Table 4. Unadjusted and adjusted models of primary care use after discharge for those who died by suicide (n = 520) compared with their discharged counterparts (n = 8354)
UnadjustedFully adjusteda
Characteristic OR 95% CI P value AOR 95% CI P value
Consultation frequency
Low11
Medium1.140.91 to 1.430.251.150.85 to 1.570.36
High1.441.15 to 1.79 0.001 1.170.84 to 1.640.36
Timing of first consultation
Within 2 weeks1.040.81 to 1.340.780.610.42 to 0.89 0.01
After 2 weeks1.090.82 to 1.440.550.710.50 to 1.010.06
No consultation11
Consultation in the week before death by suicide 1.791.47 to 2.18 <0.001 1.711.36 to 2.15 <0.001
Number of psychotropic medication types prescribed
011
10.890.67 to 1.180.420.910.67 to 1.240.55
21.321.01 to 1.73 0.04 1.200.89 to 1.610.24
≥32.311.78 to 2.98 <0.001 1.731.28 to 2.33 <0.001
Tricyclic antidepressants prescribed 1.631.19 to 2.24 0.002 1.260.90 to 1.750.18
Readmission to inpatient psychiatric care 3.142.56 to 3.84 <0.001 2.932.38 to 3.62 <0.001
Primary diagnosis at discharge
Schizophrenia11
Bipolar disorder1.701.08 to 2.67 0.02 1.480.94 to 2.350.09
Depression2.641.90 to 3.67 <0.001 2.281.62 to 3.21 <0.001
Anxiety, adjustment, and related disorders2.861.99 to 4.10 <0.001 2.551.75 to 3.72 <0.001
Substance misuse1.020.68 to 1.510.931.010.67 to 1.520.97
Personality disorders3.031.83 to 5.02 <0.001 2.331.37 to 3.95 0.002
All other codes1.250.88 to 1.780.211.140.79 to 1.630.49
Length of stay, days
0–711
8–291.020.82 to 1.270.831.020.81 to 1.280.86
30–890.920.71 to 1.190.500.880.67 to 1.160.36
≥900.510.32 to 0.79 0.003 0.580.37 to 0.93 0.02
≥1 comorbidities at baseline 0.770.60 to 0.99 0.04 0.740.58 to 0.96 0.02
  • aAlso adjusted for source dataset. Bold values indicate statistical significance. AOR = adjusted odds ratio. OR = odds ratio.