Table 2.
Risk of suicidal behaviors after treatment for mental disorder or substance use disorder, by type of provider, in the Collaborative Psychiatric Epidemiology Surveys, overall and by group of disorders
| Any service | Any mental healthcare | General medical | Non-healthcare | ||||||
|---|---|---|---|---|---|---|---|---|---|
| n | OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI | |
| Model 1. Ideation in the total population | 5245 | 1.18 | (0.94–1.46) | 1.27 | (1.01–1.60) | 1.05 | (0.76–1.45) | 0.95 | (0.62–1.47) |
| i. Among people with mood disorder | 2219 | 0.98 | (0.73–1.33) | 1.02 | (0.76–1.36) | 0.85 | (0.57–1.28) | 0.81 | (0.50–1.32) |
| ii. Among people with anxiety disorder | 3256 | 1.27 | (0.98–1.65) | 1.39 | (1.06–1.82) | 1.01 | (0.69–1.49) | 0.93 | (0.57–1.52) |
| iii. Among people with substance use disorder | 1570 | 1.37 | (1.00–1.88) | 1.48 | (1.00–2.21) | 1.38 | (0.85–2.24) | 1.10 | (0.67–1.81) |
| Model 2. Plan with ideation and no lifetime attempt | 954 | 0.89 | (0.58–1.36) | 0.92 | (0.52–1.64) | 1.20 | (0.70–2.05) | 0.67 | (0.26–1.75) |
| i. Among people with mood disorder | 533 | 0.93 | (0.49–1.78) | 0.96 | (0.49–1.85) | 1.01 | (0.44–2.36) | 0.68 | (0.18–2.60) |
| ii. Among people with anxiety disorder | 633 | 0.86 | (0.51–1.45) | 0.76 | (0.47–1.22) | 1.22 | (0.64–2.35) | 0.87 | (0.36–2.09) |
| iii. Among people with substance use disorder | 319 | 0.94 | (0.56–1.59) | 1.33 | (0.49–3.59) | 1.48 | (0.61–3.57) | 0.32 | (0.10–1.01) |
| Model 3. Attempt with ideation | 1513 | 0.62 | (0.46–0.83) | 0.67 | (0.49–0.92) | 0.68 | (0.46–1.00) | 0.56 | (0.35–0.90) |
| i. Among people with mood disorder | 811 | 0.91 | (0.58–1.44) | 0.91 | (0.59–1.42) | 0.92 | (0.52–1.64) | 1.07 | (0.52–2.17) |
| ii. Among people with anxiety disorder | 1043 | 0.64 | (0.44–0.93) | 0.73 | (0.49–1.09) | 0.54 | (0.32–0.91) | 0.65 | (0.36–1.18) |
| iii. Among people with substance use disorder | 494 | 0.80 | (0.43–1.48) | 0.85 | (0.44–1.64) | 1.19 | (0.55–2.57) | 0.74 | (0.39–1.43) |
Each row and column is one model with suicidal behavior as dependent variable and type of provider as independent variable, adjusted by sex; age four categories: 18–25, 26–35, 36–45, 46–89; education four categories: 0–11, 12, 13–15, 16+ years of education; marital status three categories: married/cohabiting, divorced/separated/widowed, never married; race/ethnicity four categories: Asian, Hispanic, Black, White and other; US born (yes/no). Model 3 is also adjusted by presence of a plan and age of onset of a plan. Person-time is accounted for in all models.