Table 2.
Demographic, clinical, and utilization predictors of suicide risk patient record flag initiation (N = 474,946).
| Predictors | OR | 95% CI | p-value |
|---|---|---|---|
| Age | |||
| <35 | referent | ||
| 35–44 | 0.81 | 0.74 – 0.88 | * |
| 45–54 | 0.68 | 0.61 – 0.75 | * |
| 55–64 | 0.44 | 0.39 – 0.50 | * |
| 65+ | 0.28 | 0.23 – 0.33 | * |
| Race | |||
| White | referent | ||
| Black | 0.63 | 0.56 – 0.70 | * |
| Other | 0.93 | 0.84 – 1.04 | |
| Unknown | 0.79 | 0.67 – 0.94 | |
| Ethnicity | |||
| Not Hispanic/Latino | referent | ||
| Hispanic/Latino | 1.27 | 0.72 – 2.27 | |
| Unknown | 0.95 | 0.81 – 1.12 | |
| Gender | |||
| Female | referent | ||
| Male | 0.97 | 0.88 – 1.06 | |
| Marital Status | |||
| Not Married | referent | ||
| Married | 1.07 | 1.01 – 1.13 | |
| Unknown | 0.96 | 0.67 – 1.38 | |
| OEF/OIF | 1.19 | 1.09 – 1.31 | * |
| Service Connected ≥50% | 0.87 | 0.82 – 0.93 | * |
| Homeless Baseline | 1.22 | 1.10 – 1.35 | * |
| Substance Use Diagnosis Baseline | |||
| Alcohol Disorder | 1.04 | 0.97 – 1.11 | |
| Cannabis Disorder | 1.00 | 0.94 – 1.07 | |
| Cocaine Disorder | 1.34 | 1.21 – 1.49 | * |
| Amphetamine Disorder | 1.08 | 0.93 – 1.25 | |
| Opioid Disorder | 1.18 | 1.09 – 1.28 | * |
| Sedative Disorder | 1.45 | 1.22 – 1.72 | * |
| Other Substance Use Disorder | 0.97 | 0.90 – 1.05 | |
| Mental Health Diagnosis Baseline | |||
| Depressive Disorder | 2.57 | 2.41 – 2.74 | * |
| Posttraumatic Stress Disorder | 1.22 | 1.10 – 1.35 | * |
| Anxiety Disorder | 1.06 | 1.01 – 1.11 | |
| Bipolar Disorder | 3.04 | 2.78 – 3.32 | * |
| Psychotic Disorder | 1.33 | 1.22 – 1.46 | * |
| Charlson Comorbidity Index Score** | |||
| 0 | referent | ||
| 1 | 1.01 | 0.95 – 1.07 | |
| ≥2 | 1.10 | 1.01 – 1.19 | |
| Pain-Related Diagnosis Baseline | 1.08 | 1.03 – 1.13 | |
| Suicide Attempt Diagnosis Baseline | 5.71 | 4.95 – 6.59 | * |
| Acute Inpatient Admissions Baseline | |||
| Any Medical Admission | 0.9 | 0.84 – 0.97 | |
| Any Psychiatric Admission | 1.23 | 1.11 – 1.36 | * |
| Any Substance Use Admission | 1.03 | 0.91 – 1.16 | |
| Outpatient Visits Baseline | |||
| Any Primary Care Visit | 0.51 | 0.48 – 0.55 | * |
| Any Mental Health Visit | 1.52 | 1.36 – 1.70 | * |
| Any Substance Use Visit | 0.83 | 0.77 – 0.90 | * |
| Any Emergency Department Visit | 2.01 | 1.83 – 2.20 | * |
| constant | 0.01 | 0.01 – 0.02 | |
Notes. ED = Emergency Department. OEF/OIF = Operation Enduring Freedom and Operation Iraqi Freedom; CI = Confidence Interval
*
p < .001.
**
Tiers reflect patients’ total Charlson Comorbidity Index scores at baseline.