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Table 1 Quality indicators in the treatment of patients admitted following a suicide attempt

From: Collaboration between general hospitals and community health services in the care of suicide attempters in Norway: a longitudinal study

Quality of care indicator 1999 2006 Stability (quality of care indicator present both in 1999 and 2006)
  CCS in CHS in 2006 (n = 15), n (%) Not CCS in CHS in 2006 (n = 32), n (%) Analysis CCS in CHS in 2006 (n = 15), n (%) Not CCS in CHS in 2006 (n = 32), n (%) Analysis CCS in CHS in 2006 (n = 15), n (%) Not CCS in CHS in 2006(n = 32), n (%) Analysis
    χ2(df) P value    χ2(df) P value    χ2(df) P value
01: ED has a monitoring system 6 (40) 13(41) 0.00 (1) 0.97 11(73) 10 (31) 7.32 0.007* 6 (40) 6 (19) 2.43 0.119
02: ED has a team or a coordinator 13 (87) 16 (50) 5.81 (1) 0.02 13 (87) 15 (47) 6.71 0.010 13 (87) 9 (28) 14.06 0.000*
03: ED has written guidelines, including a quality assurance system 9 (60) 6 (19) 8.00 (1) 0.005* 11 (74) 17(53) 1.73 0.188 7 (47) 4 (13) 6.65 0.010*
04: ED has provided training of staff 13 (87) 15 (47) 6.71 (1) 0.010* 13 (87) 16 (50) 5.81 0.016 12 (80) 6 (19) 16.21 0.000*
05: ED provides systematic supervision of staff 6 (40) 3 (9) 6.19 (1) 0.013 8 (53%) 15 (47) 0.17 0.680 6 (40) 2 (6) 8.24 0.004*
06: ED has structured collaboration with aftercare provider in CHS 13 (87) 12 (38) 9.92 (1) 0.002* 15 (100) 14 (44%) 13.68 0.000* 13 (87) 6 (19) 19.56 0.000*
07: ED staff routinely make suicide risk assessment 15 (100) 32 (100)   NS 13 (87) 31 (97) 1.78 0.182 13 (87) 31 (97) 1.78 0.182
08: ED has specific procedure for patients who have not been assessed for suicide risk 9 (60) 16 (50) 0.41 (1) 0.52 9 (60) 19 (59) 0.00 0.968 7 (47) 12 (38) 0.36 0.551
09: ED has specific guidelines for follow-up care 11 (73) 22 (69) 0.10 (1) 0.75 15 (100) 23 (72) 5.22 0.022 11 (73) 17 (53) 1.73 0.188
10: ED refers at least 90% of patientsa 9 (60) 18 (56)    6 (40) 26 (84)    4 (29) 16 (53)   
11: Patients receive information about available help resources after discharge 13 (87) 18 (56) 4.21 (1) 0.04 14 (93) 18 (57) 6.46 0.011 13 (87) 11 (34) 11.18 0.001*
12: ED establishes contact with aftercare provider within first work day after dischargea 9 (60) 25a(78) (miss = 5)    15 (100) 30 (97) 0.50 0.482 9 (60) 24 (89) (miss = 5)   
  1. Data reported for Emergency Departments (EDs) in 1999, 2006 and in both 1999 and 2006 (stability) based on whether the community health services (CHS) did or did not have a chain of care structure (CCS) in 2006.
  2. *Difference is significant based on an α level of P < 0.05 with Bonferroni correction for multiple testing (10 tests) and correction for the correlation between the quality of care indicators: 1999: P < 0.012, 2006: P < 0.009, Stability: P < 0.011
  3. aThese quality of care indicators had missing observations (range = 1-5) and were excluded from further analysis.
  4. df = degrees of freedom; NS = not significant.
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