Table 3: Odds of First Diagnosis for Depression, Anxiety, or Suicide by Race and Gender Subgroup, Before versus During the COVID-19^* Pandemic.

n= 29,117 years=2015–2022

	Pre-COVID (2015–2019)				During/Post-COVID (2020–2022)
	Odds ratio	95% conf. interval		P>z	Odds ratio	95% conf. interval		P>z
First Depression Diagnosis
White male	Reference				Reference
White female	1.51	1.33	1.70	0.000	1.75	1.53	2.01	0.000
Black male	0.65	0.55	0.78	0.000	0.63	0.52	0.77	0.000
Black female	0.96	0.83	1.11	0.606	1.47	1.27	1.71	0.000
Hispanic male	0.61	0.43	0.86	0.004	1.03	0.77	1.37	0.867
Hispanic female	1.37	1.10	1.72	0.006	1.97	1.57	2.47	0.000
Asian male	1.02	0.74	1.40	0.891	0.65	0.44	0.97	0.033
Asian female	1.21	0.91	1.60	0.187	1.77	1.37	2.27	0.000
First Anxiety Diagnosis
White male	Reference				Reference
White female	1.40	1.28	1.54	0.000	1.63	1.45	1.83	0.000
Black male	0.47	0.40	0.54	0.000	0.55	0.46	0.66	0.000
Black female	0.67	0.59	0.76	0.000	1.06	0.92	1.22	0.406
Hispanic male	0.79	0.63	0.98	0.032	0.74	0.56	0.99	0.044
Hispanic female	0.98	0.81	1.19	0.823	1.48	1.19	1.83	0.000
Asian male	0.67	0.52	0.88	0.003	0.70	0.51	0.97	0.030
Asian female	0.79	0.62	0.99	0.044	1.33	1.06	1.67	0.013
First Suicide-related Diagnosis
White male	Reference				Reference
White female	0.91	0.70	1.18	0.491	1.26	0.90	1.75	0.174
Black male	0.60	0.42	0.87	0.006	0.61	0.38	0.97	0.035
Black female	1.01	0.76	1.36	0.925	1.44	1.02	2.05	0.041
Hispanic male	0.69	0.38	1.25	0.219	1.08	0.57	2.07	0.811
Hispanic female	0.87	0.52	1.46	0.590	1.07	0.58	1.99	0.820
Asian male	1.38	0.81	2.34	0.237	0.83	0.36	1.93	0.664
Asian female	0.69	0.35	1.36	0.283	1.45	0.79	2.66	0.229

^*Mixed multilevel logistic regression analysis, nested levels are individual patient and Department

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

Bold= Confidence Intervals for the two time periods do not overlap