TABLE 3—
Multivariable Logistic Regression Showing Factors Associated With Receipt of Mental Health Treatment in the Past 12 Months Among Adults With Past 12-Month Suicide Attempts: National Survey on Drug Use and Health, United States, 2008–2012
| Covariates | Received Mental Health Treatment vs Did Not Receive Mental Health Treatment (n = 2000) MARR (95% CI) | Received Treatment and Perceived Unmet Need vs Did Not Receive Treatment but Perceived Unmet Need (n = 800) MARR (95% CI) | Received Treatment but Did Not Perceive Unmet Need vs Neither Received Treatment nor Perceived Unmet Need (n = 1200) MARR (95% CI) | Received Mental Health Treatment and Medical Attention vs Did Not Receive Treatment but Received Medical Attention (n = 900) MARR (95% CI) | Received Mental Health Treatment but Did Not Receive Medical Attention vs Received Neither Mental Health Treatment nor Medical Attention (n = 1100) MARR (95% CI) |
| Age, y | |||||
| 18–25 | 1.1 (0.94, 1.39) | 1.0 (0.78, 1.31) | 1.3 (0.96, 1.67) | 1.1 (0.95, 1.27) | 1.2 (0.62, 2.29) |
| 26–50 | 1.3 (1.05, 1.52) | 1.1 (0.86, 1.42) | 1.3 (1.04, 1.72) | 1.1 (0.98, 1.28) | 1.6 (0.82, 3.01) |
| > 51 (Ref) | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 |
| Gender | |||||
| Male | 1.0 (0.90, 1.11) | 1.0 (0.95, 1.15) | 1.0 (0.86, 1.17) | 1.0 (0.93, 1.09) | 1.0 (0.80, 1.29) |
| Female (Ref) | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 |
| Race/ethnicity | |||||
| Non-Hispanic White (Ref) | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 |
| Non-Hispanic Black | 0.7 (0.59, 0.80) | 0.9 (0.77, 0.97) | 0.6 (0.44, 0.73) | 0.8 (0.73, 0.90) | 0.5 (0.36, 0.75) |
| Non-Hispanic other | 0.9 (0.80, 1.11) | 1.0 (0.78, 1.20) | 1.0 (0.76, 1.19) | 0.9 (0.77, 1.11) | 1.0 (0.69, 1.41) |
| Hispanic | 0.8 (0.67, 0.95) | 0.8 (0.75, 0.97) | 0.8 (0.56, 1.01) | 0.9 (0.73, 1.00) | 0.7 (0.46, 0.99) |
| Health insurance | |||||
| Private insurance only | 1.2 (1.11, 1.40) | 1.1 (0.96, 1.16) | 1.5 (1.24, 1.87) | 1.1 (0.99, 1.26) | 1.5 (1.16, 1.97) |
| Medicare | 1.2 (0.96, 1.56) | 1.0 (0.77, 1.36) | 1.6 (1.11, 2.27) | 1.2 (0.99, 1.39) | 1.6 (0.85, 3.04) |
| Medicaid only | 1.2 (1.04, 1.40) | 1.0 (0.87, 1.21) | 1.5 (1.15, 1.91) | 1.2 (1.01, 1.41) | 1.2 (0.82, 1.65) |
| No insurance coverage (Ref) | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 |
| Other | 1.2 (0.97, 1.49) | 1.1 (0.98, 1.27) | 1.3 (0.93, 1.95) | 1.1 (0.93, 1.32) | 1.7 (1.19, 2.29) |
| Employment status | |||||
| Full time (Ref) | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 |
| Part time | 1.2 (1.03, 1.37) | 1.1 (0.94, 1.23) | 1.3 (1.06, 1.65) | 1.1 (0.96, 1.28) | 1.2 (0.92, 1.64) |
| Disabled for work | 1.6 (1.31, 1.87) | 1.3 (1.03, 1.53) | 1.9 (1.45, 2.47) | 1.4 (1.19, 1.60) | 1.7 (1.06, 2.75) |
| Unemployed | 1.1 (0.95, 1.30) | 1.1 (0.93, 1.24) | 1.2 (0.90, 1.58) | 1.2 (1.02, 1.32) | 1.0 (0.68, 1.42) |
| Other | 1.3 (1.07, 1.48) | 1.2 (1.08, 1.43) | 1.4 (1.03, 1.78) | 1.0 (0.88, 1.18) | 1.9 (1.42, 2.48) |
| Self-rated health | |||||
| Excellent (Ref) | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 |
| Very good | 1.1 (0.89, 1.26) | 1.1 (0.80, 1.41) | 1.1 (0.83, 1.39) | 1.1 (0.92, 1.24) | 1.1 (0.73, 1.53) |
| Good | 1.2 (1.01, 1.42) | 1.1 (0.82, 1.44) | 1.4 (1.05, 1.74) | 1.2 (1.04, 1.40) | 1.1 (0.76, 1.61) |
| Fair/poor | 1.1 (0.91, 1.34) | 1.2 (0.89, 1.58) | 1.1 (0.81, 1.49) | 1.0 (0.88, 1.20) | 1.3 (0.88, 2.00) |
| Major depressive episode | |||||
| Yes | 1.5 (1.32, 1.69) | 1.1 (0.99, 1.19) | 1.9 (1.58, 2.36) | 1.5 (1.35, 1.73) | 1.3 (1.03, 1.72) |
| No (Ref) | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 |
| Emergency room visits for treatment in the past year | |||||
| None (Ref) | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 |
| 1 | 1.4 (1.20, 1.59) | 1.1 (0.97, 1.29) | 1.6 (1.29, 1.92) | 1.4 (1.21, 1.59) | 1.4 (1.04, 1.81) |
| 2 | 1.2 (1.06, 1.41) | 1.1 (0.96, 1.29) | 1.3 (1.02, 1.61) | 1.3 (1.08, 1.47) | 1.2 (0.89, 1.51) |
| ≥ 3 | 1.4 (1.19, 1.60) | 1.2 (1.04, 1.41) | 1.4 (1.13, 1.83) | 1.3 (1.13, 1.49) | 1.5 (1.10, 1.94) |
| Received past-year substance use treatment | |||||
| Yes | 1.4 (1.23, 1.50) | 1.2 (1.08, 1.36) | 1.4 (1.17, 1.75) | 1.2 (1.03, 1.29) | 2.0 (1.58, 2.53) |
| No (Ref) | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 |
| Received medical attention as a result of suicide attempt | |||||
| Yes | 1.4 (1.26, 1.61) | 1.5 (1.34, 1.70) | 1.3 (1.06, 1.60) | 1.4 (1.25, 1.56) | 1.3 (1.05, 1.63) |
| No (Ref) | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 |
| Perceived unmet need for mental health treatment | |||||
| Yes | 1.3 (1.17, 1.49) | 1.4 (1.25, 1.56) | 1.3 (1.05, 1.63) | ||
| No | 1.0 | 1.0 | 1.0 |
Note. CI = confidence interval; MARR = model-adjusted risk ratio.