Changes in community mental health services availability and suicide mortality in the US: a retrospective study

Hung, Peiyin; Busch, Susan H; Shih, Yi-Wen; McGregor, Alecia J; Wang, Shiyi

doi:10.1186/s12888-020-02607-y

BMC Psychiatry

Table 1 Change in the Number of Community Mental Health Centers and Suicide Mortality Rates by State, 2014–2017

From: Changes in community mental health services availability and suicide mortality in the US: a retrospective study

	Number of Community Mental Health Centers			Suicide Mortality Rates
	2014	2017	% Change 2014–2017	2014	2017	% Change 2014–2017
Nationwide	3406	2920	−14.27%	15.37	16.85	9.63%
AK	36	29	−19.44%	22.67	27.03	19.25%
AL	78	70	−10.26%	14.74	17.15	16.35%
AR	91	80	−12.09%	17.5	21.00	20.02%
AZ	55	32	−41.82%	18.6	18.91	1.68%
CA	157	104	−33.76%	10.99	10.91	−0.76%
CO	82	89	8.54%	20.41	21.06	3.20%
CT	31	34	9.68%	10.57	11.29	6.78%
DC	7	7	0.00%	8.35	6.77	−18.89%
DE	8	7	−12.50%	13.47	11.64	− 13.56%
FL	156	101	−35.26%	15.35	15.38	0.18%
GA	65	41	−36.92%	12.91	13.91	7.77%
HI	15	8	− 46.67%	14.58	15.90	9.06%
IA	65	60	−7.69%	13.13	15.23	15.97%
ID	46	25	−45.65%	19.58	22.83	16.61%
IL	146	101	−30.82%	10.97	11.51	4.96%
IN	154	139	−9.74%	14.39	16.38	13.83%
KS	77	73	−5.19%	15.74	18.98	20.60%
KY	113	103	−8.85%	16.52	17.29	4.64%
LA	29	15	−48.28%	14.67	15.37	4.77%
MA	45	39	−13.33%	8.88	9.94	11.96%
MD	76	37	−51.32%	10.39	10.41	0.19%
ME	31	27	− 12.90%	16.54	20.51	24.00%
MI	105	100	−4.76%	13.72	14.63	6.60%
MN	69	60	−13.04%	12.64	14.04	11.08%
MO	58	65	12.07%	16.89	18.83	11.47%
MS	109	89	−18.35%	12.83	14.91	16.23%
MT	60	44	−26.67%	24.52	29.61	20.74%
NC	37	29	−21.62%	13.71	14.81	7.99%
ND	4	7	75.00%	18.53	20.39	10.02%
NE	14	27	92.86%	13.39	14.32	6.96%
NH	27	31	14.81%	18.62	19.73	5.99%
NJ	91	82	−9.89%	8.91	8.83	−0.92%
NM	29	22	−24.14%	21.63	23.51	8.71%
NV	12	5	−58.33%	20.22	20.91	3.43%
NY	150	110	−26.67%	8.72	8.54	−2.01%
OH	210	168	−20.00%	12.95	14.92	15.25%
OK	64	59	−7.81%	19.06	19.23	0.90%
OR	43	35	−18.60%	19.75	19.91	0.83%
PA	107	88	−17.76%	14.3	15.85	10.86%
RI	23	17	−26.09%	10.8	12.17	12.72%
SC	50	59	18.00%	15.67	16.68	6.44%
SD	26	25	−3.85%	16.64	21.96	31.99%
TN	104	86	−17.31%	15.25	17.36	13.85%
TX	109	124	13.76%	12.16	13.35	9.77%
UT	31	35	12.90%	19.03	21.37	12.32%
VA	87	87	0.00%	13.55	13.92	2.73%
VT	27	25	−7.41%	19.79	17.96	−9.25%
WA	89	113	26.97%	15.97	17.51	9.66%
WI	37	29	−21.62%	13.37	15.98	19.51%
WV	43	55	27.91%	19.73	21.64	9.69%
WY	28	23	−17.86%	20.54	27.10	31.94%

SOURCE Data were from 2014 to 2017 National Mental Health Services Survey (N-MHSS) to identify state-level mental health facility status during 2014–2017 and from Centers for Disease Control and Prevention (CDC) Wide-Ranging Online Data for Epidemiologic Research (WONDER) data for suicide rates, identified as intentional self-harm by ICD-10-CM diagnosis codes U03, X60-X71, X72-X74, X75-X84, Y87.0. NOTE A Community Mental Health Center was defined as a facility that provided any of the following services: 1) outpatient services, 2) 24-h emergency care services, 3) day treatment or other partial hospitalization services, or psychosocial rehabilitation services, and 4) screening for inpatient services to state mental health facilities, and that met applicable licensing or certification requirements for community mental health centers in a state where it is located [7]. Mental health care facilities self-identified as a partial hospitalization or day treatment facility were also categorized as a community mental health center

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