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Title

Association Between Rural Residence and Nonfatal Suicidal Behavior Among California Adults: A Population-Based Study (The Journal of Rural Health)

Publication Topics

California Health Interview Survey; 2015 California Health Interview Survey (CHIS 2015); 2016 California Health Interview Survey (CHIS 2016); Mental and Emotional Health; Adult; Women; Urban/Rural Populations

Publication Type

CHIS Journal Article

Publication Date

2019-01-31T08:00:00Z

Author 1

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1609&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1609&RootFolder=*">Claire Margeriso</a>

Author 2

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1397&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1397&RootFolder=*">Sidra Goldman-Mellor</a>

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Abstract

Suicide mortality rates in rural areas of the United States are twice that of rates in urban areas, and identifying which factors — i.e., higher rates of suicidal distress, lower rates of help‐seeking behaviors, or greater access to firearms — contribute to this rural/urban disparity could help target interventions. Using 2015‐2016 data on 40,041 adult respondents to the California Health Interview Survey (CHIS), authors examined associations between residence in a rural (vs nonrural) census tract and nonfatal suicidal ideation and attempt.

Findings:
  • Living in a rural area was not associated with nonfatal suicidal behavior.
  • Women living in rural areas had higher odds of lifetime suicidal ideation compared to women living in nonrural areas, but this difference was not significant.
  • Among individuals reporting suicidal behavior, there were few rural/nonrural differences in perceived need for treatment, such as seeing a physician or taking a prescription for mental health problems.
Results do not suggest higher suicidal distress or lower treatment‐seeking behaviors as explanations for the rural/urban disparity in suicide mortality rates. Further attention is needed to the unique risk factors driving suicidality in rural areas, as well as exploring heterogeneity in these factors across different rural contexts.
 

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Article 1

Journal Article: Association Between Rural Residence and Nonfatal Suicidal Behavior Among California Adults: A Population-Based Study

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Press Release

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California Health Interview Survey (CHIS)

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Version: 2.0
Created at 7/18/2019 2:54 PM by i:0#.f|uclachissqlmembershipprovider|celeste
Last modified at 7/18/2019 2:57 PM by i:0#.f|uclachissqlmembershipprovider|celeste