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Table 5 Factors related to general practitioner vigilance to suicidalitya

From: Patterns and predictors of help-seeking contacts with health services and general practitioner detection of suicidality prior to suicide: a cohort analysis of suicides occurring over a two-year period

  Univariate analysisb M1: adjusted for consultations, age & gender M2: M1 + diagnosis M3: M2 + socio-demographic M4: M3 + locale
GPconsultations: numberc 1.18 (1.10, 1.27)*** 1.24 (1.12, 1.36)*** 1.20 (1.08, 1.33)*** 1.20 (1.08, 1.33)** 1.18 (1.07, 1.31)**
Age: 35–54 (ref = < 35) 3.31 (1.61, 6.79)*** 2.09 (0.94, 4.62) 1.25 (0.51, 3.03) 1.20 (0.48, 2.99) 1.20 (0.47, 3.11)
 55+ 2.11 (0.86, 5.20) 0.67 (0.21, 2.18) 0.50 (0.14, 1.79) 0.49 (0.13, 1.88) 0.52 (0.13, 2.15)
Gender: female (ref = male) 0.50 (0.18, 1.38) 0.18 (0.04, 0.72)* 0.19 (0.05, 0.79)* 0.21 (0.05, 0.89)* 0.18 (0.04, 0.81)*
MH problems: (ref = none)      
 Common MH problems 5.24 (2.36, 11.62)***   2.75 (1.06, 7.14)* 2.86 (1.09, 7.53)* 3.47 (1.25, 9.66)*
 Serious mental illness 11.08 (3.39, 36.20)*** 7.76 (2.03, 29.67)** 8.61 (2.13, 34.85)** 8.08 (1.94, 33.71)**
 Drugs/alcohol problems 10.15 (3.45, 29.88)*** 4.34 (1.18, 16.0)* 4.74 (1.23, 18.17)* 4.28 (1.13, 16.25)*
Lives alone: yes (ref = no) 1.35 (0.67, 2.68)    0.85 (0.34, 2.12) 0.74 (0.28, 1.95)
In paid work: no (ref = yes) 0.87 (0.45, 1.65)    0.79 (0.34, 1.87) 0.90 (0.37, 2.22)
Locale: large towns (ref = urban) 1.99 (0.94, 4.22)     2.35 (0.93, 5.60)
Small townsd na na
Rural areas 1.65 (0.74, 3.65) 1.65 (0.60, 4.56)
  1. *** = p < 0.001; ** = S < 0.005; * = 0.05
  2. a Analysis includes only those who have no history of prior attempts
  3. b Data represents Odds Ratios (ORs) indicating the likelihood of the patient having discussed suicide with their GP
  4. c Number of consultations entered into the model as continuous-ORs represent the increase in likelihood of engagement per additional consultation
  5. d The category ‘small towns’ predicts the outcome perfectly-they are therefore dropped from the analysis