Effects of Suicidal Ideation on Unmet Mental Health Needs Among Young Adults in Canada
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Although there has been an increase in public health campaigns and initiatives aimed at preventing suicidal behaviors, suicide rates in Canada appear to be increasing particularly among young adults. Yet, few studies in Canada have examined the effect of suicidal ideation on unmet mental health needs among young adults. The objective of this study is to examine the association between suicidal ideation and unmet mental health needs, over and above predisposing, enabling, and need factors. This study uses data on 3393 young adults aged 20–29 years from the 2012 Canadian Community Health Survey-Mental Health (CCHS-MH). Binary logistic regression analysis was conducted with unmet mental health needs as the outcome variable and suicidal ideation as the main explanatory variable. Of the 3393 respondents, 8.8% had unmet mental health needs and 16.5% had suicidal ideation. In the multivariate logistic regression model, respondents who experienced suicidal ideation had 2.55 times higher odds of having unmet mental health needs. Respondents were also more likely to have unmet mental health needs if they are female, experienced childhood adversity, or were diagnosed with mental health disorders or cannabis abuse or dependence. Each additional unit increase in social support decreased the odds of unmet mental health needs by 11%. Community peer support programs for young adults may be beneficial in enhancing access to mental health particularly for at-risk individuals.
KeywordsUnmet needs Suicidal ideation Mental health Young adults
This manuscript is based data collected by Statistics Canada that was made publicly available to researchers. The views and opinions expressed in this paper are those of the authors and do not represent the views of Statistics Canada. Dr. Baiden had full access to all of the data and takes responsibility for the integrity of the data and the accuracy of the data analysis.
PB conceptualized, designed, and executed the study and conducted the data analyses and wrote the first draft of the manuscript. KAB co-wrote the discussion section and responded to all revisions. WD reviewed the data analysis and provided critical commentary on the methodology and discussion section and responded to all revisions. All authors have read and approved the final version of the manuscript.
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflict of interest.
This article does not contain any studies with human participants or animals performed by any of the authors.
Informed consent was obtained from all respondents.
- Aday, L. A., & Andersen, R. (1974). A framework for the study of access to medical care. Health Services Research, 9, 208–220.Google Scholar
- Cutrona, C. E., & Russell, D. W. (1987). The provisions of social relationships and adaptation to stress. Advances in Personal Relationships, 1(1), 37–67.Google Scholar
- Farand, L., Renaud, J., & Chagnon, F. (2004). Adolescent suicide in Quebec and prior utilization of medical services. Canadian Journal of Public Health, 95, 357–360.Google Scholar
- Findlay, L. (2017). Depression and suicidal ideation among Canadians aged 15 to 24. Health Reports, 28, 3–11.Google Scholar
- Han, B., Compton, W. M., Blanco, C., Colpe, L., Huang, L., & McKeon, R. (2018). National trends in the prevalence of suicidal ideation and behavior among young adults and receipt of mental health care among suicidal young adults. Journal of the American Academy of Child & Adolescent Psychiatry, 57(1), 20–27.CrossRefGoogle Scholar
- Joiner, T. (2005). Why people die by suicide. Cambridge, MA: Harvard University Press.Google Scholar
- Lesage, A., Séguin, M., Guy, A., Daigle, F., Bayle, M., Chawky, N., & Turecki, G. (2008). Systematic services audit of consecutive suicides in New Brunswick: The case for coordinating specialist mental health and addiction services. The Canadian Journal of Psychiatry, 53, 671–678.CrossRefGoogle Scholar
- Mental Health Commission of Canada. (2012). Changing directions, changing lives: The mental health strategy for Canada. Calgary, AB: Author.Google Scholar
- Statistics Canada. (2009). Ten leading causes of death by selected age groups, by sex, Canada—15 to 24 years, 2009. CANSIM table 102–0561. Ottawa, ON: Statistics Canada.Google Scholar
- Statistics Canada. (2013). Canadian Community Health Survey – Mental Health, 2012. Ottawa, ON: Statistics Canada.Google Scholar
- World Health Organization. (2014). Preventing suicide: A global imperative. Retrieved from http://www.who.int/mental_health/suicide-prevention/world_report_2014/en/. Accessed September 5, 2014.