The real-world evidence to the effects of primary psychological healthcare system in diluting risks of suicide ideation in underrepresented children/adolescents: an observational, multi-center, population-based, and longitudinal study

Table 2 Subgroup analysis of the practical effects of implementing primary psychological healthcare system

Cohorts	N	0.5-year follow-up					1-year follow-up
Cohorts	N	Case	%	aRR^a	95% CI	P value	Case	%	aRR	95% CI	P value
Typically developing cohort
Included^b	2224	129	5.8%	0.39	0.24–0.65	< 0.001	118	5.3%	0.35	0.21–0.58	< 0.001
Outside^c	677	44	6.5%	Reference			53	7.8%	Reference
Children/Adolescents in especially difficult circumstance
Included	5283	288	5.5%	0.28	0.21–0.37	< 0.001	302	5.7%	0.31	0.23–0.41	< 0.001
Outside	2236	179	8.0%	Reference			189	8.5%	Reference
“Single-parent” children/adolescents
Included	1931	141	7.3%	0.24	0.16–0.38	< 0.001	115	6.0%	0.28	0.18–0.44	< 0.001
Outside	848	90	10.6%	Reference			92	10.8%	Reference
“Left-behind” children/adolescents
Included	9160	534	5.8	0.26	0.21–0.33	< 0.001	511	5.6%	0.25	0.20–0.31	< 0.001
Outside	3765	296	7.9%	Reference			334	8.9%	Reference
De facto unattended children/adolescents
Included	168	15	8.9%	0.13	0.04–0.45	0.001	16	9.5%	0.32	0.09–1.19	0.089
Outside	60	11	18.3%	Reference			7	11.7%	Reference
Orphan
Included	51	7	13.7%	0.20	0.03–1.34	0.097	7	13.7%	0.55	0.08–3.80	0.542
Outside	29	8	27.6%	Reference			7	24.1%	Reference

Generalized linear mixed models were used for the analysis. (a) adjusted relative risk, adjusted for all sociodemographic characteristics (age, sex, and offspring) and depression estimated by center for epidemiological survey, depression scale (CES-D). (b) included refers to children/adolescents included in primary psychological healthcare system. (c) outside refers to children/adolescents not included in primary psychological healthcare system

ISSN: 1753-2000