b,*), Enamul Kabir [enamul.kabir@usq.edu.au] (a), Rasheda Khanam [rasheda.khanam@usq.edu.au] (a)

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Gale Document Number: GALE|A616042351