作者
Sidra Goldman‐Mellor, Kristina Allen, Mark S Kaplan
发表日期
2018/12
期刊
Suicide and Life‐Threatening Behavior
卷号
48
期号
6
页码范围
709-719
简介
Adolescent suicide rates exhibit stark geographic disparities, with rates highest in rural areas. The causes of this disparity remain unclear. We investigated whether adolescent nonfatal suicidal ideation and attempt—leading risk factors for suicide—demonstrate the same rural/urban disparity. Using adolescent data from the 2011–2014 waves of the population‐representative California Health Interview Survey (CHIS; N = 4,616), we estimated associations between residence in a rural area and suicidal ideation and suicide attempt, as well as access to psychological care. Survey‐weighted logistic regression models controlled for individual‐ and family‐level covariates. Results showed that rural adolescents were, compared to urban adolescents, substantially less likely to report recent suicidal ideation (OR = 0.25, 95% confidence interval [CI] = 0.10, 0.61) and suicide attempt (OR = 0.17, 95% CI = 0.05, 0.66). Suicidal …
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