Table 2: Adjusted Mean Rates and Differences per 1,000 of First Diagnosis for Depression, Anxiety, or Suicidal Thoughts/Behaviors by Race and Gender Subgroup, Before versus During the COVID-19 Pandemic.

n= 29,117 years 2015–2022

	Pre-COVID (2015–2019) mean (SD)	During COVID (2020–2022) mean (SD)	Adjusted Mean Difference* (95% CI)
First Depression Diagnosis (per 1,000)
White male	16.6 (14.8)	36.0 (35.7)	19.4 (15.5–23.4)
White female	31.2 (20.2)	65.7 (45.8)	34.6 (29.6–39.5)
Black male	13.3 (13.8)	24.5 (27.3)	11.2 (7.4–15.1)
Black female	23.9 (18.4)	57.1 (40.5)	33.2 (27.9–38.5)
Hispanic male	12.1 (13.1)	35.1 (32.6)	23.0 (13.5–32.5)
Hispanic female	31.5 (20.7)	73.3 (46.4)	41.9 (28.1–55.6)
Asian male	17.3 (15.4)	22.0 (25.6)	4.7 (−4.3–13.6)
Asian female	18.8 (16.5)	53.0 (37.7)	34.2 (22.6–5.8)
First Anxiety Diagnosis (per 1,000)
White male	34.7 (22.5)	42.2 (36.5)	7.6 (3.2–12.0)
White female	52.7 (27.1)	73.7 (47.6)	21.0 (15.6–26.5)
Black male	16.5 (15.9)	21.8 (25.3)	5.3 (1.6–9.1)
Black female	25.1 (19.1)	48.7 (38.3)	23.7 (18.5–28.8)
Hispanic male	28.7 (20.4)	32.9 (31.7)	4.2 (−6.0–14.5)
Hispanic female	40.9 (24.4)	67.4 (44.3)	26.4 (12.7–40.2)
Asian male	23.0 (18.6)	29.9 (29.3)	6.9 (−3.5–17.3)
Asian female	25.4 (19.3)	59.9 (41.1)	34.5 (21.7–47.3)
First Suicide-related Diagnosis (per 1,000)
White male	4.5 (8.2)	5.5 (13.6)	1.0 (−0.6–2.6)
White female	5.0 (8.5)	7.7 (16.1)	2.7 (0.9–4.5)
Black male	3.0 (6.9)	3.3 (9.8)	0.4 (−1.2–1.9)
Black female	5.1 (8.7)	9.7 (17.5)	4.6 (2.2–6.9)
Hispanic male	4.2 (7.9)	6.9 (14.7)	2.8 (−1.8–7.3)
Hispanic female	4.8 (8.5)	7.8 (15.5)	3.0 (−1.8–7.8)
Asian male	5.8 (9.5)	3.8 (15.5)	−2.0 (−6.2–2.2)
Asian female	2.8 (6.6)	7.5 (14.9)	4.8 (0.2–9.3)

^*Mixed multilevel adjusted logistic regression analysis, nested level is individual patient and Department

Adjusted for age, insurance type, number of encounters, years in the data, number of complex chronic conditions, Elixhauser score, National Area Deprivation Index and Department of encounter