Table 2.
Odds of Unplanned, All-cause 30-day Readmissions after Pediatric Hospitalization for Suicide Ideation or Attempt in 2013–2014
| Adjusted Odds Ratio (95% Confidence Interval) | |
|---|---|
| Patient Demographic characteristics | N=133,516 |
| Sex | |
| Female | Ref |
| Male | 0.94 (0.86–1.03) |
| Age Group | |
| 6–9 yo | 0.97 (.75–1.24) |
| 10–14 yo | 1.18 (1.07–1.29) |
| 15–17 yo | Ref |
| Payer | |
| Private Insurance | Ref |
| Public Insurance | 1.14 (1.04–1.25) |
| Other Insurance (charity, self-pay) | 1.01 (.85–1.19) |
| Patient Location | |
| Metropolitan area population >1million | 1.23 (1.04–1.46) |
| Metropolitan area population 50,000–1million | 1.15 (1–1.31) |
| Rural | Ref |
| US ZIP Code Income Quartilea | |
| Lowest ($1-$37,999) | 1.04 (.91–1.19) |
| 2nd ($38,000–47,999) | 1 (.88–1.14) |
| 3rd ($48,000-$63,999) | 1.02 (.90–1.17) |
| Highest ($64,000+) | Ref |
| Patient Clinical Characteristics | |
| Index Length of Stay (days) | |
| 1–3 days | Ref |
| 4–5 days | 1.25 (1.1–1.41) |
| 6–7 days | 1.4 (1.23–1.58) |
| >7 days | 1.65 (1.46–1.87) |
| Medical Condition Profile | |
| Any non-complex chronic condition | 1.07 (.98–1.18) |
| Any complex chronic medical condition | 1.13 (.98–1.31) |
| No chronic medical condition | Ref |
| Type of chronic psychiatric condition | |
| Anxiety Disorder | 1.12 (.99–1.25) |
| ADHD | 1.04 (.92–1.17) |
| Autism | 1 (.81–1.23) |
| Bipolar Disorder | 1.27 (1.13–1.44) |
| Depressive Disorder | 1.06 (.94–1.2) |
| Externalizing Behavior Disorder | 1.14 (1.02–1.28) |
| Psychotic Disorder | 1.39 (1.16–1.67) |
| Substance Abuse | .83 (.73–.95) |
| Other psychiatric condition | 1.01 (.9–1.12) |
| No psychiatric condition | Ref |
| Number of chronic psychiatric conditions | |
| 0 | .98 (.64–1.52) |
| 1 | Ref |
| 2 | 1.14 (.99–1.32) |
| >2 | 1.12 (.9–1.36) |
| Prior admission in past 30 days | |
| No prior admission | Ref |
| Non-SI/SA admission | 3.18 (2.67–3.78) |
| SI/SA admission | 3.14 (2.73–3.61) |
| ED presentation | 1.25 (1.15–1.36) |
| Hospital Characteristics | |
| Hospital Location | |
| Urban non-teaching hospital | Ref |
| Urban teaching hospital | 1.22 (1.11–1.34) |
| Rural hospital | 1.26 (1.02–1.55) |
| Free-standing Children’s Hospital | .98 (.83–1.17) |
a.
2014 Quartiles are: Lowest $1-$39,999, Second $40,000-$50,999, Third $51,000-$65,999, Highest: >$66,000; Models account for NRD survey weights and clustering of admissions within patients, and they adjust for all listed covariates, month of admission, and year of admission. Abbreviations: ADHD – attention deficit hyperactivity disorder, ED – Emergency Department, Ref – reference group, SA – suicide attempt, SI – suicide ideation, yo – years old