Evidence map›Paper›PMID 36349497›Full record

ArticlePsychiatric services (Washington, D.C.)2023

Health Diagnoses and Service Utilization in the Year Before Youth and Young Adult Suicide.

Jordan M Braciszewski, Ana Lanier, Hsueh-Han Yeh, Kelsey Sala-Hamrick, Gregory E Simon, Rebecca C Rossom, Frances L Lynch, Stephen C Waring, Christine Y Lu, Ashli A Owen-Smith and 7 more

Open access · greenAbstract read
In one paragraph

Article in Psychiatric services (Washington, D.C.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
4.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 26 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Are you worried someone in your household is at risk of suicide? Piloting ways to acceptably and feasibly increase safe firearm storage in rural Alaska.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Characteristics Associated With Mental Health Treatment Prior to Suicide Among Youth in the United States.Journal of the American Academy of Child and Adolescent Psychiatry · 2025
    Article
  9. Evaluating Machine Learning for Predicting Youth Suicidal Behavior Up to 1 Year After Contact With Mental-Health Specialty Care.Clinical psychological science : a journal of the Association for Psychological Science · 2025
    Article
  10. Suicidal risk among adolescent psychiatric inpatients: the role of insomnia, depression, and social-personal factors.European psychiatry : the journal of the Association of European Psychiatrists · 2025
    Article
  11. Article
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  15. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 1 institution in 1 country.

Jordan M BraciszewskiCenter for Health Policy and Health Services Research (Braciszewski, Yeh, Maye, Ahmedani) and Department of Psychiatry (Braciszewski, Frank, Hendriks, Fabian, Ahmedani), Henry Ford Health, Detroit; School of Medicine, Wayne State University, Detroit (Lanier); Michigan Public Health Institute, Okemos (Sala-Hamrick); Health Research Institute, Kaiser Permanente Washington, Seattle (Simon); HealthPartners Institute, Bloomington, Minnesota (Rossom); Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (Lynch); Essentia Institute of Rural Health, Essentia Health, Duluth, Minnesota (Waring); Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston (Lu); Center for Research and Evaluation, Kaiser Permanente Georgia, and School of Public Health, Georgia State University, Atlanta (Owen-Smith); Institute for Health Research, Kaiser Permanente Colorado, Aurora (Beck); Center for Integrated Health Care Research, Kaiser Permanente Hawaii, Honolulu (Daida).
Ana LanierCenter for Health Policy and Health Services Research (Braciszewski, Yeh, Maye, Ahmedani) and Department of Psychiatry (Braciszewski, Frank, Hendriks, Fabian, Ahmedani), Henry Ford Health, Detroit; School of Medicine, Wayne State University, Detroit (Lanier); Michigan Public Health Institute, Okemos (Sala-Hamrick); Health Research Institute, Kaiser Permanente Washington, Seattle (Simon); HealthPartners Institute, Bloomington, Minnesota (Rossom); Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (Lynch); Essentia Institute of Rural Health, Essentia Health, Duluth, Minnesota (Waring); Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston (Lu); Center for Research and Evaluation, Kaiser Permanente Georgia, and School of Public Health, Georgia State University, Atlanta (Owen-Smith); Institute for Health Research, Kaiser Permanente Colorado, Aurora (Beck); Center for Integrated Health Care Research, Kaiser Permanente Hawaii, Honolulu (Daida).
Hsueh-Han YehCenter for Health Policy and Health Services Research (Braciszewski, Yeh, Maye, Ahmedani) and Department of Psychiatry (Braciszewski, Frank, Hendriks, Fabian, Ahmedani), Henry Ford Health, Detroit; School of Medicine, Wayne State University, Detroit (Lanier); Michigan Public Health Institute, Okemos (Sala-Hamrick); Health Research Institute, Kaiser Permanente Washington, Seattle (Simon); HealthPartners Institute, Bloomington, Minnesota (Rossom); Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (Lynch); Essentia Institute of Rural Health, Essentia Health, Duluth, Minnesota (Waring); Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston (Lu); Center for Research and Evaluation, Kaiser Permanente Georgia, and School of Public Health, Georgia State University, Atlanta (Owen-Smith); Institute for Health Research, Kaiser Permanente Colorado, Aurora (Beck); Center for Integrated Health Care Research, Kaiser Permanente Hawaii, Honolulu (Daida).
Kelsey Sala-HamrickCenter for Health Policy and Health Services Research (Braciszewski, Yeh, Maye, Ahmedani) and Department of Psychiatry (Braciszewski, Frank, Hendriks, Fabian, Ahmedani), Henry Ford Health, Detroit; School of Medicine, Wayne State University, Detroit (Lanier); Michigan Public Health Institute, Okemos (Sala-Hamrick); Health Research Institute, Kaiser Permanente Washington, Seattle (Simon); HealthPartners Institute, Bloomington, Minnesota (Rossom); Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (Lynch); Essentia Institute of Rural Health, Essentia Health, Duluth, Minnesota (Waring); Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston (Lu); Center for Research and Evaluation, Kaiser Permanente Georgia, and School of Public Health, Georgia State University, Atlanta (Owen-Smith); Institute for Health Research, Kaiser Permanente Colorado, Aurora (Beck); Center for Integrated Health Care Research, Kaiser Permanente Hawaii, Honolulu (Daida).
Gregory E SimonCenter for Health Policy and Health Services Research (Braciszewski, Yeh, Maye, Ahmedani) and Department of Psychiatry (Braciszewski, Frank, Hendriks, Fabian, Ahmedani), Henry Ford Health, Detroit; School of Medicine, Wayne State University, Detroit (Lanier); Michigan Public Health Institute, Okemos (Sala-Hamrick); Health Research Institute, Kaiser Permanente Washington, Seattle (Simon); HealthPartners Institute, Bloomington, Minnesota (Rossom); Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (Lynch); Essentia Institute of Rural Health, Essentia Health, Duluth, Minnesota (Waring); Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston (Lu); Center for Research and Evaluation, Kaiser Permanente Georgia, and School of Public Health, Georgia State University, Atlanta (Owen-Smith); Institute for Health Research, Kaiser Permanente Colorado, Aurora (Beck); Center for Integrated Health Care Research, Kaiser Permanente Hawaii, Honolulu (Daida).
Rebecca C RossomCenter for Health Policy and Health Services Research (Braciszewski, Yeh, Maye, Ahmedani) and Department of Psychiatry (Braciszewski, Frank, Hendriks, Fabian, Ahmedani), Henry Ford Health, Detroit; School of Medicine, Wayne State University, Detroit (Lanier); Michigan Public Health Institute, Okemos (Sala-Hamrick); Health Research Institute, Kaiser Permanente Washington, Seattle (Simon); HealthPartners Institute, Bloomington, Minnesota (Rossom); Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (Lynch); Essentia Institute of Rural Health, Essentia Health, Duluth, Minnesota (Waring); Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston (Lu); Center for Research and Evaluation, Kaiser Permanente Georgia, and School of Public Health, Georgia State University, Atlanta (Owen-Smith); Institute for Health Research, Kaiser Permanente Colorado, Aurora (Beck); Center for Integrated Health Care Research, Kaiser Permanente Hawaii, Honolulu (Daida).
Frances L LynchCenter for Health Policy and Health Services Research (Braciszewski, Yeh, Maye, Ahmedani) and Department of Psychiatry (Braciszewski, Frank, Hendriks, Fabian, Ahmedani), Henry Ford Health, Detroit; School of Medicine, Wayne State University, Detroit (Lanier); Michigan Public Health Institute, Okemos (Sala-Hamrick); Health Research Institute, Kaiser Permanente Washington, Seattle (Simon); HealthPartners Institute, Bloomington, Minnesota (Rossom); Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (Lynch); Essentia Institute of Rural Health, Essentia Health, Duluth, Minnesota (Waring); Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston (Lu); Center for Research and Evaluation, Kaiser Permanente Georgia, and School of Public Health, Georgia State University, Atlanta (Owen-Smith); Institute for Health Research, Kaiser Permanente Colorado, Aurora (Beck); Center for Integrated Health Care Research, Kaiser Permanente Hawaii, Honolulu (Daida).
Stephen C WaringCenter for Health Policy and Health Services Research (Braciszewski, Yeh, Maye, Ahmedani) and Department of Psychiatry (Braciszewski, Frank, Hendriks, Fabian, Ahmedani), Henry Ford Health, Detroit; School of Medicine, Wayne State University, Detroit (Lanier); Michigan Public Health Institute, Okemos (Sala-Hamrick); Health Research Institute, Kaiser Permanente Washington, Seattle (Simon); HealthPartners Institute, Bloomington, Minnesota (Rossom); Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (Lynch); Essentia Institute of Rural Health, Essentia Health, Duluth, Minnesota (Waring); Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston (Lu); Center for Research and Evaluation, Kaiser Permanente Georgia, and School of Public Health, Georgia State University, Atlanta (Owen-Smith); Institute for Health Research, Kaiser Permanente Colorado, Aurora (Beck); Center for Integrated Health Care Research, Kaiser Permanente Hawaii, Honolulu (Daida).
Christine Y LuCenter for Health Policy and Health Services Research (Braciszewski, Yeh, Maye, Ahmedani) and Department of Psychiatry (Braciszewski, Frank, Hendriks, Fabian, Ahmedani), Henry Ford Health, Detroit; School of Medicine, Wayne State University, Detroit (Lanier); Michigan Public Health Institute, Okemos (Sala-Hamrick); Health Research Institute, Kaiser Permanente Washington, Seattle (Simon); HealthPartners Institute, Bloomington, Minnesota (Rossom); Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (Lynch); Essentia Institute of Rural Health, Essentia Health, Duluth, Minnesota (Waring); Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston (Lu); Center for Research and Evaluation, Kaiser Permanente Georgia, and School of Public Health, Georgia State University, Atlanta (Owen-Smith); Institute for Health Research, Kaiser Permanente Colorado, Aurora (Beck); Center for Integrated Health Care Research, Kaiser Permanente Hawaii, Honolulu (Daida).
Ashli A Owen-SmithCenter for Health Policy and Health Services Research (Braciszewski, Yeh, Maye, Ahmedani) and Department of Psychiatry (Braciszewski, Frank, Hendriks, Fabian, Ahmedani), Henry Ford Health, Detroit; School of Medicine, Wayne State University, Detroit (Lanier); Michigan Public Health Institute, Okemos (Sala-Hamrick); Health Research Institute, Kaiser Permanente Washington, Seattle (Simon); HealthPartners Institute, Bloomington, Minnesota (Rossom); Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (Lynch); Essentia Institute of Rural Health, Essentia Health, Duluth, Minnesota (Waring); Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston (Lu); Center for Research and Evaluation, Kaiser Permanente Georgia, and School of Public Health, Georgia State University, Atlanta (Owen-Smith); Institute for Health Research, Kaiser Permanente Colorado, Aurora (Beck); Center for Integrated Health Care Research, Kaiser Permanente Hawaii, Honolulu (Daida).
Arne BeckCenter for Health Policy and Health Services Research (Braciszewski, Yeh, Maye, Ahmedani) and Department of Psychiatry (Braciszewski, Frank, Hendriks, Fabian, Ahmedani), Henry Ford Health, Detroit; School of Medicine, Wayne State University, Detroit (Lanier); Michigan Public Health Institute, Okemos (Sala-Hamrick); Health Research Institute, Kaiser Permanente Washington, Seattle (Simon); HealthPartners Institute, Bloomington, Minnesota (Rossom); Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (Lynch); Essentia Institute of Rural Health, Essentia Health, Duluth, Minnesota (Waring); Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston (Lu); Center for Research and Evaluation, Kaiser Permanente Georgia, and School of Public Health, Georgia State University, Atlanta (Owen-Smith); Institute for Health Research, Kaiser Permanente Colorado, Aurora (Beck); Center for Integrated Health Care Research, Kaiser Permanente Hawaii, Honolulu (Daida).
Yihe G DaidaCenter for Health Policy and Health Services Research (Braciszewski, Yeh, Maye, Ahmedani) and Department of Psychiatry (Braciszewski, Frank, Hendriks, Fabian, Ahmedani), Henry Ford Health, Detroit; School of Medicine, Wayne State University, Detroit (Lanier); Michigan Public Health Institute, Okemos (Sala-Hamrick); Health Research Institute, Kaiser Permanente Washington, Seattle (Simon); HealthPartners Institute, Bloomington, Minnesota (Rossom); Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (Lynch); Essentia Institute of Rural Health, Essentia Health, Duluth, Minnesota (Waring); Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston (Lu); Center for Research and Evaluation, Kaiser Permanente Georgia, and School of Public Health, Georgia State University, Atlanta (Owen-Smith); Institute for Health Research, Kaiser Permanente Colorado, Aurora (Beck); Center for Integrated Health Care Research, Kaiser Permanente Hawaii, Honolulu (Daida).
Melissa MayeCenter for Health Policy and Health Services Research (Braciszewski, Yeh, Maye, Ahmedani) and Department of Psychiatry (Braciszewski, Frank, Hendriks, Fabian, Ahmedani), Henry Ford Health, Detroit; School of Medicine, Wayne State University, Detroit (Lanier); Michigan Public Health Institute, Okemos (Sala-Hamrick); Health Research Institute, Kaiser Permanente Washington, Seattle (Simon); HealthPartners Institute, Bloomington, Minnesota (Rossom); Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (Lynch); Essentia Institute of Rural Health, Essentia Health, Duluth, Minnesota (Waring); Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston (Lu); Center for Research and Evaluation, Kaiser Permanente Georgia, and School of Public Health, Georgia State University, Atlanta (Owen-Smith); Institute for Health Research, Kaiser Permanente Colorado, Aurora (Beck); Center for Integrated Health Care Research, Kaiser Permanente Hawaii, Honolulu (Daida).
Cathrine FrankCenter for Health Policy and Health Services Research (Braciszewski, Yeh, Maye, Ahmedani) and Department of Psychiatry (Braciszewski, Frank, Hendriks, Fabian, Ahmedani), Henry Ford Health, Detroit; School of Medicine, Wayne State University, Detroit (Lanier); Michigan Public Health Institute, Okemos (Sala-Hamrick); Health Research Institute, Kaiser Permanente Washington, Seattle (Simon); HealthPartners Institute, Bloomington, Minnesota (Rossom); Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (Lynch); Essentia Institute of Rural Health, Essentia Health, Duluth, Minnesota (Waring); Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston (Lu); Center for Research and Evaluation, Kaiser Permanente Georgia, and School of Public Health, Georgia State University, Atlanta (Owen-Smith); Institute for Health Research, Kaiser Permanente Colorado, Aurora (Beck); Center for Integrated Health Care Research, Kaiser Permanente Hawaii, Honolulu (Daida).
Melissa HendriksCenter for Health Policy and Health Services Research (Braciszewski, Yeh, Maye, Ahmedani) and Department of Psychiatry (Braciszewski, Frank, Hendriks, Fabian, Ahmedani), Henry Ford Health, Detroit; School of Medicine, Wayne State University, Detroit (Lanier); Michigan Public Health Institute, Okemos (Sala-Hamrick); Health Research Institute, Kaiser Permanente Washington, Seattle (Simon); HealthPartners Institute, Bloomington, Minnesota (Rossom); Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (Lynch); Essentia Institute of Rural Health, Essentia Health, Duluth, Minnesota (Waring); Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston (Lu); Center for Research and Evaluation, Kaiser Permanente Georgia, and School of Public Health, Georgia State University, Atlanta (Owen-Smith); Institute for Health Research, Kaiser Permanente Colorado, Aurora (Beck); Center for Integrated Health Care Research, Kaiser Permanente Hawaii, Honolulu (Daida).
Nina FabianCenter for Health Policy and Health Services Research (Braciszewski, Yeh, Maye, Ahmedani) and Department of Psychiatry (Braciszewski, Frank, Hendriks, Fabian, Ahmedani), Henry Ford Health, Detroit; School of Medicine, Wayne State University, Detroit (Lanier); Michigan Public Health Institute, Okemos (Sala-Hamrick); Health Research Institute, Kaiser Permanente Washington, Seattle (Simon); HealthPartners Institute, Bloomington, Minnesota (Rossom); Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (Lynch); Essentia Institute of Rural Health, Essentia Health, Duluth, Minnesota (Waring); Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston (Lu); Center for Research and Evaluation, Kaiser Permanente Georgia, and School of Public Health, Georgia State University, Atlanta (Owen-Smith); Institute for Health Research, Kaiser Permanente Colorado, Aurora (Beck); Center for Integrated Health Care Research, Kaiser Permanente Hawaii, Honolulu (Daida).
Brian K AhmedaniCenter for Health Policy and Health Services Research (Braciszewski, Yeh, Maye, Ahmedani) and Department of Psychiatry (Braciszewski, Frank, Hendriks, Fabian, Ahmedani), Henry Ford Health, Detroit; School of Medicine, Wayne State University, Detroit (Lanier); Michigan Public Health Institute, Okemos (Sala-Hamrick); Health Research Institute, Kaiser Permanente Washington, Seattle (Simon); HealthPartners Institute, Bloomington, Minnesota (Rossom); Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (Lynch); Essentia Institute of Rural Health, Essentia Health, Duluth, Minnesota (Waring); Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston (Lu); Center for Research and Evaluation, Kaiser Permanente Georgia, and School of Public Health, Georgia State University, Atlanta (Owen-Smith); Institute for Health Research, Kaiser Permanente Colorado, Aurora (Beck); Center for Integrated Health Care Research, Kaiser Permanente Hawaii, Honolulu (Daida).
Henry Ford Health System · US

Funding

Whose Depression Are We Measuring?: Considering the role of place on Black women’s depression outcomesU19MH121738 · NIMH · KAISER FOUNDATION RESEARCH INSTITUTE · PI SIMON, GREGORY E. · 2019 to 2023
$10.6M
Treatment Utilization Before Suicide (TUBS)R01MH103539 · NIMH · HENRY FORD HEALTH SYSTEM · PI AHMEDANI, BRIAN KENNETH · 2015 to 2018
$2.6M
NIMH NIH HHS R01 MH103539NIMH NIH HHS U19 MH121738
6 · The paper itself

Abstract

objectiveSuicide rates among young people are rising. Health care visits provide opportunities for identification and intervention, yet studies have been limited by small or circumscribed samples. This study sought to expand the knowledge base by examining health care encounters and diagnoses among young people who later died by suicide.

methodsThis case-control study examined diagnoses of mental and general medical disorders and health care utilization in the 30 and 365 days before suicide death in nine large U.S. health care systems. Data (years 2000-2015) from 445 suicide decedents ages 10-24 years were matched with data from 4,450 control group patients.

resultsSuicide decedents were more likely to have at least one mental disorder diagnosis (51% vs. 16%; adjusted OR [AOR]=5.74, 95% CI=4.60-7.18) and had higher rates of nearly all mental health conditions. Substance use disorders were common (12%) and more likely (AOR=8.50, 95% CI=5.53-13.06) among suicide decedents. More than one in three (42%) suicide decedents had a health care visit in the month before death, and nearly all (88%) had a visit in the previous year.

conclusionsDespite the greater likelihood of suicide associated with mental disorder diagnoses, such disorders were present among only 51% of suicide decedents. High rates of health care utilization among suicide decedents indicate a need for improving identification of mental health conditions and suicide risk across the health care system. Increased substance use screening may help identify youths at high risk because substance use disorders were significantly more prevalent and likely among suicide decedents.

Indexed as

Substance-Related DisordersSuicideAdolescentCase-Control StudiesDelivery of Health CareHumansPatient Acceptance of Health CareYoung AdultAdolescentsAlcohol and drug abuseElectronic health recordMental illnessSelf-harmSuicide

Identifiers

PMID36349497
PMCPMC10166760
OpenAlexW4308639580

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.