Table 2.
Sociodemographic and clinical characteristics associated with mental health service use in the 6 months after a firearm injury
| No mental health service usea after injury, N=1655 | Mental health service usea after injury, N=958 | aOR (95% CI) | |
|---|---|---|---|
|
| |||
| Age, N (%) | |||
| 5–9 | 190 (11.5) | 102 (10.6) | 1.29 (0.92, 1.79) |
| 10–14 | 408 (24.7) | 228 (23.8) | 1.12 (0.88, 1.43) |
| 15–17 | 1057 (63.9) | 628 (65.6) | Ref |
|
| |||
| Sex, N (%) | |||
| Male | 1377 (83.2) | 808 (84.3) | 1.00 (0.76, 1.31) |
| Female | 278 (16.8) | 150 (15.7) | Ref |
|
| |||
| Race and ethnicity, N (%) | |||
| Hispanic | 38 (2.3) | 25 (2.7) | 1.31 (0.71, 2.40) |
| Non-Hispanic Black | 1138 (70.2) | 609 (66.1) | Ref |
| Non-Hispanic White | 383 (23.6) | 259 (28.1) | 1.29 (1.02, 1.63) |
| Other | 62 (3.8) | 29 (3.1) | 0.75 (0.43, 1.29) |
|
| |||
| Insurance type, N (%) | |||
| Fee-for-service | 398 (24) | 258 (26.9) | 1.10 (0.88, 1.38) |
| Capitated | 1257 (76) | 700 (73.1) | Ref |
|
| |||
| Prior mental health service use b | 201 (12.1) | 580 (60.5) | 10.41 (8.45, 12.82) |
|
| |||
| Location of bodily injury | |||
| Traumatic brain injury, back, spinal | 119 (7.2) | 61 (6.4) | 0.77 (0.51, 1.15) |
| Extremity | 889 (53.7) | 486 (50.7) | Ref |
| Torso | 120 (7.3) | 68 (7.1) | 0.95 (0.64, 1.41) |
| >1 Location | 462 (27.9) | 292 (30.5) | 1.14 (0.90, 1.43) |
| Other | 12 (0.7) | 7 (0.7) | 0.98 (0.30, 3.16) |
| Unknown | 53 (3.2) | 44 (4.6) | 1.16 (0.59, 2.27) |
|
| |||
| Injury severity score | 3.1 (2.5) | 3.2 (2.5) | 1.00 (0.97, 1.03) |
|
| |||
| Injury encounter level of care | |||
| Emergency department | 1241 (75) | 669 (69.8) | Ref |
| Observation or non-intensive care inpatient | 331 (20) | 229 (23.9) | 1.17 (0.90, 1.52) |
| Intensive care | 83 (5) | 60 (6.3) | 0.93 (0.58, 1.47) |
|
| |||
| Mental health diagnosis during index firearm encounter | 136 (8.2) | 280 (29.2) | 3.07 (2.34, 4.02) |
|
| |||
| New complex chronic condition c | 84 (5.1) | 93 (9.7) | 1.99 (1.36, 2.92) |
a.
Mental health service use defined as any outpatient, emergency department, or inpatient encounter in the 6-month period after firearm injury.
b.
Prior mental health service use defined as any outpatient, emergency department, or inpatient encounter in the 6-month period before the firearm injury.
c.
New complex chronic condition in the 6-month period after firearm injury.