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Table 2 Multivariable cox regression analysis of the association between CAMHS referral and children and young people’s self-reported mental health and wellbeing

From: The role of mental health symptomology and quality of life in predicting referrals to special child and adolescent mental health services

CAMHS referral

Quality of life / psychopathology and school climate (95% CI)

+ Adjusted for socio-demographic factors H.R. (95% CI)

+ Fully adjusted Model H.R. (95% CI)

Quality of life/psychopathology

 Quality of Life: Kidscreen

0.93 (0.90–0.98)**

0.94 (0.90–0.98)**

0.94 (0.9–0.98)**

 M&MF: Emotional problems

1.04 (0.99–1.10)

1.04 (0.98–1.1)

1.03 (0.97–1.1)

 M&MF: Behavioural problems

1.09 (1.01–1.17)*

1.07 (0.98–1.17)

1.1 (1.0–1.2)*

Sex: Female

 

1.37 (0.89–2.11)

1.41 (0.90–2.21)

Age at first TaMHS survey participation

 

1.06 (0.91–1.23)

1.07 (0.91–1.25)

Ethnicity

 White

 

Reference

Reference

 Black

 

0.79 (0.50–1.25)

0.79 (0.49–1.24)

 Asian

 

0.38 (0.13–1.14)

0.3 (0.09–1.03)

 Mixed

 

0.84 (0.44–1.63)

0.8 (0.41–1.58)

 Any other group

 

0.46 (0.11–1.98)

0.51 (0.12–2.17)

 Not stated

 

-

Neighbourhood characteristics

 1st (Least deprived)

 

Reference

Reference

 2nd

 

1.77 (0.86–3.61)

1.56 (0.75–3.23)

 3rd

 

2.09 (1.03–4.22)*

2.0 (0.99–4.04)

 4th (Most deprived)

 

2.66 (1.35–5.24)**

2.38 (1.2–4.71)*

SEN: Yes

 

1.81 (1.20–2.72)**

1.74 (1.12–2.72)*

FSM: Yes

 

1.35 (0.88–2.05)

1.36 (0.89–2.1)

EAL: Yes

 

0.74 (0.46–1.19)

0.73 (0.45–1.19)

Educational attainment

 KS2 English z-score below 50 percentile

  

0.98 (0.59–1.63)

 KS2 Math z-score below 50 percentile

  

1.07 (0.63–1.8)

School Climate

  

1.03 (0.96–1.11)

  1. *P < .05; **P < .01
  2. ** SEN Special Education Needs, FSM Free School Meals, EAL English as Additional Language