ArticleAmerican journal of epidemiology2021
Association Between Medicaid Expansion and Suicide Mortality Among Nonelderly US Adults.
Article in American journal of epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- "We adjusted for race": now what? A systematic review of utilization and reporting of race in American Journal of Epidemiology and Epidemiology, 2020-2021.Epidemiologic reviews · 2023Pooled it
- Medicaid Expansion and Firearm Suicide Mortality Among Black and White Men: A State-Level Retrospective Study, United States, 2000-2023.American journal of public health · 2026Article
- U.S. policy research funded by the National Institute of Mental Health, 1993-2024.Health affairs scholar · 2026Article
- The Evolving Impact of Medicaid Expansion on Suicide Mortality: Demographic and Method-Specific Effects.American journal of preventive medicine · 2026Article
- Medicaid Expansion and County-Level Suicide: Disparities Based on Rurality and Mental Health Provider Shortages.Psychiatric services (Washington, D.C.) · 2025Article
- Evidence for Public Policies to Prevent Suicide Death in the United States.Annual review of public health · 2025Review
- Disparities in postdischarge follow-up and risk of readmission between Medicaid and privately insured patients.Journal of hospital medicine · 2025Article
- The uneven impact of Medicaid expansion on rural and urban Black, Latino/a, and White mortality.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Article
- State expansion of Supplemental Nutrition Assistance Program eligibility and rates of firearm-involved deaths in the United States.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2024Article
- Intersection of adverse childhood experiences, suicide and overdose prevention.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2024Review
- State Supplemental Nutrition Assistance Program Policies and Substance Use Rates.American journal of preventive medicine · 2024Article
- Association of Medicaid coverage with emergency department utilization after self-harm in Korea: A nationwide registry-based study.PloS one · 2024Article
- Association of State Supplemental Nutrition Assistance Program Eligibility Policies With Adult Mental Health and Suicidality.JAMA network open · 2023Article
- The Affordable Care Act and suicide incidence among adults with cancer.Journal of cancer survivorship : research and practice · 2023Article
- On the Relationship Between Stakeholder Affiliation and Attitudes Toward Behavioral Health Reform in Kansas.Kansas journal of medicine · 2023Article
- Changes in Insurance Coverage Continuity After Affordable Care Act Expansion of Medicaid Eligibility for Young Adults With Low Income in Massachusetts.JAMA health forum · 2022Article
- Association of State Medicaid Expansion Status With Rates of Suicide Among US Adults.JAMA network open · 2022Article
- Medicaid expansion and opioid overdose mortality among socioeconomically disadvantaged populations in the US: A difference in differences analysis.Drug and alcohol dependence · 2022Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
In 2014, the Affordable Care Act gave states the option to expand Medicaid coverage to nonelderly adults (persons aged 18-64 years) with incomes up to 138% of the federal poverty level. To our knowledge, the association of Medicaid expansion with suicide, a leading cause of death in the United States, has not been examined. We used 2005-2017 data from the National Violent Death Reporting System to analyze suicide mortality in 8 Medicaid expansion states and 7 nonexpansion states. Using a difference-in-differences approach, we examined the association between Medicaid expansion and the rate of suicide death (number of deaths per 100,000 population) among nonelderly adults. After adjustment for state-level confounders, Medicaid expansion states had 1.2 fewer suicide deaths (β = -1.2, 95% confidence interval: -2.5, 0.1) per 100,000 population per year during the postexpansion period than would have been expected if they had followed the same trend in suicide rates as nonexpansion states. Medicaid expansion was associated with reductions in suicide rates among women, men, persons aged 30-44 years, non-Hispanic White individuals, and persons without a college degree. Medicaid expansion was not associated with a change in suicide rates among persons aged 18-29 or 45-64 years or among non-White or Hispanic individuals. Overall, Medicaid expansion was associated with reductions in rates of suicide death among nonelderly adults. Further research on inequities in Medicaid expansion benefits is needed.
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