Demographic,Clinical, and Service Utilization Factors Associated with Suicide‐Related Visits among Alaska Native and American Indian Adults |
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| Authors: | Denise A. Dillard PhD Jaedon P. Avey PhD Renee F. Robinson PharmD Julia J. Smith MS Janette Beals PhD Spero M. Manson PhD Katherine Anne Comtois PhD MPH |
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| Affiliation: | 1. Southcentral Foundation, Anchorage, AK, USA;2. University of Colorado‐Anschutz Medical Campus, Aurora, CO, USA;3. University of Washington, Seattle, WA, USA |
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| Abstract: | Alaska Native and American Indian people (AN/AIs) are disproportionately affected by suicide. Within a large AN/AI health service organization, demographic, clinical, and service utilization factors were compared between those with a suicide‐related health visit and those without. Cases had higher odds of a behavioral health diagnosis, treatment for an injury, behavioral health specialty care visits, and opioid medication dispensation in the year prior to a suicide‐related visit compared to gender‐, age‐, and residence‐ (urban versus rural) matched controls. Odds of a suicide‐related visit were lower among those with private insurance and those with non‐primary care ambulatory clinic visits. |
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