Table 3.
Cox proportional hazards regression of the association between self-harm-related potential risk factors and suicide-related mortality.
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Univariate analysis | Multivariate analysis | |||||||||||||
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Coefa | HRb (95% CI) | P value | Coef | HR (95% CI) | P value | |||||||||
| Self-harm severity | 1.659 | 5.25 (4.35-6.34) | <.001c | 1.461 | 4.31 (3.55-5.26) | <.001c | |||||||||
| Demographic factors | |||||||||||||||
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Sex | ||||||||||||||
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Female | N/Ad | 1 (reference) | N/A | N/A | 1 (reference) | N/A | |||||||
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Male | 0.716 | 0.49 (0.42-0.57) | <.001c | 0.362 | 0.70 (0.59-0.83) | <.001c | |||||||
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Age | 0.034 | 1.04 (1.03-1.04) | <.001c | 0.042 | 1.04 (1.03-1.06) | <.001c | ||||||||
| Medical history–related factor | |||||||||||||||
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Cancer | −0.149 | 0.86 (0.74-1.01) | .07 | N/A | N/A | N/A | ||||||||
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Charlson comorbidity index | 0.411 | 1.51 (1.43-1.59) | <.001c | 0.087 | 0.92 (0.77-1.10) | .34 | ||||||||
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Disability status | ||||||||||||||
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No | N/A | 1 (reference) | N/A | N/A | 1 (reference) | N/A | |||||||
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Mild | 0.722 | 0.49 (0.39-0.61) | <.001c | 0.160 | 0.85 (0.68-1.07) | .17 | |||||||
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Severe | −1.024 | 0.36 (0.23-0.56) | <.001c | −0.563 | 0.57 (0.37-0.89) | .01e | |||||||
| Socioeconomic factor | |||||||||||||||
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Smoking | 0.129 | 0.88 (0.79-0.98) | .02e | 0.272 | 0.76 (0.62-0.93) | .009f | ||||||||
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Drinking | 0.156 | 0.86 (0.77-0.95) | .004f | 0.288 | 0.75 (0.61-0.92) | .005f | ||||||||
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National Health Insurance | ||||||||||||||
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Medical benefit | N/A | 1 (reference) | N/A | N/A | 1 (reference) | N/A | |||||||
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Employee or local | −1.024 | 0.89 (0.67-1.17) | .39 | N/A | N/A | N/A | |||||||
| Psychiatric diagnosis and psychiatry department–related factor | |||||||||||||||
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Psychiatric diagnosis type | ||||||||||||||
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Psychiatric diagnosis first | N/A | 1 (reference) | N/A | N/A | 1 (reference) | N/A | |||||||
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Self-harm first | −1.729 | 0.18 (0.11-0.29) | <.001c | −1.865 | 0.15 (0.10-0.25) | <.001c | |||||||
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No psychiatric diagnosis | 0.541 | 1.72 (1.45-2.04) | <.001c | 0.608 | 1.84 (1.47-2.30) | <.001c | |||||||
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Psychiatry visit type | ||||||||||||||
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Psychiatry first, then other | N/A | 1 (reference) | N/A | N/A | 1 (reference) | N/A | |||||||
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Only psychiatry | −0.418 | 0.66 (0.49-0.88) | .005f | −0.380 | 1.46 (1.08-1.99) | .02e | |||||||
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Other first, then psychiatry | −0.143 | 0.87 (0.68-1.10) | .24 | −0.104 | 1.11 (0.87-1.41) | .40 | |||||||
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Only other departments | 0.247 | 1.28 (1.00-1.65) | .05 | 0.262 | 1.30 (1.01-1.68) | .04e | |||||||
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No psychiatric diagnosis | N/A | 1.82 (1.47-2.25) | <.001c | N/A | N/A | N/A | |||||||
aCoef: coefficient.
bHR: hazard ratio.
cP<.001.
dN/A: not applicable.
eP<.05.
fP<.01.