Health Care Contacts in the Year Before Suicide Death

Suicide prevention is a public health priority, but no data on the health care individuals receive prior to death are available from large representative United States population samples. To investigate variation in the types and timing of health services received in the year prior to suicide, and determine whether a mental health condition was diagnosed. Longitudinal study from 2000 to 2010 within eight Mental Health Research Network health care systems serving eight states. In all, 5,894 individuals who died by suicide, and were health plan members in the year before death. Health system contacts in the year before death. Medical record, insurance claim, and mortality records were linked via the Virtual Data Warehouse, a federated data system at each site. Nearly all individuals received health care in the year prior to death (83 %), but half did not have a mental health diagnosis. Only 24 % had a mental health diagnosis in the 4-week period prior to death. Medical specialty and primary care visits without a mental health diagnosis were the most common visit types. The individuals more likely to make a visit in the year prior to death (p?

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