Background
Methods
Sampling strategies
Measures
Geographical location variables
Remoteness | Major cities | Inner regional | Other (Outer regional, remote & very remote) | Total |
---|---|---|---|---|
Australian population (2006)
¥
| 68.4% 14,159,826 | 19.7% 4,078,195 | 11.8% 2,442,777 | 100% 20,701,500 |
2007-Australian NSMHWB
| 63.7% 5,388 | 22.9% 1,943 | 13.4% 1,132 | 100% 8,463 |
ARMHS WMH-CIDI-3.0 sample
| 0.0% 0 | 39.6% 251 | 60.4% 383 | 100% 634 |
Characteristics
Demographic characteristics
Socioeconomic characteristics
Physical health
Mental health
Outcome variables
Current functioning
Social support
Personality
Socioeconomic factors
Physical health
Service need and utilisation
Rural factors
Statistical analysis
Results
Characteristic | Category | 2007-NSMHWB raw % | ARMHS raw % | ARMHS back-weighted % | ||||
---|---|---|---|---|---|---|---|---|
Major cities n = 5388 | Inner regional n = 1943 | Other n = 1132 | Inner regional n = 251 | Other n = 383 | Inner regional n = 251 (99% CI) | Other n = 383 (99% CI) | ||
Age in years | 18-44 | 51 | 40 | 43 | 24 | 20 | 17 (9, 25) | 21 (14, 28) |
45-64 | 28 | 34 | 32 | 54 | 54 | 50 (39, 62) | 47 (38, 56) | |
65-85 | 21 | 26 | 26 | 22 | 26 | 32 (21, 43) | 32 (23, 40) | |
Gender | Female | 55 | 54 | 55 | 59 | 62 | 57 (45, 68) | 57 (48, 65) |
Marital status | Married | 46 | 51 | 47 | 63 | 64 | 69 (58, 79) | 71 (63, 78) |
Level of education | University degree | 40 | 27 | 23 | 26 | 17 | 23 (13, 32) | 18 (11, 24) |
Employment status | Employed | 64 | 59 | 59 | 50 | 55 | 49 (37, 61) | 57 (48, 66) |
Unemployed | 2.2 | 1.7 | 3.2 | 3.6 | 2.6 | 2.6 (0, 5.6) | 1 (0.1, 1.8) | |
Not in workforce | 34 | 39 | 38 | 46 | 42 | 49 (37, 60) | 42 (33, 51) | |
Financial adversity | Low | 86 | 86 | 84 | 68 | 69 | 73 (63, 83) | 79 (73, 86) |
Moderate | 11 | 12 | 14 | 23 | 22 | 21 (11, 31) | 15 (9, 21) | |
High | 2.2 | 2.7 | 2.3 | 8.6 | 8.5 | 5.5 (1.7, 9.4) | 5.9 (2.2, 9.6) | |
Smoking (current status) | Yes | 21 | 23 | 25 | 17 | 19 | 17 (8, 26) | 14 (8, 20) |
Chronic diseases (self-reported number) | 0 | 69 | 60 | 63 | 56 | 56 | 56 (44, 68) | 57 (48, 66) |
1 | 22 | 27 | 26 | 35 | 32 | 34 (23, 45) | 32 (23, 40) | |
2+ | 9.0 | 12 | 11 | 9.2 | 12 | 9.7 (2.8, 16.7) | 12 (6, 17) | |
Any affective disorder | Lifetime | 15 | 15 | 16 | 26 | 20 | 18 (11, 25) | 13 (8, 18) |
12-month | 6.0 | 5.8 | 6.0 | 16 | 9.9 | 7.7 (5.3, 10.1) | 5.6 (3.1, 8) | |
Any anxiety disorder | Lifetime | 26 | 26 | 27 | 45 | 39 | 39 (28, 50) | 27 (20, 34) |
12 month | 14 | 13 | 14 | 31 | 23 | 22 (13, 30) | 13 (8, 17) | |
Any substance use disorder | Lifetime | 23 | 25 | 30 | 23 | 26 | 20 (11, 29) | 20 (14, 27) |
12-month | 4.7 | 4.1 | 4.6 | 3.2 | 2.9 | 3.3 (0, 7.2) | 1.4 (0.3, 2.5) | |
Any psychiatric disorder | Lifetime | 51 | 55 | 55 | 65 | 64 | 56 (44, 67) | 50 (41, 58) |
Any psychiatric disorder | 12-month | 23 | 23 | 23 | 39 | 37 | 29 (19, 38) | 21 (15, 26) |
Two or more psychiatric disorders (comorbidity) | Yes | 27 | 27 | 28 | 44 | 37 | 35 (25, 46) | 25 (18, 31) |
Any professional mental health service use¥
| Yes | 15 | 13 | 12 | 26 | 25 | 18 (11, 24) | 19 (13, 24) |
Did not get enough help§
| Yes | 19 | 14 | 18 | 38 | 37 | 31 (0, 65) | 26 (3, 50) |
Variable | 2007-NSMHWB raw % | ARMHS raw % | ARMHS back-weighted % (99% CI) | Chi square p-value | ||||
---|---|---|---|---|---|---|---|---|
Major cities n = 5388 | Inner regional n = 1943 | Other n = 1132 | Inner regional n = 251 | Other n = 383 | Inner regional n = 251 | Other n = 383 | ||
Lifetime suicidal ideation | 14 | 15 | 16 | 26 | 23 | 19 (11.2, 27.2) | 15 (9.5, 19.6) | 0.254 |
12-month suicidal ideation | 2.7 | 2.5 | 2.6 | 8.8 | 4.2 | 5.1 (1.7, 8.5) | 1.9 (0.7, 3.2) | 0.864 |
Lifetime suicide attempt | 3.6 | 3.7 | 4.7 | 8.0 | 7.0 | 7.2 (1.6, 12.8) | 4.8 (1.7, 7.9) | 0.202 |
12-month suicide attempt | 0.4 | 0.3 | 0.8 | 1.2 | 0.8 | 0.7 (0, 1.7) | 0.4 (0, 1.0) | 0.093 |
12-month suicidal ideation
Characteristic (predictor or exposure variable) | Category | 2007-NSMHWB#
| ARMHS#
| |||||||
---|---|---|---|---|---|---|---|---|---|---|
Major cities (n = 5388) n (%) | Inner Regional (n = 1943) n (%) | Other (n = 1132) n (%) | AOR | p-value | Inner Regional (n = 251) n (%) | Other (n = 383) n (%) | AOR | p-value | ||
Demographic factors Age in years | ||||||||||
18-44 | 93 (3.4) | 20 (2.5) | 15 (3.1) | . | . | 9 (15) | 5 (6.4) | . | . | |
45-64 | 41 (2.7) | 19 (2.9) | 10 (2.8) | 0.87 | 0.381 | 11 (8.1) | 8 (3.9) | 0.57 | 0.143 | |
65-85 | 11 (1.0) | 9 (1.8) | 4 (1.4) | 0.58 | 0.023 | 2 (3.6) | 3 (3.0) | 0.40 | 0.105 | |
Gender | Male | 53 (2.2) | 24 (2.7) | 14 (2.7) | . | . | 10 (9.7) | 6 (4.1) | . | . |
Female | 92 (3.1) | 24 (2.3) | 15 (2.4) | 0.93 | 0.606 | 12 (8.1) | 10 (4.2) | 0.83 | 0.596 | |
Marital status | Not married | 116 (4.0) | 34 (3.6) | 25 (4.1) | . | . | 12 (13) | 9 (6.6) | . | . |
Currently married | 29 (1.2) | 14 (1.4) | 4 (0.8) |
0.43
|
<0.001
| 10 (6.3) | 7 (2.9) | 0.65 | 0.218 | |
Education | No university degree | 92 (2.8) | 38 (2.7) | 18 (2.1) | . | . | 17 (9.2) | 12 (3.8) | . | . |
University degree | 53 (2.5) | 10 (1.9) | 11 (4.2) | 1.0 | 0.969 | 5 (7.6) | 4 (6.2) | 1.1 | 0.805 | |
Employment status | Employed | 78 (2.3) | 21 (1.8) | 15 (2.2) | . | . | 9 (7.2) | 9 (4.3) | . | . |
Not in Workforce | 7 (5.9) | 1 (3.0) | 3 (8.3) | 1.5 | 0.011 | 10 (8.6) | 7 (4.3) | 1.6 | 0.249 | |
Unemployed | 60 (3.3) | 26 (3.4) | 11 (2.6) | 1.8 | 0.095 | 3 (33) | 2.0 | 0.338 | ||
Financial adversity | Low | 88 (1.9) | 26 (1.6) | 12 (1.3) | . | . | 7 (4.9) | 7 (3.2) | . | |
Moderate | 38 (6.2) | 14 (6.3) | 12 (7.7) |
1.7
|
0.001
| 7 (15) | 4 (5.7) | 1.7 | 0.217 | |
High | 19 (16) | 8 (15) | 5 (19) |
2.9
|
<0.001
| 3 (17) | 3 (11) | 1.3 | 0.601 | |
Physical health
| ||||||||||
Smoking | No | 85 (2.0) | 31 (2.1) | 18 (2.1) | . | . | 15 (8.5) | 8 (3.1) | . | |
Yes | 60 (5.4) | 17 (3.8) | 11 (3.9) | 1.4 | 0.033 | 3 (8.1) | 7 (12) | 1.1 | 0.794 | |
Number of chronic diseases | 0 | 101 (2.7) | 26 (2.2) | 22 (3.1) | . | . | 13 (9.2) | 10 (4.6) | . | . |
1 | 27 (2.2) | 14 (2.6) | 3 (1.0) | 0.85 | 0.391 | 6 (6.9) | 5 (4.1) | 1.0 | 0.988 | |
> = 2 | 17 (3.5) | 8 (3.4) | 4 (3.1) | 1.4 | 0.161 | 3 (13) | 1 (2.2) | 1.2 | 0.787 | |
Mental health
| ||||||||||
Psychological distress (K10) | Low | 20 (0.5) | 3 (0.2) | 5 (0.6) | . | . | 1 (1.4) | . | . | |
Moderate | 59 (4.8) | 18 (4.1) | 13 (5.2) |
9.7
|
<0.001
| 7 (5.4) | 8 (4.2) | 8.9 | 0.036 | |
High | 66 (20) | 26 (22) | 10 (18) |
50
|
<0.001
| 14 (27) | 8 (11) |
36
|
<0.001
| |
Any affective disorder | No lifetime diagnosis | 70 (1.5) | 22 (1.3) | 11 (1.2) | . | . | 7 (3.8) | 6 (2.0) | . | |
Lifetime diagnosis with 12-month symptoms | 63 (20) | 21 (19) | 14 (21) |
3.9
|
<0.001
| 13 (33) | 6 (16) |
5.5
|
<0.001
| |
Lifetime diagnosis with no 12-month symptoms | 12 (2.5) | 5 (2.9) | 4 (3.7) | 0.97 | 0.895 | 2 (7.7) | 4 (10) | 2.7 | 0.057 | |
Any anxiety disorder | No lifetime diagnosis | 58 (1.5) | 20 (1.4) | 11 (1.3) | . | . | 5 (3.6) | 3 (1.3) | . | . |
Lifetime diagnosis with 12-month symptoms | 75 (10) | 23 (9.0) | 18 (11) |
2.0
|
<0.001
| 16 (21) | 8 (9.1) |
4.3
|
0.001
| |
Lifetime diagnosis with no 12 month symptoms | 12 (1.8) | 5 (2.0) | 0 (0.0) | 0.62 | 0.083 | 1 (2.7) | 5 (7.9) | 2.4 | 0.121 | |
Any substance use disorder | No lifetime diagnosis | 88 (2.1) | 24 (1.7) | 15 (1.9) | . | . | 13 (6.7) | 7 (2.5) | . | . |
Lifetime diagnosis with 12 month symptoms | 29 (11) | 9 (11) | 7 (13) |
2.9
|
<0.001
| 4 (50) | 5 (45) |
11
|
<0.001
| |
Lifetime diagnosis with no 12 month symptoms | 28 (2.9) | 15 (3.7) | 7 (2.5) | 1.1 | 0.623 | 5 (10) | 4 (4.6) | 1.1 | 0.898 | |
Any lifetime psychiatric disorder | No | 24 (0.9) | 4 (0.5) | 3 (0.6) | . | . | 1 (0.7) | . | . | |
Yes | 121 (4.4) | 44 (4.1) | 26 (4.2) |
2.0
|
0.001
| 22 (13) | 15 (6.1) | 11 | 0.020 | |
Any 12 month psychiatric disorder | No | 38 (0.9) | 11 (0.7) | 7 (0.8) | . | . | 4 (2.6) | 1 (0.4) | . | |
Yes | 107 (8.7) | 37 (8.2) | 22 (8.5) |
3.5
|
<0.001
| 18 (18) | 15 (11) |
6.8
|
<0.001
| |
Two or more psychiatric disorders | No | 50 (1.3) | 14 (1.0) | 9 (1.1) | . | . | 3 (2.1) | 4 (1.6) | . | . |
Yes | 95 (6.6) | 34 (6.4) | 20 (6.3) |
1.9
|
<0.001
| 19 (18) | 12 (8.6) |
4.3
|
0.001
| |
Health service use past 12 months
| ||||||||||
Any professional mental health service use | No | 57 (1.2) | 15 (0.9) | 12 (1.2) | . | . | 10 (5.5) | 7 (2.5) | . | . |
Yes | 88 (11) | 33 (13) | 17 (12) |
4.1
|
<0.001
| 12 (17) | 9 (8.7) | 2.0 | 0.048 | |
Consulted a mental health professional and did not get enough help/info as needed | No, needs met | 41 (12) | 16 (15) | 8 (15) | . | . | 6 (13) | 4 (5.6) | . | . |
Yes, unmet need | 24 (29) | 6 (35) | 2 (17) | 1.8 | 0.023 | 6 (23) | 6 (16) | 2.0 | 0.162 |
Lifetime suicidal ideation
Characteristic (predictor or exposure variable) | Category | 2007-NSMHWB#
| ARMHS#
| |||||||
---|---|---|---|---|---|---|---|---|---|---|
Major cities (n = 5388) n (%) | Inner regional (n = 1943) n (%) | Other (n = 1132) n (%) | AOR | p-value | Inner regional (n = 251) n (%) | Other (n = 383) n (%) | AOR | p-value | ||
Demographic factors
| ||||||||||
Age in years | 18-44 | 401 (15) | 121 (15) | 91 (19) | . | . | 25 (42) | 22 (28) | . | . |
45-64 | 268 (18) | 128 (19) | 66 (18) |
1.3
|
<0.001
| 36 (27) | 48 (23) | 0.68 | 0.095 | |
65-85 | 87 (7.8) | 40 (8.0) | 22 (7.5) |
0.59
|
<0.001
| 5 (8.9) | 18 (18) | 0.43 | 0.005 | |
Gender | Male | 310 (13) | 114 (13) | 79 (15) | . | . | 27 (26) | 26 (18) | . | . |
Female | 446 (15) | 175 (17) | 100 (16) | 1.1 | 0.254 | 39 (26) | 62 (26) | 1.2 | 0.283 | |
Marital status | Not married | 529 (18) | 185 (20) | 120 (20) | . | . | 31 (33) | 51 (37) | . | . |
Currently married | 227 (9.2) | 104 (10) | 59 (11) |
0.54
|
<0.001
| 35 (22) | 36 (15) |
0.48
|
<0.001
| |
Education | No university degree | 471 (15) | 221 (16) | 130 (15) | . | . | 49 (26) | 72 (23) | . | . |
University or higher degree | 285 (13) | 68 (13) | 49 (19) | 0.87 | 0.056 | 17 (26) | 16 (25) | 0.94 | 0.784 | |
Employment status | Employed | 480 (14) | 164 (14) | 97 (14) | . | . | 30 (24) | 44 (21) | . | . |
Not in Workforce | 32 (27) | 6 (18) | 8 (22) | 1.3 | 0.004 | 30 (26) | 42 (26) | 1.9 | 0.006 | |
Unemployed | 244 (13) | 119 (16) | 74 (17) | 1.5 | 0.021 | 5 (56) | 2 (20) | 1.4 | 0.492 | |
Financial adversity | Low | 536 (12) | 210 (13) | 121 (13) | . | . | 25 (17) | 41 (19) | . | . |
Moderate | 157 (26) | 56 (25) | 48 (31) |
1.7
|
<0.001
| 22 (46) | 20 (29) | 1.9 | 0.009 | |
High | 63 (54) | 23 (44) | 10 (38) |
3.5
|
<0.001
| 6 (33) | 13 (48) | 1.6 | 0.223 | |
Physical health
| ||||||||||
Smoking | No | 507 (12) | 181 (12) | 104 (12) | . | . | 43 (24) | 53 (20) | . | . |
Yes | 249 (22) | 108 (24) | 75 (26) |
1.8
|
<0.001
| 12 (32) | 22 (37) | 1.2 | 0.444 | |
Number of chronic diseases | 0 | 492 (13) | 159 (14) | 109 (15) | . | . | 43 (30) | 60 (28) | . | |
1 | 177 (15) | 82 (15) | 46 (16) | 1.3 | 0.004 | 18 (21) | 21 (17) | 0.63 | 0.055 | |
> = 2 | 87 (18) | 48 (21) | 24 (19) |
2.0
|
<0.001
| 5 (22) | 7 (15) | 0.58 | 0.164 | |
Mental health
| ||||||||||
Psychological distress (K10) | Low | 308 (8.1) | 115 (8.3) | 85 (10) | . | . | 9 (13) | 9 (7.6) | . | . |
Moderate | 282 (23) | 110 (25) | 64 (26) |
3.3
|
<0.001
| 30 (23) | 46 (24) |
2.7
|
<0.001
| |
High | 166 (50) | 63 (53) | 30 (53) |
11
|
<0.001
| 27 (52) | 33 (45) |
7.9
|
<0.001
| |
Any affective disorder | No lifetime diagnosis | 397 (8.7) | 158 (9.5) | 95 (9.9) | . | . | 29 (16) | 47 (15) | . | . |
Lifetime diagnosis with 12 month symptoms | 157 (49) | 59 (53) | 31 (46) |
4.2
|
<0.001
| 23 (59) | 16 (42) |
2.6
|
0.001
| |
Lifetime diagnosis with no 12 month symptoms | 202 (42) | 72 (42) | 53 (49) |
5.8
|
<0.001
| 14 (54) | 25 (63) |
7.1
|
<0.001
| |
Any anxiety disorder | No lifetime diagnosis | 308 (7.7) | 125 (8.7) | 76 (9.2) | . | . | 19 (14) | 36 (16) | . | . |
Lifetime diagnosis with 12 month symptoms | 278 (37) | 100 (39) | 61 (38) |
3.6
|
<0.001
| 37 (48) | 33 (38) |
2.7
|
<0.001
| |
Lifetime diagnosis with no 12 month symptoms | 170 (26) | 64 (25) | 42 (28) |
3.2
|
<0.001
| 10 (27) | 19 (30) | 2.1 | 0.009 | |
Any substance use disorders | No lifetime diagnosis | 438 (11) | 170 (12) | 96 (12) | . | . | 39 (20) | 53 (19) | . | . |
Lifetime diagnosis with 12 month symptoms | 86 (34) | 23 (29) | 13 (25) |
2.6
|
<0.001
| 6 (75) | 7 (64) |
6.7
|
<0.001
| |
Lifetime diagnosis with no 12 month symptoms | 232 (24) | 96 (23) | 70 (25) |
2.5
|
<0.001
| 21 (42) | 28 (32) |
2.0
|
0.003
| |
Any lifetime psychiatric disorder | No | 107 (4.0) | 38 (4.3) | 28 (5.5) | . | . | 4 (4.5) | 11 (8.1) | . | . |
Yes | 649 (24) | 251 (24) | 151 (24) |
4.7
|
<0.001
| 62 (38) | 77 (31) |
4.7
|
<0.001
| |
Any 12 month psychiatric disorder | No | 344 (8.3) | 143 (9.6) | 98 (11) | . |
.
| 22 (14) | 36 (15) | . | . |
Yes | 412 (33) | 146 (33) | 81 (31) |
2.8
|
<0.001
| 44 (44) | 52 (37) |
2.3
|
<0.001
| |
Two or more psychiatric disorders | No | 262 (6.6) | 109 (7.7%) | 63 (7.7) | . | . | 17 (12) | 34 (14) | . | . |
Yes | 494 (35) | 180 (34) | 116 (37) |
4.6
|
<0.001
| 49 (45) | 54 (39) |
3.2
|
<0.001
| |
Health service use in past 12 months
| ||||||||||
Any professional mental health service use | No | 445 (9.7) | 173 (10) | 115 (12) | . | . | 37 (20) | 47 (17) | . | . |
Yes | 311 (39) | 116 (44) | 64 (46) |
3.6
|
<0.001
| 29 (41) | 41 (39) |
2.1
|
<0.001
| |
Consulted a mental health professional and did not get as much help/info as needed | No, needs met | 120 (34) | 46 (43) | 21 (40) | . | . | 17 (35) | 27 (38) | . | . |
Yes, unmet need | 50 (60) | 10 (59) | 6 (50) | 1.7 | 0.019 | 14 (54) | 18 (49) | 1.4 | 0.291 |
Lifetime suicide attempts
Characteristic (predictor or exposure variable) | Category | 2007-NSMHWB#
| ARMHS#
| |||||||
---|---|---|---|---|---|---|---|---|---|---|
Major cities (n = 5388) n (%) | Inner regional (n = 1943) n (%) | Other (n = 1132) n (%) | AOR | p-value | Inner regional (n = 251) n (%) | Other (n = 383) n (%) | AOR | p-value | ||
Demographic factors
| ||||||||||
Age in years | 18-44 | 118 (4.3) | 33 (4.2) | 25 (5.2) | . | . | 9 (15) | 9 (12) | . | . |
45-64 | 63 (4.1) | 28 (4.2) | 23 (6.4) | 1.1 | 0.560 | 10 (7.4) | 15 (7.3) | 0.58 | 0.103 | |
65-85 | 12 (1.1) | 10 (2.0) | 5 (1.7) |
0.42
|
<0.001
| 1 (1.8) | 3 (3.0) | 0.21 | 0.007 | |
Gender | Male | 65 (2.7) | 24 (2.7) | 17 (3.3) | . | . | 10 (9.7) | 7 (4.8) | . | . |
Female | 128 (4.3) | 47 (4.5) | 36 (5.8) |
1.4
|
0.003
| 10 (6.8) | 20 (8.5) | 1.1 | 0.759 | |
Marital status | Not married | 154 (5.3) | 56 (5.9) | 40 (6.6) | . | . | 13 (14) | 19 (14) | . | . |
Currently married | 39 (1.6) | 15 (1.5) | 13 (2.5) |
0.36
|
<0.001
| 7 (4.4) | 8 (3.3) |
0.29
|
<0.001
| |
Education | No university degree | 129 (4.0) | 54 (3.8) | 44 (5.0) | . | . | 15 (8.1) | 21 (6.6) | . | . |
University or higher degree | 64 (3.0) | 17 (3.2) | 9 (3.5) | 0.69 | 0.004 | 5 (7.6) | 6 (9.2) | 1.0 | 0.956 | |
Employment status | Employed | 119 (3.4) | 31 (2.7) | 26 (3.9) | . | . | 5 (4.0) | 13 (6.3) | . | . |
Not in Workforce | 61 (3.4) | 37 (4.9) | 25 (5.9) | 1.5 | 0.004 | 11 (9.5) | 13 (8.1) |
3.0
|
0.002
| |
Unemployed | 13 (11) | 3 (9.1) | 2 (5.6) |
2.3
|
0.002
| 4 (44) | 1 (10) | 5.0 | 0.009 | |
Financial adversity | Low | 116 (2.5) | 44 (2.6) | 30 (3.2) | . | . | 5 (3.5) | 10 (4.5) | . | . |
Moderate | 49 (8.0) | 16 (7.1) | 18 (12) |
1.9
|
<0.001
| 8 (17) | 8 (11) | 3.0 | 0.005 | |
High | 28 (24) | 11 (21) | 5 (19) |
4.3
|
<0.001
| 4 (22) | 5 (19) | 2.9 | 0.036 | |
Physical health
| ||||||||||
Smoking | No | 104 (2.4) | 37 (2.5) | 22 (2.6) | . | . | 11 (6.3) | 13 (5.0) | . | . |
Yes | 89 (8.0) | 34 (7.7) | 31 (11) |
2.7
|
<0.001
| 7 (19) | 9 (15) | 2.1 | 0.051 | |
Number of chronic diseases | 0 | 127 (3.4) | 46 (3.9) | 34 (4.8) | . | . | 14 (9.9) | 19 (8.8) | . | . |
1 | 48 (4.0) | 17 (3.2) | 12 (4.1) | 1.3 | 0.294 | 4 (4.6) | 5 (4.1) | 0.60 | 0.218 | |
> = 2 | 18 (3.7) | 8 (3.4) | 7 (5.5) | 1.3 | 0.160 | 2 (8.7) | 3 (6.5) | 1.5 | 0.502 | |
Mental health
| ||||||||||
Psychological distress (K10) | Low | 62 (1.6) | 23 (1.7) | 16 (1.9) | . | . | 4 (5.7) | 3 (2.5) | . | . |
Moderate | 71 (5.8) | 28 (6.3) | 24 (9.6) |
3.7
|
<0.001
| 6 (4.7) | 12 (6.3) | 1.3 | 0.527 | |
High | 60 (18) | 20 (17) | 13 (23) |
12
|
<0.001
| 10 (19) | 12 (16) |
4.7
|
<0.001
| |
Any affective disorder | No lifetime diagnosis | 72 (1.6) | 27 (1.6) | 23 (2.4) | . | . | 6 (3.2) | 11 (3.6) | . | . |
Lifetime diagnosis with 12 month symptoms | 56 (17) | 20 (18) | 14 (21) |
5.1
|
<0.001
| 11 (28) | 10 (26) |
6.7
|
<0.001
| |
Lifetime diagnosis with no 12 month symptoms | 65 (13) | 24 (14) | 16 (15) |
6.4
|
<0.001
| 3 (12) | 6 (15) |
4.0
|
0.002
| |
Any anxiety disorder | No lifetime diagnosis | 53 (1.3) | 18 (1.3) | 13 (1.6) | . | . | 2 (1.5) | 7 (3.0) |
.
| . |
Lifetime diagnosis with 12 month symptoms | 96 (13) | 39 (15) | 30 (19) |
6.0
|
<0.001
| 15 (19) | 14 (16) |
6.0
|
<0.001
| |
Lifetime diagnosis with no 12 month symptoms | 44 (6.7) | 14 (5.5) | 10 (6.8) |
3.8
|
<0.001
| 3 (8.1) | 6 (9.5) | 3.6 | 0.010 | |
Any substance use disorders | No lifetime diagnosis | 81 (1.9) | 35 (2.4) | 23 (2.9) | . | . | 8 (4.1) | 13 (4.6) | . | . |
Lifetime diagnosis with 12 month symptoms | 35 (14) | 11 (14) | 7 (13) |
5.2
|
<0.001
| 3 (38) | 3 (27) |
6.1
|
0.003
| |
Lifetime diagnosis with no 12 month symptoms | 77 (7.9) | 25 (6.1) | 23 (8.1) |
3.7
|
<0.001
| 9 (18) | 11 (13) |
3.1
|
0.001
| |
Any lifetime psychiatric disorder | No | 12 (0.5) | 5 (0.6) | 5 (1.0) | . | . | 1 (1.1) | . | . | |
Yes | 181 (6.6) | 66 (6.2) | 48 (7.7) |
7.7
|
<0.001
| 19 (12) | 27 (11) | 19 | 0.004 | |
Any 12 month psychiatric disorder | No | 67 (1.6) | 26 (1.7) | 17 (1.9) | . | . | 3 (2.0) | 7 (2.9) | . | . |
Yes | 126 (10) | 45 (10) | 36 (14) |
3.5
|
<0.001
| 17 (17) | 20 (14) |
5.0
|
<0.001
| |
Two or more psychiatric disorders | No | 39 (1.0) | 12 (0.8) | 8 (1.0) | . | . | 2 (1.4) | 7 (2.9) | . | . |
Yes | 154 (11) | 59 (11) | 45 (14) |
8.1
|
<0.001
| 18 (17) | 20 (14) |
5.3
|
<0.001
| |
Health service use in past 12 months
| ||||||||||
Any professional mental health service use | No | 77 (1.7) | 23 (1.4) | 21 (2.1) | . | . | 8 (4.4) | 14 (5.0) | . | . |
Yes | 116 (14) | 48 (18) | 32 (23) |
6.5
|
<0.001
| 12 (17) | 13 (13) | 2.5 | 0.007 | |
Consulted a mental health professional and did not get as much help/info as needed | No, needs met | 46 (13) | 21 (20) | 12 (23) | . | . | 6 (13) | 7 (9.7) | . | . |
Yes, unmet need | 23 (27) | 4 (24) | 3 (25) | 1.4 | 0.230 | 8 (31) | 8 (22) | 2.1 | 0.086 |
Suicidal ideation across geographical regions
Additional comparisons and regression analyses within the ARMHS sample
Characteristic (predictor or exposure variable) | Statistic or category | Profiles for discrete ARMHS sub-groups | Prediction of lifetime suicidal ideation#
| ||||
---|---|---|---|---|---|---|---|
No lifetime suicidal ideation (n = 480) | Lifetime suicidal ideation | Overall univariate analysis p-value | AOR (99% CI) | p-value | |||
Not recent (n = 116) | Present during last 12-months (n = 38) | ||||||
Demographics
| |||||||
Age in years | mean (SD, n) | 57 (14, 480) | 52 (13, 116) | 48 (15, 38) |
<0.001
|
0.98 (0.96, 1.0) |
0.001
|
Gender | Female | 283 (59%) | 79 (68%) | 22 (58%) | 0.183 | 1.18 (0.68, 2.0) | 0.445 |
Marital status | Yes | 330 (69%) | 54 (47%) | 17 (45%) |
<0.001
|
0.51 (0.30, 0.87) |
0.001
|
Education | University or higher degree | 98 (20%) | 24 (21%) | 9 (24%) | 0.892 | 0.90 (0.47, 1.7) | 0.671 |
Current functioning
| |||||||
Current psychological distress (K10) | mean (SD, n) | 18 (6.3, 480) | 21 (6.4, 116) | 27 (7.8, 38) |
<0.001
|
1.07 (1.03, 1.1) |
<0.001
|
Wellbeing index | mean (SD, n) | -.32 (0.82, 480) | -.70 (0.93, 115) | −1.3 (0.85, 38) |
<0.001
| 0.88 (0.54, 1.4) | 0.485 |
Alcohol Use (AUDIT) | mean (SD, n) | 3.7 (3.9, 480) | 3.8 (4.9, 116) | 6.3 (6.9, 38) | 0.004 | 1.0 (0.97, 1.1) | 0.226 |
Adverse life events | mean (SD, n) | 1.7 (1.6, 480) | 2.2 (1.9, 116) | 3.1 (2.1, 38) |
<0.001
| 1.1 (0.94, 1.3) | 0.138 |
Social support
| |||||||
Community & personal support | mean (SD, n) | −0.2 (0.8, 467) | −0.4 (0.8, 115) | −1.0 (0.9, 37) |
<0.001
| 0.88 (0.60, 1.3) | 0.355 |
Personality
| |||||||
Optimism (HOPES-12) | mean (SD, n) | 2.8 (0.6, 121) | 2.3 (0.8, 28) | 2.1 (0.7, 10) |
<0.001
|
0.21 (0.06, 0.68) |
<0.001
|
Neuroticism | mean (SD, n) | 2.6 (2.0, 468) | 3.3 (2.2, 115) | 4.2 (2.3, 36) |
<0.001
| 1.0 (0.89, 1.2) | 0.563 |
Socioeconomic factors
| |||||||
SEIFA (IRSAD) | mean (SD) | 939.03 (38.70) | 943.22 (39.81) | 946.76 (36.21) | 0.329 | 1.0 (1.00, 1.0) | 0.168 |
Financial adversity | Low | 298 (75%) | 52 (54%) | 14 (45%) |
<0.001
| ||
Moderate | 76 (19%) | 31 (32%) | 11 (35%) | 1.8 (0.91, 3.4) | 0.028 | ||
High | 26 (6.5%) | 13 (14%) | 6 (19%) | 1.3 (0.50, 3.6) | 0.432 | ||
Physical illness
| |||||||
Smoker | Yes | 63 (16%) | 24 (25%) | 10 (30%) | 0.021 | 1.1 (0.54, 2.2) | 0.748 |
No. of chronic illnesses | 0 | 254 (53%) | 80 (69%) | 23 (61%) | 0.037 | ||
1 | 169 (35%) | 11 (29%) | 28 (24%) | 0.67 (0.36, 1.3) | 0.105 | ||
2+ | 57 (12%) | 4 (11%) | 8 (6.9%) | 0.59 (0.22, 1.6) | 0.176 | ||
Serious injury past 12 months | Yes | 61 (13%) | 7 (18%) | 25 (22%) | 0.043 | 1.5 (0.74, 3.0) | 0.148 |
Service need and utilization
| |||||||
Perceived need for services | mean (SD, n) | 3.0 (3.0, 480) | 4.9 (3.5, 116) | 7.7 (3.2, 38) |
<0.001
| 1.14 (1.01, 1.3) | 0.006 |
Service use for mental health problem | Yes | 93 (19%) | 46 (40%) | 21 (55%) |
<0.001
|
2.12 (1.21, 3.7) |
<0.001
|
Rural factors
| |||||||
Live on farm | Yes | 116 (25%) | 23 (20%) | 8 (21%) | 0.576 | 0.89 (0.47, 1.7) | 0.639 |
Proportion of life in a rural area | mean (SD, n) | 0.70 (0.31, 475) | 0.67 (0.30, 113) | 0.73 (0.31, 38) | 0.573 | 0.84 (0.36, 1.9) | 0.601 |
Remoteness category | Inner regional | 185 (39%) | 44 (38%) | 22 (58%) | 0.029 | . | |
Outer regional | 175 (36%) | 53 (46%) | 10 (26%) | 1.09 (0.61, 1.9) | 0.698 | ||
Remote/ Very Remote | 120 (25%) | 19 (16%) | 6 (16%) | 0.63 (0.30, 1.3) | 0.11 | ||
Infrastructure and services accessibility | mean (SD, n) | 4.00 (3.15, 480) | 3.30 (2.55, 116) | 3.03 (2.31, 38) | 0.021 | 0.91 (0.82, 1.0) | 0.007 |
Lifetime psychiatric morbidity
| |||||||
Affective disorder | Yes | 65 (14%) | 53 (46%) | 30 (79%) |
<0.001
|
3.7 (2.0, 6.7) |
<0.001
|
Anxiety disorder | Yes | 166 (35%) | 69 (59%) | 30 (79%) |
<0.001
|
2.2 (1.3, 3.8) |
<0.001
|
Substance use disorder | Yes | 94 (20%) | 44 (38%) | 18 (47%) |
<0.001
|
2.3 (1.3, 4.1) |
<0.001
|