Table 1:
Variation in health service use within the 7-, 30-, and 60-day time periods before suicide.
| 7- days Prior to index date | 30- days prior to index date | 60- days prior to index date | |||||||
|---|---|---|---|---|---|---|---|---|---|
| Visit Type | Controls, % (n=267, 400) | Cases, % (n=2, 674) | AOR (95% CI) | Controls, % (n=267, 400) | Cases, % (n=2, 674) | AOR (95% CI) | Controls, % (n=267, 400) | Cases % (n=2, 674) | AOR (95% CI) |
| Any Encounter | 10.7 | 29.6 | 3.31 (3.04, 3.61) | 29.9 | 54.3 | 2.67 (2.47, 2.89) | 44.1 | 66.2 | 2.42 (2.23, 2.62) |
| Inpatient Stay | 0.2 | 5.9 | 32.03 (26.24, 39.11) | 0.7 | 11.7 | 16.86 (14.73, 18.29) | 1.2 | 15.0 | 12.18 (10.53, 13.71) |
| Emergency Room or Urgent Care Visit | 0.6 | 6.5 | 11.26 (9.53, 13.31) | 2.5 | 14.1 | 6.82 (6.08, 7.64) | 4.8 | 19.6 | 5.08 (4.56, 5.57) |
| Outpatient Specialty Visit | 6.2 | 16.3 | 2.73 (2.45, 3.04 | 17.9 | 36.7 | 2.52 (2.32, 2.73) | 27.1 | 48.8 | 2.45 (2.26, 2.65) |
| Primary Care Visit | 4.3 | 9.5 | 2.16 (1.99, 2.46) | 15.4 | 27.0 | 1.90 (1.74, 2.07) | 26.4 | 39.2 | 1.70 (1.57, 1.84) |
| Any Visit with MH diagnosis | 1.2 | 13.5 | 15.50 (13.72, 17.52) | 3.4 | 27.7 | 12.19 (11.12, 13.35) | 5.3 | 34.4 | 10.39 (9.55, 11.31) |
| Inpatient with MH diagnosis | 0.04 | 3.1 | 70.42 (54.15, 102.27) | 0.2 | 7.2 | 44.28 (36.57, 53.63) | 0.3 | 9.7 | 33.13 (28.29, 38.79) |
| Emergency Room or Urgent Care Visit with MH diagnosis | 0.03 | 2.1 | 70.89 (49.31, 101.92) | 0.1 | 5.9 | 54.65 (44.26, 67.19) | 0.2 | 8.0 | 38.10 (32.06, 45.27) |
| Outpatient Specialty Visit with MH diagnosis | 0.8 | 7.6 | 13.31 (11.37, 15.58) | 2.1 | 17.3 | 11.94 (10.70, 13.31) | 3.1 | 22.2 | 10.94 (9.92, 12.07) |
| Primary Care Visit with MH diagnosis | 0.3 | 3.3 | 11.14 (8.85, 14.03) | 1.2 | 9.7 | 8.65 (7.54, 9.93) | 2.2 | 14.4 | 7.41 (6.61, 8.31) |
| Any Visit with SU diagnosis | 0.3 | 4.2 | 16.62 (13.46, 20.53) | 0.8 | 10.1 | 12.27 (10.69, 14.08) | 1.4 | 13.2 | 9.39 (8.33, 10.59) |
| Inpatient with SU diagnosis | 0.02 | 1.8 | 103.68 (66.38, 161.92) | 0.08 | 4.1 | 52.29 (40.56, 67.40) | 0.2 | 5.5 | 33.17 (27.03, 40.71) |
| Emergency Room or Urgent Care Visit with SU diagnosis | 0.03 | 1.4 | 61.53 (39.79, 95.15) | 0.1 | 2.9 | 30.61 (23.34, 40.13) | 0.2 | 3.9 | 22.66 (18.09, 28.37) |
| Outpatient Specialty Visit with SU diagnosis | 0.1 | 1.2 | 10.24 (7.03, 14.91) | 0.3 | 4.0 | 12.33 (9.97, 15.25) | 0.5 | 5.8 | 11.10 (9.32, 13.23) |
| Primary Care Visit with SU diagnosis | 0.1 | 0.5 | 4.38 (2.58, 7.58) | 0.4 | 2.4 | 5.12 (3.95, 6.64) | 0.8 | 3.9 | 4.49 (3.66, 5.50) |
*
Odds Ratios are adjusted for age and sex
**
MH denotes Mental Health
***
SU denotes Substance Use