Maryland N = 202 | Colorado† N = 226 | Massachusetts† N = 357 | |||||||
---|---|---|---|---|---|---|---|---|---|
Known non-suicidal (N = 49) % | Known suicidal (N = 131) % | Odds ratios* (95% CI) | Non-suicidal (N = 32) % | Suicidal (N = 175) % | Odds ratios* (95% CI) | Non-suicidal (N = 121) % | Suicidal (N = 203) % | Odds ratios* (95% CI) | |
Variables from the medical record | |||||||||
Mean age (SD)a | 23.9 (12.9) | 31.3 (16.0) | 26.0 (12.7) | 28.9 (14.7) | 26.7 (12.4) | 31.1 (14.7) | |||
Femalea | 55.1 | 49.6 | 59.4 | 60.0 | 59.5 | 66.0 | |||
Acute injury | 77.6 | 73.3 | 62.5 | 54.3 | 97.5 | 94.6 | |||
Drug poisoning mechanismb | 16.3 (8) | 49.6 | 5.0 (2.2–11.6) | 34.4 | 57.7 | 2.6 (1.1–6.3) | 7.4 | 65.0 | 23.1 (11.1–48.4) |
Cut/pierce mechanismb | 59.2 | 24.4 | 0.2 (0.1–0.5) | 53.1 | 26.3 | 0.31 (0.14–0.73) | 72.7 | 16.7 | .08 (0.04–0.13) |
Suicidal ideation | 24.5 | 77.1 | 10.4 (4.8–22.4) | 50.0 | 92.6 | 12.5 (4.6–33.4) | 32.2 | 69.5 | 4.8 (2.9–7.8) |
Risk evaluation and used an assessment tool | 59.2 | 63.4 | 65.6 | 65.1 | 39.2 | 47.5 | |||
Safety or counseling plan | 71.4 | 79.8 | 93.8 | 94.3 | 77.7 | 89.2 | |||
Personal history of self-harm | 46.9 | 59.5 | 56.3 | 55.4 | 66.9 | 54.2 | 0.58 (0.37–0.93) | ||
Prior psychiatric hospitalization | 32.7 | 33.1 | – | 27.4 | 29.8 | 38.9 | |||
Mental health therapy and/or medication | 59.2 | 57.3 | 53.1 | 62.9 | 64.5 | 61.6 | |||
Blood alcohol 80 + mg/100 ml† | 7.1 (3) | 22.1 | 3.7 (1.01–13.4) | – | 16.3 | – | 12.3 | 4.1 (1.4–12.0) | |
Drugs other than alcohol | 33.3 | 42.3 | – | 56.6 | 18.2 | 31.0 | |||
2 or more personal factors or circumstances | 79.6 | 90.8 | 2.5 (1.02–6.3) | 81.3 | 88.6 | 83.5 | 90.1 | ||
Variables from ED billing record | |||||||||
Drug poisoning codesb,c | n/a | n/a | 37.5 | 69.2 | 3.7 (1.6–9.1) | – | 61.6 | 26.1 (11.6–58.9) | |
Cut/pierce codesb,c | n/a | n/a | 50.0 | 21.2 | 0.3 (0.1–0.7) | 70.2 | 17.2 | .09 (.05–.15) | |
Suicidal ideation (R45.851 code) | n/a | n/a | – | 24.5 | 21.5 | 18.2 | |||
Personal history of self-harm (Z91.5 code) | n/a | n/a | – | 13.1 | 6.6 | 4.9 | |||
Unspecified suicide attempt (T14.91 code) | n/a | n/a | – | 15.4 | – | 15.3 | 7.1 (2.1–23.7) | ||
Not discharged homed | n/a | n/a | – | 74.9 | 7.6 (3.1–20.0) | 31.4 | 66.5 | 4.3 (2.7– 7.0) |