Original ArticlesWho Seeks Treatment Where? Suicidal Behaviors and Health Care Evidence From a Community SurveyMilner, Allison Bpsych (Hons); De Leo, Diego MD, PhD, DSc, FRANZCP Author Information Australian Institute for Suicide Research and Prevention, World Health Organization Collaborating Centre for Research and Training in Suicide Prevention, Griffith University, Brisbane, Queensland, Australia. Send reprint requests to Diego De Leo, MD, PhD, DSc, FRANZCP, AISRAP, Griffith University, Mt Gravatt Campus, QLD 4122, Australia. E-mail: [email protected]. The Journal of Nervous and Mental Disease: June 2010 - Volume 198 - Issue 6 - p 412-419 doi: 10.1097/NMD.0b013e3181e07905 Buy Metrics Abstract The reason why some persons seek help following a suicide attempt while others do not is still insufficiently clarified. Using data from the World Health Organization/SUicide PREvention-Multisite Intervention Study on Suicidal Behavior community survey, this study tried to shed more light on this problem by investigating the type and number of treatments sought by suicide attempters in 2 major cities of Queensland, Australia. Compared with those who did not attend services (n = 142), help-seekers (n = 257) had significantly greater odds of overdosing with medications and communicating suicidal thoughts. They also had greater odds of reporting a history of psychological problems, previous attempts, and help-seeking behavior. Those who sought multiple services were more likely to be female and suffer also from physical illness. Non help-seekers were more frequently males, with no history of having previously sought help or communicated intent. They also appeared at greater risk of using more lethal methods (hanging) and less likely to express mental health concerns at the time of the attempt. These findings underline the need to further understand the relationship between lethality, suicide intent, and help-seeking behavior. Improving motivation to seek treatment after a suicide attempt could substantially impact on suicide prevention success efforts. © 2010 Lippincott Williams & Wilkins, Inc.