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Table 2 Risk of suicidal behaviors after treatment for mental disorder or substance use disorder, by type of provider, in the Collaborative Psychiatric Epidemiology Surveys, overall and by group of disorders

From: An observational study of the impact of service use on suicidality among adults with mental disorders

   Any service Any mental healthcare General medical Non-healthcare
  n OR 95% CI OR 95% CI OR 95% CI OR 95% CI
Model 1. Ideation in the total population 5245 1.18 (0.94–1.46) 1.27 (1.01–1.60) 1.05 (0.76–1.45) 0.95 (0.62–1.47)
 i. Among people with mood disorder 2219 0.98 (0.73–1.33) 1.02 (0.76–1.36) 0.85 (0.57–1.28) 0.81 (0.50–1.32)
 ii. Among people with anxiety disorder 3256 1.27 (0.98–1.65) 1.39 (1.06–1.82) 1.01 (0.69–1.49) 0.93 (0.57–1.52)
 iii. Among people with substance use disorder 1570 1.37 (1.00–1.88) 1.48 (1.00–2.21) 1.38 (0.85–2.24) 1.10 (0.67–1.81)
Model 2. Plan with ideation and no lifetime attempt 954 0.89 (0.58–1.36) 0.92 (0.52–1.64) 1.20 (0.70–2.05) 0.67 (0.26–1.75)
 i. Among people with mood disorder 533 0.93 (0.49–1.78) 0.96 (0.49–1.85) 1.01 (0.44–2.36) 0.68 (0.18–2.60)
 ii. Among people with anxiety disorder 633 0.86 (0.51–1.45) 0.76 (0.47–1.22) 1.22 (0.64–2.35) 0.87 (0.36–2.09)
 iii. Among people with substance use disorder 319 0.94 (0.56–1.59) 1.33 (0.49–3.59) 1.48 (0.61–3.57) 0.32 (0.10–1.01)
Model 3. Attempt with ideation 1513 0.62 (0.46–0.83) 0.67 (0.49–0.92) 0.68 (0.46–1.00) 0.56 (0.35–0.90)
 i. Among people with mood disorder 811 0.91 (0.58–1.44) 0.91 (0.59–1.42) 0.92 (0.52–1.64) 1.07 (0.52–2.17)
 ii. Among people with anxiety disorder 1043 0.64 (0.44–0.93) 0.73 (0.49–1.09) 0.54 (0.32–0.91) 0.65 (0.36–1.18)
 iii. Among people with substance use disorder 494 0.80 (0.43–1.48) 0.85 (0.44–1.64) 1.19 (0.55–2.57) 0.74 (0.39–1.43)
  1. Each row and column is one model with suicidal behavior as dependent variable and type of provider as independent variable, adjusted by sex; age four categories: 18–25, 26–35, 36–45, 46–89; education four categories: 0–11, 12, 13–15, 16+ years of education; marital status three categories: married/cohabiting, divorced/separated/widowed, never married; race/ethnicity four categories: Asian, Hispanic, Black, White and other; US born (yes/no). Model 3 is also adjusted by presence of a plan and age of onset of a plan. Person-time is accounted for in all models.