Research paperRecent and lifetime utilization of health care services by children and adolescent suicide victims: A case-control study
Section snippets
Subjects
In the present study, 55 consecutive youth suicide victims (adjudicated by coroners of the Province of Quebec) aged 11–18 years were matched to living youths for age (within 2 years), gender (43 males; 12 females), and geographic area. However, we were not able to retrieve information on health services use from one male subject in the control group; thus, our study had in total 55 cases and 54 controls. Our primarily Caucasian samples originated from the all around the Province, and were
Socio-demographic characteristics
Fifty-five youth suicide completers and 54 living subjects were included in this study. By design, completers and controls were matched with respect to age (suicide victims: mean = 16.8, SD = 1.5; comparison subjects: mean = 16.9, SD = 1.4; p = 0.56), gender (43 males and 12 females), and geographic location within the Province of Quebec. Additionally, the groups were similar for other important demographic variables, including familial composition (biparental - suicide victims: 63.6%; comparison
Discussion
In the present study we compared health care service contacts between young suicide victims and healthy living controls. Our main finding is that a remarkable proportion of children and adolescents who committed suicide had no proper treatment contacts in the period preceding their death. In addition, and perhaps more importantly, the majority of these subjects did not have a general medical or psychiatric consultation despite the presence of proxy endorsed mental disorders. More specifically,
Role of the funding source
The funding source for our study did not interfere in the collection, analysis, interpretation and/or presentation of our results.
Conflict of interest
The authors have no financial relationships or conflicts of interest to disclose.
Acknowledgment
The present work was supported by a grant from the Fonds de la Recherche en Sante du Quebec (FRSQ). Dr Renaud was supported by a Canadian Institutes of Health Research Salary Award. Finally, we warmly thank all families for their unique contribution to our study.
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