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Gender differences in health service use for mental health reasons in community dwelling older adults with suicidal ideation
Author(s)Helen-Maria Vasiliadis, Sarah Gagné, Natalia Jozwiak, Michel Préville
Journal titleInternational Psychogeriatrics, vol 25, no 3, March 2013
PublisherCambridge University Press, March 2013
Pagespp 374-381
Sourcewww.journals.cambridge.org/ipg
KeywordsSuicide ; Depression ; Drugs ; Mental health [elderly] ; Usage [services] ; Older men ; Older women ; Canada.
AnnotationThe purpose of this study from Quebec was to ascertain gender-specific determinants of antidepressant and mental health (MH) service use associated with suicidal ideation. Data used in the study came from the ESA (Enquête sur la Santé des Aînés) survey carried out in 2005_2008 on a large sample of community-dwelling older adults. Multivariate logistic regression analyses were carried out. Results of the study showed that the two-year prevalence of suicidal ideation was 8.4% and 20.3% had persistent suicidal thoughts at one-year follow-up. In males, the prevalence of antidepressant and MH service use in respondents with suicidal ideation reached 32.2% and 48.9% respectively. In females, the corresponding rates were 42.6% and 65.6%. Males were less likely to consult MH services than females when their MH was judged poorly. Male respondents with higher income and education were less likely to use antidepressant and MH services. However males using benzodiazepines were more likely than females to be dispensed an antidepressant. Among respondents with suicidal ideation, gender was not associated with service use. Younger age however was associated with antidepressant use. Increased promotion campaigns sensitising men to the prodromal symptoms of depression and the need to foster access to MH care when the disorder is manageable may be needed. (JL).
Accession NumberCPA-130215206 A
ClassmarkEV: ENR: LLD: D: QLD: BC: BD: 7S

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