Table 5.
Factors related to general practitioner vigilance to suicidalitya
| Univariate analysisb | M1: adjusted for consultations, age & gender | M2: M1 + diagnosis | M3: M2 + socio-demographic | M4: M3 + locale | |
|---|---|---|---|---|---|
| GPconsultations: numberc | 1.18 (1.10, 1.27)*** | 1.24 (1.12, 1.36)*** | 1.20 (1.08, 1.33)*** | 1.20 (1.08, 1.33)** | 1.18 (1.07, 1.31)** |
| Age: 35–54 (ref = < 35) | 3.31 (1.61, 6.79)*** | 2.09 (0.94, 4.62) | 1.25 (0.51, 3.03) | 1.20 (0.48, 2.99) | 1.20 (0.47, 3.11) |
| 55+ | 2.11 (0.86, 5.20) | 0.67 (0.21, 2.18) | 0.50 (0.14, 1.79) | 0.49 (0.13, 1.88) | 0.52 (0.13, 2.15) |
| Gender: female (ref = male) | 0.50 (0.18, 1.38) | 0.18 (0.04, 0.72)* | 0.19 (0.05, 0.79)* | 0.21 (0.05, 0.89)* | 0.18 (0.04, 0.81)* |
| MH problems: (ref = none) | |||||
| Common MH problems | 5.24 (2.36, 11.62)*** | 2.75 (1.06, 7.14)* | 2.86 (1.09, 7.53)* | 3.47 (1.25, 9.66)* | |
| Serious mental illness | 11.08 (3.39, 36.20)*** | 7.76 (2.03, 29.67)** | 8.61 (2.13, 34.85)** | 8.08 (1.94, 33.71)** | |
| Drugs/alcohol problems | 10.15 (3.45, 29.88)*** | 4.34 (1.18, 16.0)* | 4.74 (1.23, 18.17)* | 4.28 (1.13, 16.25)* | |
| Lives alone: yes (ref = no) | 1.35 (0.67, 2.68) | 0.85 (0.34, 2.12) | 0.74 (0.28, 1.95) | ||
| In paid work: no (ref = yes) | 0.87 (0.45, 1.65) | 0.79 (0.34, 1.87) | 0.90 (0.37, 2.22) | ||
| Locale: large towns (ref = urban) | 1.99 (0.94, 4.22) | 2.35 (0.93, 5.60) | |||
| Small townsd | na | na | |||
| Rural areas | 1.65 (0.74, 3.65) | 1.65 (0.60, 4.56) |
*** = p < 0.001; ** = S < 0.005; * = 0.05
a Analysis includes only those who have no history of prior attempts
b Data represents Odds Ratios (ORs) indicating the likelihood of the patient having discussed suicide with their GP
c Number of consultations entered into the model as continuous-ORs represent the increase in likelihood of engagement per additional consultation
d The category ‘small towns’ predicts the outcome perfectly-they are therefore dropped from the analysis