Table 2.
Social determinant of health (SDoH) prevalence among youth with a primary mental health diagnosis
| Overalla (n=244,958) | Nonfatal Self-Harmb (n=3,262) | Unadjusted Hazard Ratio | 99% CI | |||
|---|---|---|---|---|---|---|
| Social determinant of health category | n | %a | n | %b | ||
| Abuse and neglect | 32,556 | 13.3 | 1,061 | 32.5 | 5.03 | 4.57–5.54 |
| Child welfare placement | 5,300 | 2.2 | 146 | 4.5 | 3.93 | 3.16–4.89 |
| Disappearance/death of family member | 2,387 | 1.0 | 62 | 1.9 | 4.35 | 3.13–6.05 |
| Educational problems | 6,667 | 2.7 | 79 | 2.4 | 1.95 | 1.46–2.62 |
| Employment or financial problems | 1,557 | 0.6 | 28 | 0.9 | 3.81 | 2.33–6.21 |
| Exposure to violence | 4,490 | 1.8 | 76 | 2.3 | 3.02 | 2.24–4.07 |
| Family alcohol/drug use | 343 | 0.1 | 8 | 0.3 | 3.99 | 1.60–9.94 |
| Family disruption by separation/divorce | 908 | 0.4 | 12 | 0.4 | 2.27 | 1.08–4.79 |
| Housing instability | 672 | 0.3 | 21 | 0.6 | 6.98 | 3.97–12.27 |
| Parent-child conflict | 5,464 | 2.2 | 188 | 5.8 | 5.91 | 4.87–7.17 |
| Other family problems | 7,703 | 3.1 | 206 | 6.3 | 4.97 | 4.13–5.98 |
| Social environmental problem | 2,817 | 1.1 | 100 | 3.1 | 6.49 | 4.99–8.43 |
| Nonspecific psychosocial needs | 2,736 | 1.1 | 91 | 2.8 | 6.29 | 4.78–8.27 |
a
Prevalence for the full study period (from the index date until age 25, death, end of Medicaid enrollment, or December 31, 2018)
b
Prevalence at the time of the first nonfatal self-harm claim