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首页> 外文学位 >Help-seeking Behavior among Working-age Adults with Suicidal Ideation: An integration of the Andersen Model of Health Care Utilization and the Three-stage Model of Mental Health Help-seeking.
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Help-seeking Behavior among Working-age Adults with Suicidal Ideation: An integration of the Andersen Model of Health Care Utilization and the Three-stage Model of Mental Health Help-seeking.

机译：有自杀念头的在工作年龄的成年人中寻求帮助的行为：Andersen卫生保健利用模型与心理健康寻求帮助的三阶段模型的整合。

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摘要

Despite a high suicide rate among working-age adults, there is a significant lack of empirical evidence on suicide help-seeking among working-age adults. This dissertation examined help-seeking behavior among working-age adults between 26 and 65 years old who reported suicidal ideation in the past year (n = 1, 414). Data were drawn from the 2011 and 2012 National Survey on Drug Use and Health (NSDUH) to examine three research questions: (1) What factors are related to help-seeking among adults with suicidal ideation; (2) Does the combined model of help-seeking fit for adults with suicidal ideation; and (3) What are the reasons for not receiving mental health treatment among the subset of adults with suicidal ideation who did not receive mental health treatment? Findings from multinomial logistic regression suggested that male gender, younger age, being non-white, being employed full-time, lower levels of mental health need, and not having health insurance were associated with not seeking help. The results also indicated where in the help-seeking pathway each risk factor is related to. Results from structural equational modeling analyses demonstrated that the combined model of help-seeking behavior fit reasonably well among the current sample. The examination of the relationships between predisposing/need/enabling factors and help-seeking behavior showed that each factor affects help-seeking behavior through its direct effects on help-seeking behavior and/or indirect effects on other factors. Among the subsample who reported unmet needs for mental health treatment, a burden of treatment cost, not knowing where to look for services, and negative attitudes toward treatment were most frequently reported reasons for not receiving treatment. The results provide a foundation for future help-seeking interventions and imply that health professionals need to continuously assess and respond to suicide risk among their clients. Efforts should be made to reach working-age adults with suicidal ideation but without a diagnosis of mental disorders as they are less likely to be in the mental health care system. Future studies should examine the role of suicidal ideation in the help-seeking pathway and how employment status and work environment impact help-seeking behavior among working-age adults with suicidal ideation..
机译：尽管在工作年龄的成年人中自杀率很高，但仍缺乏在工作年龄的成年人中寻求自杀帮助的经验证据。本文研究了过去一年（n = 1，414）自杀意向的26至65岁工作年龄成年人的寻求帮助行为。数据来自2011年和2012年全国药物使用和健康调查（NSDUH），以研究三个研究问题：（1）有自杀观念的成年人寻求帮助的因素有哪些； （2）寻求帮助的综合模式是否适合有自杀念头的成年人； （3）在未得到心理健康治疗的成年自杀成年子集中不接受心理健康治疗的原因是什么？多项logistic回归分析的结果表明，男性，年轻，非白人，全职工作，精神健康需求水平较低以及没有医疗保险与寻求帮助有关。结果还表明，在寻求帮助途径中，每个危险因素都与之相关。结构方程模型分析的结果表明，求助行为的组合模型非常适合当前样本。对倾向/需要/使能因素与求助行为之间关系的研究表明，每个因素都通过其对求助行为的直接影响和/或对其他因素的间接影响来影响求助行为。在报告称对心理健康的需求未得到满足的子样本中，治疗费用的负担，不知道在哪里寻求服务以及对治疗的消极态度是最经常报告的未接受治疗的原因。结果为将来的寻求帮助的干预措施奠定了基础，并暗示卫生专业人员需要不断评估其客户中的自杀风险并做出应对。应努力使具有自杀意念但未诊断出精神障碍的工作年龄成人受益，因为他们不太可能出现在精神保健系统中。未来的研究应探讨自杀观念在寻求帮助途径中的作用，以及就业状况和工作环境如何影响有自杀观念的工作年龄成年人的寻求帮助行为。

著录项

  • 作者

    Ko, Jungyai.;

  • 作者单位

    University of Maryland, Baltimore.;

  • 授予单位 University of Maryland, Baltimore.;
  • 学科 Social work.;Behavioral psychology.;Cognitive psychology.;Mental health.
  • 学位 Ph.D.
  • 年度 2015
  • 页码 178 p.
  • 总页数 178
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 地球物理学;
  • 关键词

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