TABLE 3.

Associations between clinic characteristics and history of suicide incident^a

Clinic characteristic	β	SE	AORb	95% CI	p
Zero Suicide fidelityc	−.1.16	.40	.31	.14–.69	<.01
Clinic sized	.007	.002	1.01	1.00–1.01	<.001
Clinic type (reference: adult-serving clinic)e	−.42	.58	.49	.21–2.06	.472

^aFull model results χ²=30.06, df=3, p<0.001.

^bWe adjusted the model for clinic size (median of 233 patients served per week) because larger clinics were more likely to have a suicide incident. We also adjusted the model for clinic type because of differences in the prevalence of adolescent versus adult suicide attempts. No other variables were included.

^cFidelity was measured on a scale from 1 to 5. For each 1-point increase on the Zero Suicide fidelity scale, clinics were significantly less likely to have any patients with suicidal behaviors.

^dClinic size was defined as the number of patients served in the sample week as assessed in the New York City Office of Mental Health 2017 Patient Characteristics Survey (PCS).

^eOn the basis of the PCS, clinics were categorized as serving predominantly adults (>50% served were ≥18 years old) or children (>50% patients served are ≤17 years old).