Table 4.
Health service utilization 30 d and 1 y following cohort entry and prior to death
| Health service utilization after cohort entry | Hospital cohort N (%) | Outpatient cohort N (%) | Standardized difference |
|---|---|---|---|
| Total | 2382 | 11 003 | |
| 30 d following diagnosis | |||
| No visits | 877 (36.8) | 4157 (37.8) | 0.02 |
| PCP visit(s) | 818 (34.3) | 4151 (37.7) | 0.07 |
| Psychiatrist visit(s) | 982 (41.2) | 3855 (35.0) | 0.13 |
| PCP and psychiatrist visit(s) | 344 (14.4) | 1422 (12.9) | 0.04 |
| ED visit | |||
| Mental health related | 156 (6.5) | 447 (4.1) | 0.11 |
| Self-harm | 8 (0.3) | 34 (0.3) | 0.00 |
| Nonmental health related | 213 (8.9) | 684 (6.2) | 0.10 |
| Hospitalization | |||
| Mental health related | 301 (12.6) | 3094 (28.1) | 0.39 |
| Nonmental health related | 35 (1.5) | 79 (0.7) | 0.07 |
| 1 y following diagnosis | |||
| No visits | 199 (8.4) | 328 (3.0) | 0.23 |
| PCP visit(s) | 1778 (74.6) | 9502 (86.4) | 0.30 |
| Psychiatrist visit(s) | 1700 (71.4) | 8003 (72.7) | 0.03 |
| PCP and psychiatrist visit(s) | 1333 (56.0) | 6876 (62.5) | 0.13 |
| ED visit | |||
| Mental health related | 523 (22.0) | 1914 (17.4) | 0.11 |
| Self-harm | 50 (2.1) | 191 (1.7) | 0.03 |
| Nonmental health related | 857 (36.0) | 3817 (34.7) | 0.03 |
| Hospitalization | |||
| Mental health related | 952 (40.0) | 4598 (41.8) | 0.04 |
| Nonmental health related | 132 (5.5) | 522 (4.7) | 0.04 |
| Health service utilization prior to death | |||
| Total deaths | 97 | 292 | 0.08 |
| 30 d before death | |||
| Physician visits | |||
| No visits | 46 (47.4%) | 143 (49.0%) | 0.03 |
| PCP visit(s) | 29 (29.9%) | 99 (33.9%) | 0.09 |
| Psychiatrist visit(s) | 21 (21.6%) | 68 (23.3%) | 0.04 |
| PCP and psychiatrist visit(s) | 6 (6.2%) | 27 (9.2%) | 0.11 |
| ED visit | |||
| Mental health-related | 7 (7.2%) | 25 (8.6%) | 0.05 |
| Self-harm | ≤5 | ≤5 | 0.21 |
| Nonmental health-related | 11 (11.3%) | 49 (16.8%) | 0.16 |
| Hospitalization | |||
| Mental health-related | 6 (6.2%) | 23 (7.9%) | 0.07 |
| Nonmental health-related | ≤5 | 12 (4.1%) | 0.05 |
| 1 y before death | |||
| Physician visits | |||
| No visits | 17 (17.5%) | 32 (11.0%) | 0.19 |
| PCP visit(s) | 63 (64.9%) | 213 (72.9%) | 0.17 |
| Psychiatrist visit(s) | 52 (53.6%) | 185 (63.4%) | 0.20 |
| PCP and psychiatrist visit(s) | 38 (39.2%) | 140 (47.9%) | 0.18 |
| ED visit | |||
| Mental health-related | 29 (29.9%) | 99 (33.9%) | 0.09 |
| Self-harm | ≤5 | 18 (6.2%) | 0.04 |
| Nonmental health-related | 55 (56.7%) | 162 (55.5%) | 0.02 |
| Hospitalization | |||
| Mental health-related | 36 (37.1%) | 104 (35.6%) | 0.03 |
| Nonmental health-related | 18 (18.6%) | 48 (16.4%) | 0.06 |