Table 5. National Trends of Reasons for Not Seeking Mental Health Care Among 4372 US Adults in the NSDUH Who Attempted Suicide in the Past 12 Months .
| Reason for not seeking mental health care when needed | No. of participants | Weighted column, %, by study year | Unadjusted model | Adjusted modela | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| 2008-2009 | 2010-2011 | 2012-2013 | 2014-2015 | 2016-2017 | 2018-2019 | OR (95% CI) | P value | OR (95% CI) | P value | ||
| All | 4347 | 40.1 | 34.8 | 39.6 | 36.6 | 36.2 | 45.5 | 1.21 (0.89-1.65) | .23 | 1.32 (0.97-1.80) | .08 |
| Could not afford cost | 1818 | 55.8 | 39.9 | 53.7 | 39.8 | 42.1 | 51.6 | 0.89 (0.58-1.37) | .59 | 1.07 (0.68-1.67) | .78 |
| Concern about effect on job | 1818 | 10.6 | 13.5 | 11.3 | 11.9 | 17.2 | 12.4 | 1.27 (0.65-2.48) | .48 | 1.13 (0.58-2.20) | .71 |
| Insurance did not cover mental health care | 1818 | 8.1 | 6.4 | 9.0 | 6.7 | 8.2 | 5.3 | 0.75 (0.36-1.55) | .43 | 0.72 (0.36-1.42) | .34 |
| Concern about confidentiality | 1818 | 15.2 | 13.9 | 11.1 | 13.4 | 19.8 | 16.2 | 1.33 (0.74-2.38) | .34 | 1.23 (0.67-2.25) | .50 |
| Did not think treatment would help | 1818 | 7.9 | 5.7 | 9.3 | 5.2 | 15.1 | 10.9 | 1.93 (0.97-3.87) | .06 | 1.61 (0.62-2.74) | .48 |
| Thought could handle without treatment | 1818 | 16.6 | 17.2 | 13.2 | 18.3 | 23.5 | 15.4 | 1.15 (0.69-1.93) | .59 | 0.89 (0.52-1.53) | .67 |
| Did not know where to go for treatment | 1818 | 11.9 | 13.8 | 24.1 | 20.3 | 24.2 | 26.3 | 2.35 (1.31-4.23) | .005 | 1.96 (1.16-3.32) | .01 |
| Did not have time | 1818 | 9.7 | 4.8 | 5.4 | 7.4 | 16.5 | 15.3 | 2.99 (1.45-6.17) | .003 | 1.89 (0.95-3.75) | .07 |
| Did not want others to find out | 1818 | 6.8 | 5.5 | 9.3 | 7.3 | 15.4 | 7.1 | 1.54 (0.85-2.78) | .16 | 1.27 (0.71-2.26) | .42 |
| Lack of transportation or services too far away | 1818 | 3.1 | 2.9 | 6.3 | 4.6 | 15.7 | 8.3 | 3.87 (1.88-7.97) | .001 | 5.15 (2.35-11.30) | <.001 |
| Concern about opinions of others | 1818 | 12.0 | 15.7 | 9.4 | 12.8 | 15.6 | 16.0 | 1.38 (0.77-2.45) | .27 | 1.19 (0.67-2.11) | .55 |
Abbreviations: NSDUH, National Survey of Drug Use and Health; OR, odds ratio.
a
Adjusted for age, sex, race and ethnicity, marital status, educational attainment, employment, family income, insurance coverage, and urban residence.