Table 5.
Diagnostic predictors of psychiatric treatment utilization among children with lifetime history of pure suicidal ideation (unweighted n = 1521).
| Any treatment | ||||
|---|---|---|---|---|
| Univariate | Multivariate | |||
| OR (95% CI) | p | OR (95% CI) | p | |
| Any disorder | 9.01 (6.04–13.43) | <0.001 | 9.89 (6.34–15.41) | <0.001 |
| Number of diagnoses | ||||
| Single disorder | 4.18 (2.65–6.59) | <0.001 | 4.89 (2.98–8.02) | <0.001 |
| Two or more disorders | 12.78 (8.47–19.27) | <0.001 | 13.84 (8.73–21.93) | <0.001 |
| Disorder type | ||||
| MDD | 2.14 (1.57–2.93) | <0.001 | 1.44 (0.97–2.15) | 0.07 |
| Any anxiety disorder | 3.92 (3.03–5.07) | <0.001 | ||
| Separation anxiety | 3.61 (2.61–4.99) | <0.001 | 1.48 (0.95–2.32) | 0.09 |
| Social anxiety | 3.68 (2.45–5.52) | <0.001 | 1.91 (1.09–3.34) | 0.02 |
| Specific phobia | 1.86 (1.44–2.39) | <0.001 | 1.07 (0.77–1.50) | 0.67 |
| GAD | 5.63 (3.93–8.08) | <0.001 | 3.08 (1.96–4.84) | <0.001 |
| OCD | 2.23 (1.61–3.10) | <0.001 | 0.99 (0.63–1.55) | 0.96 |
| PTSD | 5.54 (3.10–9.90) | <0.001 | 1.56 (0.74–3.28) | 0.24 |
| Any behavioral disorder | 4.23 (3.26–5.49) | <0.001 | ||
| Conduct disorder | 3.10 (2.04–4.72) | <0.001 | 1.51 (0.85–2.68) | 0.16 |
| ODD | 4.26 (3.27–5.54) | <0.001 | 2.33 (1.65–3.29) | <0.001 |
| ADHD | 4.35 (3.36–5.63) | <0.001 | 2.11 (1.53–2.92) | <0.001 |
| Eating disorders | 4.32 (1.59–11.71) | <0.01 | 1.64 (0.42–6.32) | 0.47 |
| Psychosis | 2.66 (1.06–6.70) | 0.04 | 1.12 (0.28–4.50) | 0.88 |
CI confidence interval, GED General Educational Development, OR odds ratio, ADHD attention-deficit hyperactivity disorder, GAD generalized anxiety disorder, MDD major depressive disorder, OCD obsessive compulsive disorder, ODD oppositional defiant disorder, PTSD post-traumatic stress disorder; Any anxiety disorder panic disorder, agoraphobia, separation anxiety disorder, social anxiety disorder, specific phobia, generalized anxiety disorder, obsessive compulsive disorder, or post-traumatic stress disorder; Any behavioral disorder conduct disorder or oppositional defiant disorder.
Multivariate analyses separated by blank rows represent separate models, each of which covaried all sociodemographic factors. The first model examined whether having any diagnosis predicted treatment utilization, the second assessed number of diagnoses (none, single disorder, two or more disorders) as a predictor, and the third assessed each disorder as a predictor controlling for all other diagnoses. Only individual diagnoses were included in multivariate models to avoid overlap between individual diagnoses and grouped diagnoses (i.e., any anxiety disorder and any behavioral disorder).