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Background: We aimed to determine the prevalence of past-year health service use for mental health reasons in a French representative sample of adults overall and in those reporting suicidal ideation in the past year and assess the factors associated with health service use according Andersen's model of healthcare seeking behaviors.
Logistic regression analyses were used to study past-year health service use for mental health reasons as a function of predisposing, enabling and need factors. Analyses were stratified according to suicidal ideation and sex. Results: Among individuals with suicidal ideation, Increased odds of health service use were observed regarding predisposing female sex, younger age, higher education , enabling income level , and need factors prior suicide attempts, role impairment and major depression.
Limitations: Self-reported service utilization. Cross-sectional survey. Conclusions: In a country with a high level of medical coverage, further research is needed to identify sex-specific socio-demographic, economic and clinical differences in the use of different types of health services as well as perceived need for care, structural and attitudinal barriers to treatment. Keywords: Access to care; Health service use; Service utilization; Sex differences; Suicidal ideation.
Abstract Background: We aimed to determine the prevalence of past-year health service use for mental health reasons in a French representative sample of adults overall and in those reporting suicidal ideation in the past year and assess the factors associated with health service use according Andersen's model of healthcare seeking behaviors. Publication types Research Support, Non-U.