TABLE 3.
Organizational-Level Correlates of Suicide in Long-Term Care Versus Community Settings: Virginia, 2003–2011
| Variable | OR (95% CI) | AOR (95% CI) |
|---|---|---|
| Nursing homes (n = 285) | ||
| Bed size | 1.00 (0.99, 1.01) | 1.00 (0.99, 1.01) |
| Ownership | ||
| For profit (Ref) | 1.00 | 1.00 |
| Nonprofit | 3.42 (1.33, 8.82) | 3.54 (1.37, 9.16) |
| Religious/government | 2.09 (0.42, 10.35) | 2.16 (1.43, 10.72) |
| Part of a continuing care retirement community | ||
| No | 1.00 | 1.00 |
| Yes | 12.41 (4.78, 32.22) | 12.35 (3.97, 38.38) |
| Overall rating | 1.80 (1.20, 2.69) | 1.95 (1.21, 3.14) |
| Health rating | 1.53 (1.06, 2.22) | 1.60 (1.06, 2.43) |
| Staff rating | 2.11 (1.32, 3.38) | 2.07 (1.21, 3.52) |
| Quality rating | 1.56 (0.94, 2.59) | 1.56 (0.91, 2.66) |
| Specific quality measures for long-stay residents | ||
| Experiencing moderate/severe pain | 0.94 (0.87, 1.02) | 0.93 (0.85, 1.02) |
| Receiving antipsychotic medication | 0.99 (0.95, 1.05) | 0.99 (0.95, 1.05) |
| Physically restrained | 0.81 (0.53, 1.22) | 0.81 (0.53, 1.24) |
| Depressed mood | 1.08 (1.03, 1.14) | 1.09 (1.03, 1.15) |
| Experienced ≥ 1 falls | 0.97 (0.78, 1.21) | 0.95 (0.76, 1.19) |
| Assisted living (n = 548) | ||
| Bed size | 1.01 (1.00, 1.02) | 1.01 (1.00, 1.01) |
| Type of care | ||
| Nonambulatory (Ref) | 1.00 | 1.00 |
| Ambulatory | 0.46 (0.16, 1.36) | 0.64 (0.21, 1.94) |
| License type | ||
| Provisional | 1.19 (1.14, 9.99) | 1.00 |
| 1 y (Ref) | 1.00 | 1.07 (0.12, 9.28) |
| 2–3 y | 1.14 (0.43, 3.00) | 0.91 (0.33, 2.50) |
| Inspections | ||
| None | 1.00 | 1.00 |
| Violations | 0.99 (0.38, 1.00) | 0.99 (0.98, 1.01) |
| Prompted by complaint | 2.70 (0.77, 9.49) | 2.72 (0.72, 10.30) |
Note. AOR = adjusted odds ratio; CI = confidence interval; OR = odds ratio. Nursing home estimates adjusted for bed size and ownership. Assisted living estimates adjusted for bed size and type of care.