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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.