Intentions to use mental health and suicide prevention resources among individuals with symptoms of the suicide crisis syndrome and/or suicidal ideation

• Published in: Suicide & life-threatening behavior Vol. 54; no. 4; pp. 728 - 740
• Main Authors: Rogers, Megan L., Richards, Jenelle A., Peterkin, Devon, Park, Ji Yoon, Astudillo‐García, Claudia I., Barzilay, Shira, Blum, Yarden, Chistopolskaya, Ksenia, Dudeck, Manuela, Enikolopov, Sergey, Husain, M. Ishrat, Jiménez, Alberto, Yilmaz, Fatma Kantas, Kuśmirek, Oskar, Lee, Ming‐Been, Menon, Vikas, Peper‐Nascimento, Jefté, Pilecka, Barbara, Streb, Judith, Ünübol, Başak, Valvassori, Samira S., Contreras, Maria Valeria, Wu, Chia‐Yi, You, Sungeun, Galynker, Igor
• Format: Journal Article
• Language: English
• Published: England Blackwell Publishing Ltd 01-08-2024
• Subjects: Adolescent; Adult; Aged; Female; Humans; Intention; Male; Mental health; Mental Health Programs; mental health service use; Mental Health Services - statistics & numerical data; Middle Aged; Prevention; Suicidal behavior; Suicidal Ideation; Suicide; suicide crisis syndrome; Suicide Prevention; Suicide, Attempted - psychology; Suicide, Attempted - statistics & numerical data; Suicides & suicide attempts; Young Adult; suicidal ideation; suicide crisis syndrome; mental health service use; suicide
• ISSN: 0363-0234; 1943-278X; 1943-278X
• DOI: 10.1111/sltb.13083

Introduction
The suicide crisis syndrome (SCS) has demonstrated efficacy in predicting suicide attempts, showing potential utility in detecting at‐risk individuals who may not be willing to disclose suicidal ideation (SI). The present international study examined differences in intentions to utilize mental health and suicide prevention resources among community‐based adults with varying suicide risk (i.e., presence/absence of SCS and/or SI).
Methods
A sample of 16,934 community‐based adults from 13 countries completed measures about the SCS and SI. Mental health and suicide prevention resources were provided to all participants, who indicated their intentions to use these resources.
Results
Individuals with SCS (55.7%) were just as likely as those with SI alone (54.0%), and more likely than those with no suicide‐related symptoms (45.7%), to report willingness to utilize mental health resources. Those with SI (both with and without SCS) were more likely to seek suicide prevention resources (52.6% and 50.5%, respectively) than those without SI (41.7% and 41.8%); however, when examining endorsements for personal use, those with SCS (21.6%) were more likely to use resources than individuals not at risk (15.1%).
Conclusions
These findings provide insight into individuals' willingness to use resources across configurations of explicitly disclosed (SI) and indirect (SCS) suicide risk.