TABLE 4.
Suicidality | Psychosis | Substance Use | ||||||
---|---|---|---|---|---|---|---|---|
Mental Health Assessment (ED), OR (95% CI) | Counseling on Lethal Means Restriction (Inpatient), OR (95% CI) | Discharge Communication With Outpatient Provider (Inpatient), OR (95% CI) | Substance Use Screening (ED)a, Coefficient (95% CI) | Timely Consultation (Inpatient), OR (95% CI) | Specialty Input Before Starting Medication (Inpatient), OR (95% CI) | Baseline Metabolic Testing Before Medications (Inpatient)b, Coefficient (95% CI) | Assessing for Comorbid Mental Health (Inpatient)b, Coefficient (95% CI) | |
n = 235 | n = 211 | n = 156 | n = 201 | n = 251 | n = 92 | n = 115 | n = 50 | |
Patient characteristics | ||||||||
Sex | ||||||||
Malec | 0.59 (0.16 to 2.19) | 0.27 (0.12 to 0.58)d | 1.42 (0.66 to 3.05) | 4.36 (−3.83 to 12.54) | 0.83 (0.39 to 1.75) | 0.84 (0.19 to 3.72) | −0.80 (−8.30 to 6.70) | −19.98 (−34.18 to −5.77)e |
Age, y | ||||||||
5–11c | 0.58 (0.10 to 3.37) | 3.99 (0.45 to 35.58) | 2.22 (0.55 to 8.94) | —f | 1.93 (0.40 to 9.31) | —g | −14.01 (−30.49 to 2.48) | —f |
16–19c | 0.45 (0.11 to 1.87) | 0.80 (0.36 to 1.79) | 2.21 (1.05 to 4.65)h | −5.95 (−14.08 to 2.19) | 0.63 (0.29 to 1.35) | 2.99 (0.53 to 16.85) | −5.62 (−13.41 to 2.16) | 6.81 (−7.87 to 21.49) |
Race | ||||||||
Hispanicc | —f | 0.36 (0.06 to 2.13) | —f | −1.32 (−33.89 to 31.26) | —f | —f | —f | —f |
African Americanc | —f | 0.31 (0.12 to 0.83)h | —f | 0.52 (−8.50 to 9.53) | —f | —f | —f | —f |
Otherc | —f | 1.26 (0.33 to 4.83) | —f | 8.90 (−4.10 to 21.90) | —f | —f | —f | —f |
Models all also included a fixed effect variable for hospitals to account for hospital-level systematic differences in care. —, not applicable.
ODD adjusted and restricted to ages 12–19 y as specified.
ODD adjusted.
Reference groups: girls, ages 12–15 y, white.
P < .001.
P < .01.
Variable not included for this measure because relationships were not statistically significant in the bivariate analysis.
Not included in hypothesis testing because of no variation in category (performance either 100 or 0).
P < .05.