Research :: Health Insurance Access and Counseling Receipt and Their Association With Later Depressive and Suicidal Symptoms

This research brief by Child Trends (created through a partnership with NAHIC) analyzes panel data from the National Longitudinal Study of Adolescent Health, which was conducted in three waves of interviews, for 9,996 adolescents to assess whether the receipt of supportive (psychological or emotional) counseling and access to health insurance is related to the persistence of adolescent depression and/or suicidality into young adulthood.

Mental health disorders that begin in adolescence often –though not always – persist into early adulthood. The continuity of mental health problems may reflect biological and genetic origins and/or ongoing social and personal challenges or reflect low use of mental health services in adolescence and young adulthood. Research examining factors related to low service use has identified the inability to pay for services as one of several causes.  Results of this study indicate that teens reporting symptoms of depression or suicidality in adolescence are 2.8 times more likely to report these symptoms in young adulthood than teens who did not report symptoms in adolescence.

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Health Insurance Access and Counseling Receipt and Their Association With Later Depressive and Suicidal Symptoms




Access & Utilization, Depression, Mental/Behavioral Health, Reports, Suicide


November 30, 2012


Mary A. Terzian, Ph.D., Kristin A. Moore, Ph.D., Tawana Bandy, B.S., and Kelly Bell, B.A.


Protecting Adolescent Confidentiality Under Health Care Reform: The Special Case Regarding Explanation of Benefits (EOBs)

This report explores a number of strategies to balance the need of confidentiality with patient communication, and provides insights offered through interviews with experts on the subject.

Affordable Care Act | Confidential Care | Reports | Youth-Centered Care

Tracking Adolescent Health Policy: An Annotated List, 2008 Update

This 2008 brief provides an annotated list of organizations and agencies that monitor trends in state and federal policies related to the 21 Critical Health Objectives.

Overviews/Fact Sheets | Reports | State Policy

What Works To Prevent Or Reduce Internalizing Problems Or Socio-Emotional Difficulties in Adolescents

This 2012 paper presents lessons learned from 37 random-assignment social intervention programs for adolescents that are designed to prevent or treat internalizing problems.

Evidence-based programs | Guidelines/Recommendations | Mental/Behavioral Health | Reports

Realizing the Dream for Californians Eligible for Deferred Action for Childhood Arrivals (DACA): A Two-Part Series on the DACA-Eligible Population in California

Millions of Californians are expected to gain health insurance under the Affordable Care Act (ACA). Between three and four million, however, are likely to remain uninsured, including about one million undocumented immigrants who are not eligible for the ACA’s federal coverage options. Included in this group are teens and young adults who are eligible for or […]

Access & Utilization | Affordable Care Act | Immigrants | Policy | Special Populations | State Policy

California’s Confidential Health Information Act and Medical Privacy Protection

This brief, released in February 2015, was written by researchers from the University of California San Francisco Philip R. Lee Institute for Health Policy Studies. The “Age 26” of Affordable Care Act (ACA) allowed many young adults ages 19 to 26 to retain insurance coverage as a dependent through their parents’ employer-based plans. This expanded dependent […]

Affordable Care Act | AYAH Resource Center | Confidential Care | Reports | State Policy