{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T04:53:38Z","timestamp":1790916818091,"version":"4.1.0"},"reference-count":46,"publisher":"American Psychiatric Association Publishing","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["PS"],"DOI":"10.1176\/appi.ps.20250557","type":"journal-article","created":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T04:00:12Z","timestamp":1790913612000},"source":"Crossref","is-referenced-by-count":0,"title":["Racial-Ethnic and Sex Disparities in Mental Health Service Use Before Self-Harm Among Young People Enrolled in Medicaid"],"prefix":"10.1176","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7270-4136","authenticated-orcid":false,"given":"Erin R.","family":"Orlins","sequence":"first","affiliation":[{"name":"Center for Suicide Prevention and Research, Abigail Wexner Research Institute at Nationwide Children\u2019s Hospital, Columbus, OH."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"De Luca","sequence":"additional","affiliation":[{"name":"Population Health Equity Research Institute, MetroHealth System, Cleveland."},{"name":"School of Medicine, Case Western Reserve University, Cleveland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia A.","family":"Fontanella","sequence":"additional","affiliation":[{"name":"Center for Suicide Prevention and Research, Abigail Wexner Research Institute at Nationwide Children\u2019s Hospital, Columbus, OH."},{"name":"Department of Psychiatry and Behavioral Health, Ohio State University College of Medicine, Columbus."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey A.","family":"Bridge","sequence":"additional","affiliation":[{"name":"Center for Suicide Prevention and Research, Abigail Wexner Research Institute at Nationwide Children\u2019s Hospital, Columbus, OH."},{"name":"Department of Pediatrics, Ohio State University College of Medicine, Columbus."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriela","family":"Rodriguez","sequence":"additional","affiliation":[{"name":"School of Medicine, Case Western Reserve University, Cleveland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle L.","family":"Steelesmith","sequence":"additional","affiliation":[{"name":"Center for Suicide Prevention and Research, Abigail Wexner Research Institute at Nationwide Children\u2019s Hospital, Columbus, OH."},{"name":"Department of Psychiatry and Behavioral Health, Ohio State University College of Medicine, Columbus."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"230","published-online":{"date-parts":[[2026,10,2]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)60322-5"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/1753-2000-6-10"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph16224581"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2008.10.013"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.2012.02559.x"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2019.112553"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2018.06.018"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.162.2.297"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1197\/j.aem.2005.11.072"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.20230397"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2020.0002"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2015.05.006"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2009.01.004"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2024.07.921"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.12887"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1080\/09638230701506234"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2010.61.1.17"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1521\/suli.2007.37.1.22"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2016.05.021"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-6773.2012.01394.x"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/0020731416662736"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2025.16612"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2023.08.036"},{"key":"e_1_3_2_25_2","unstructured":"April 2026 Medicaid and CHIP Enrollment Data Highlights. Baltimore Centers for Medicare and Medicaid Services. www.medicaid.gov\/medicaid\/program-information\/medicaid-and-chip-enrollment-data\/report-highlights\/index.html"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2017-3517"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pgph.0004682"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201900407"},{"key":"e_1_3_2_29_2","unstructured":"Racial\/Ethnic Differences in Mental Health Service Use Among Adults. HHS pub no SMA-15-4906. Rockville MD Substance Abuse and Mental Health Services Administration 2015. https:\/\/www.samhsa.gov\/data\/sites\/default\/files\/MHServicesUseAmongAdults\/MHServicesUseAmongAdults.pdf"},{"key":"e_1_3_2_30_2","unstructured":"Access in Brief: Behavioral Health and Beneficiary Satisfaction by Race and Ethnicity. Washington DC Medicaid and CHIP Payment and Access Commission 2024. https:\/\/www.macpac.gov\/wp-content\/uploads\/2024\/01\/Access-in-Brief-Behavioral-Health-and-Beneficiary-Satisfaction-by-Race-and-Ethnicity.pdf"},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.1080\/09638237.2018.1521917"},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-014-2767-3"},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.1542\/hpeds.2016-0173"},{"key":"e_1_3_2_34_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2017.0303"},{"key":"e_1_3_2_35_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2022.05.014"},{"key":"e_1_3_2_36_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2021.641605"},{"key":"e_1_3_2_37_2","doi-asserted-by":"publisher","DOI":"10.1080\/08964289.2019.1588220"},{"key":"e_1_3_2_38_2","doi-asserted-by":"publisher","DOI":"10.1177\/1044389419842765"},{"key":"e_1_3_2_39_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2024.01.018"},{"key":"e_1_3_2_40_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201800060"},{"key":"e_1_3_2_41_2","doi-asserted-by":"publisher","DOI":"10.1093\/sf\/soz095"},{"key":"e_1_3_2_42_2","doi-asserted-by":"publisher","DOI":"10.1177\/0093854816631797"},{"key":"e_1_3_2_43_2","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2009.60.6.779"},{"key":"e_1_3_2_44_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2022-058227"},{"key":"e_1_3_2_45_2","doi-asserted-by":"publisher","DOI":"10.1037\/ort0000749"},{"key":"e_1_3_2_46_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40615-023-01842-9"},{"key":"e_1_3_2_47_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10903-023-01475-4"}],"container-title":["Psychiatric Services"],"original-title":[],"language":"en","deposited":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T04:00:14Z","timestamp":1790913614000},"score":1,"resource":{"primary":{"URL":"https:\/\/psychiatryonline.org\/doi\/10.1176\/appi.ps.20250557"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,2]]},"references-count":46,"alternative-id":["10.1176\/appi.ps.20250557"],"URL":"https:\/\/doi.org\/10.1176\/appi.ps.20250557","relation":{},"ISSN":["1075-2730","1557-9700"],"issn-type":[{"value":"1075-2730","type":"print"},{"value":"1557-9700","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,2]]},"article-number":"appi.ps.20250557"}}