Table 1.
Characteristics of US Youth Index Hospitalizations for Suicide Ideation or Attempt in 2013–2014, by 30-day Readmission Status
| Characteristic | Total N | Without 30-day readmit (%) | With 30-day readmit (%) | p-value |
|---|---|---|---|---|
| 133,516 | N=122,141 | N=11,375 | ||
| Patient Demographic characteristicsa | ||||
| Sex | ||||
| Male | 46,884 | 35.2 | 34.4 | .49 |
| Female | 86,632 | 64.8 | 65.6 | |
| Age Group | ||||
| 6–9 yo | 4786 | 3.6 | 3.7 | <.001 |
| 10–14 yo | 53,532 | 39.6 | 45.1 | |
| 15–17 yo | 75,198 | 56.8 | 51.3 | |
| Payer | <.001 | |||
| Public Insurance | 65,524 | 48.7 | 53.9 | |
| Private Insurance | 56,860 | 43.1 | 38.3 | |
| Other Insurance (charity, self-pay) | 11,132 | 8.2 | 7.8 | |
| Patient Location | .04 | |||
| Metropolitan area population >1million | 65,421 | 48.8 | 52.8 | |
| Metropolitan area population 50,000–1million | 48,203 | 36.3 | 34.6 | |
| Rural | 19,633 | 14.9 | 12.6 | |
| US ZIP Code Income Quartileb | .67 | |||
| Lowest ($1-$37,999) | 33,814 | 25.5 | 26.7 | |
| 2nd ($38,000–47,999) | 37,025 | 28.1 | 27.0 | |
| 3rd ($48,000-$63,999) | 34,968 | 26.4 | 26.7 | |
| Highest ($64,000+) | 26,298 | 19.9 | 19.6 | |
| Patient Clinical Characteristics | ||||
| LOS (Median [IQR]) | 5 (3,7) | 5 (3,7) | 6 (4,8) | <.001 |
| Medical Condition Profile | .009 | |||
| Any non-complex chronic condition | 43,162 | 32.1 | 34.8 | |
| Any complex chronic medical condition | 10,400 | 7.7 | 8.8 | |
| No chronic medical condition | 79,954 | 60.2 | 56.5 | |
| Any chronic psychiatric condition | 130,979 | 98.1 | 98.7 | .006 |
| Anxiety Disorder | 56,384 | 41.9 | 46.0 | .004 |
| ADHD | 33,667 | 24.9 | 28.2 | <.001 |
| Autism | 5323 | 3.9 | 4.6 | .12 |
| Bipolar Disorder | 42,352 | 31.0 | 39.0 | <.001 |
| Depressive Disorder | 80,111 | 60.3 | 56.4 | .001 |
| Externalizing Behavior Disorders | 29,120 | 21.4 | 25.9 | <.001 |
| Psychotic Disorder | 5487 | 3.9 | 6.2 | <.001 |
| Substance Abuse | 31,367 | 23.8 | 20.2 | <.001 |
| Other psychiatric condition | 41,249 | 30.8 | 32.2 | .27 |
| Number of chronic psychiatric conditions | <.001 | |||
| 1 psychiatric condition | 20,704 | 15.8 | 12.1 | |
| 2 psychiatric conditions | 37,848 | 28.6 | 25.8 | |
| >2 psychiatric conditions | 73,419 | 54.4 | 61.4 | |
| Type of suicide risk | <.001 | |||
| Suicide ideation only | 95,355 | 71.1 | 75.0 | |
| Suicide attempt: Cutting or poisoning | 30,910 | 23.5 | 19.0 | |
| Suicide attempt: Higher-lethality mechanism | 7251 | 5.4 | 6.0 | |
| SI/SA admission in past 30 days | 7180 | 4.6 | 13.8 | <.001 |
| Non-SI/SA admission in past 30 days | 3406 | 2.2 | 6.7 | <.001 |
| ED presentation | 65,953 | 48.9 | 54.4 | .001 |
| Hospital Characteristics | ||||
| Location | ||||
| Urban teaching hospital | 33,523 | 24.8 | 28.8 | |
| Urban non-teaching hospital | 94,645 | 71.2 | 67.7 | .037 |
| Rural hospital | 5348 | 4.0 | 3.5 | |
| Free-standing Children’s Hospital | 9848 | 7.4 | 7.4 | .994 |
a.
Where numbers do not sum to total, remainder of hospitalizations had missing data.
b.
2014 Quartiles are: Lowest $1-$39,999, Second $40,000-$50,999, Third $51,000-$65,999, Highest: >$66,000; Abbreviations: ADHD – attention deficit hyperactivity disorder, ED – Emergency Department, LOS – Length of Stay, IQR – interquartile range, NA – not applicable