Author:
Bruffaerts R.,Demyttenaere K.,Hwang I.,Chiu W.-T.,Sampson N.,Kessler R. C.,Alonso J.,Borges G.,de Girolamo G.,de Graaf R.,Florescu S.,Gureje O.,Hu C.,Karam E. G.,Kawakami N.,Kostyuchenko S.,Kovess-Masfety V.,Lee S.,Levinson D.,Matschinger H.,Posada-Villa J.,Sagar R.,Scott K. M.,Stein D. J.,Tomov T.,Viana M. C.,Nock M. K.
Abstract
BackgroundSuicide is a leading cause of death worldwide; however, little
information is available about the treatment of suicidal people, or about
barriers to treatment.AimsTo examine the receipt of mental health treatment and barriers to care
among suicidal people around the world.MethodTwenty-one nationally representative samples worldwide
(n=55 302; age 18 years and over) from the World
Health Organization's World Mental Health Surveys were interviewed
regarding past-year suicidal behaviour and past-year healthcare use.
Suicidal respondents who had not used services in the past year were
asked why they had not sought care.ResultsTwo-fifths of the suicidal respondents had received treatment (from 17%
in low-income countries to 56% in high-income countries), mostly from a
general medical practitioner (22%), psychiatrist (15%) or
non-psychiatrist (15%). Those who had actually attempted suicide were
more likely to receive care. Low perceived need was the most important
reason for not seeking help (58%), followed by attitudinal barriers such
as the wish to handle the problem alone (40%) and structural barriers
such as financial concerns (15%). Only 7% of respondents endorsed stigma
as a reason for not seeking treatment.ConclusionsMost people with suicide ideation, plans and attempts receive no
treatment. This is a consistent and pervasive finding, especially in
low-income countries. Improving the receipt of treatment worldwide will
have to take into account culture-specific factors that may influence the
process of help-seeking.
Publisher
Royal College of Psychiatrists
Subject
Psychiatry and Mental health
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