Table 2
Mean number of health care visits in past year of suicides and non-suicides, by service type and ICD diagnostic chapter, population aged 25 to 64 registered to receive health services, Alberta, 2002/2003 to 2005/2006
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ICD-9 Diagnostic Chapter | Suicides† | Non-suicides‡ | Suicide/ Non- suicide ratio | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Number | Mean | 95% confidence interval | Standard error | Number | Mean | 95% confidence interval | Standard error | |||||
from | to | from | to | |||||||||
Physician visits (ICD-9) | ||||||||||||
Total | 10,736 | 12.57 | 11.50 | 13.64 | 0.55 | 12,345,668 | 7.05 | 7.03 | 7.06 | 0.01 | 1.8 | |
5 | Mental disorders | 4,492 | 5.26 | 4.49 | 6.03 | 0.39 | 1,045,061 | 0.60 | 0.59 | 0.60 | 0.00 | 8.8 |
Anxiety/Neurosis/Stress
|
1,442 | 1.69 | 1.23 | 2.14 | 0.23 | 381,658 | 0.22 | 0.22 | 0.22 | 0.00 | 7.8 | |
Depressive disorders
|
1,523 | 1.78 | 1.47 | 2.10 | 0.16 | 392,380 | 0.22 | 0.22 | 0.23 | 0.00 | 8.0 | |
Substance-related disorders
|
235 | 0.28 | 0.19 | 0.36 | 0.04 | 39,241 | 0.02 | 0.02 | 0.02 | 0.00 | 12.3 | |
6 | Nervous and sense organs | 407 | 0.48 | 0.32 | 0.63 | 0.08 | 594,806 | 0.34 | 0.34 | 0.34 | 0.00 | 1.4 |
8 | Respiratory | 450 | 0.53 | 0.45 | 0.61 | 0.04 | 887,828 | 0.51 | 0.50 | 0.51 | 0.00 | 1.0 |
10 | Genitourinary | 215 | 0.25 | 0.19 | 0.31 | 0.03 | 684,953 | 0.39 | 0.39 | 0.39 | 0.00 | 0.6 |
12 | Skin and subcutaneous | 318 | 0.37 | 0.28 | 0.46 | 0.05 | 521,175 | 0.30 | 0.30 | 0.30 | 0.00 | 1.3 |
13 | Musculoskeletal | 1,195 | 1.40 | 1.16 | 1.64 | 0.12 | 2,116,594 | 1.21 | 1.20 | 1.21 | 0.00 | 1.2 |
16 | Symptoms and signs | 1,211 | 1.42 | 1.20 | 1.64 | 0.11 | 1,385,894 | 0.79 | 0.79 | 0.79 | 0.00 | 1.8 |
17 | Injury and poisoning | 754 | 0.88 | 0.72 | 1.05 | 0.08 | 1,399,248 | 0.80 | 0.79 | 0.80 | 0.00 | 1.1 |
VC | Factors influencing health | 511 | 0.60 | 0.45 | 0.74 | 0.07 | 1,559,665 | 0.89 | 0.89 | 0.89 | 0.00 | 0.7 |
All other Chapters (and uncoded) | 1,183 | 1.39 | 1.21 | 1.57 | 0.09 | 2,150,444 | 1.23 | 1.22 | 1.23 | 0.00 | 1.1 | |
Emergency department visits (ICD-10) | ||||||||||||
Total | 1,968 | 2.30 | 1.85 | 2.76 | 0.23 | 855,770 | 0.49 | 0.49 | 0.49 | 0.00 | 4.7 | |
V | Mental and behavioural | 485 | 0.57 | 0.46 | 0.67 | 0.05 | 36,083 | 0.02 | 0.02 | 0.02 | 0.00 | 27.6 |
Anxiety/Neurosis/Stress
|
112 | 0.13 | 0.09 | 0.17 | 0.02 | 11,258 | 0.01 | 0.01 | 0.01 | 0.00 | 20.4 | |
Depressive disorders
|
135 | 0.16 | 0.12 | 0.20 | 0.02 | 6,230 | 0.00 | 0.00 | 0.00 | 0.00 | 44.5 | |
Substance-related disorders
|
104 | 0.12 | 0.09 | 0.16 | 0.02 | 11,533 | 0.01 | 0.01 | 0.01 | 0.00 | 18.5 | |
VI | Nervous | 62 | 0.07 | 0.01 | 0.13 | 0.03 | 26,856 | 0.02 | 0.01 | 0.02 | 0.00 | 4.7 |
X | Respiratory | 62 | 0.07 | 0.05 | 0.10 | 0.01 | 71,936 | 0.04 | 0.04 | 0.04 | 0.00 | 1.8 |
XI | Digestive | 85 | 0.10 | 0.07 | 0.13 | 0.02 | 55,643 | 0.03 | 0.03 | 0.03 | 0.00 | 3.1 |
XII | Skin and subcutaneous | 57 | 0.07 | 0.04 | 0.09 | 0.01 | 28,026 | 0.02 | 0.02 | 0.02 | 0.00 | 4.2 |
XIII | Musculoskeletal | 102 | 0.12 | 0.08 | 0.16 | 0.02 | 56,947 | 0.03 | 0.03 | 0.03 | 0.00 | 3.7 |
XVIII | Symptoms and signs | 185 | 0.22 | 0.18 | 0.26 | 0.02 | 110,800 | 0.06 | 0.06 | 0.06 | 0.00 | 3.4 |
XIX | Injury and poisoning | 423 | 0.50 | 0.43 | 0.56 | 0.03 | 179,922 | 0.10 | 0.10 | 0.10 | 0.00 | 4.8 |
XXI | Factors influencing health | 394 | 0.46 | 0.13 | 0.79 | 0.17 | 158,958 | 0.09 | 0.09 | 0.09 | 0.00 | 5.1 |
All other Chapters | 113 | 0.13 | 0.10 | 0.17 | 0.02 | 130,599 | 0.07 | 0.07 | 0.08 | 0.00 | 1.8 | |
Inpatient separations (ICD-10) | ||||||||||||
Total | 452 | 0.53 | 0.45 | 0.61 | 0.04 | 147,507 | 0.08 | 0.08 | 0.08 | 0.00 | 6.3 | |
II | Neoplasms | 9 | 0.01 | 0.00 | 0.02 | 0.00 | 9,651 | 0.01 | 0.01 | 0.01 | 0.00 | 1.9 |
V | Mental and behavioural | 292 | 0.34 | 0.28 | 0.40 | 0.03 | 12,347 | 0.01 | 0.01 | 0.01 | 0.00 | 48.5 |
Anxiety/Neurosis/Stress
|
42 | 0.05 | 0.03 | 0.06 | 0.01 | 1,696 | 0.00 | 0.00 | 0.00 | 0.00 | 50.8 | |
Depressive disorders
|
83 | 0.10 | 0.07 | 0.13 | 0.02 | 2,802 | 0.00 | 0.00 | 0.00 | 0.00 | 60.8 | |
Substance-related disorders
|
65 | 0.08 | 0.05 | 0.10 | 0.01 | 2,750 | 0.00 | 0.00 | 0.00 | 0.00 | 48.5 | |
IX | Circulatory | 11 | 0.01 | 0.00 | 0.02 | 0.00 | 10,427 | 0.01 | 0.01 | 0.01 | 0.00 | 2.2 |
X | Respiratory | 17 | 0.02 | 0.01 | 0.03 | 0.01 | 6,644 | 0.00 | 0.00 | 0.00 | 0.00 | 5.3 |
XI | Digestive | 22 | 0.03 | 0.01 | 0.04 | 0.01 | 16,128 | 0.01 | 0.01 | 0.01 | 0.00 | 2.8 |
XIV | Genitourinary system | 8 | 0.01 | 0.00 | 0.02 | 0.00 | 10,480 | 0.01 | 0.01 | 0.01 | 0.00 | 1.6 |
XV | Pregnancy and childbirth | 5 | 0.01 | 0.00 | 0.01 | 0.00 | 34,666 | 0.02 | 0.02 | 0.02 | 0.00 | 0.3 |
XIX | Injury and poisoning | 41 | 0.05 | 0.03 | 0.07 | 0.01 | 12,424 | 0.01 | 0.01 | 0.01 | 0.00 | 6.8 |
XXI | Factors influencing health | 12 | 0.01 | 0.01 | 0.02 | 0.00 | 8,666 | 0.00 | 0.00 | 0.01 | 0.00 | 2.8 |
All other Chapters | 35 | 0.04 | 0.02 | 0.06 | 0.01 | 26,074 | 0.01 | 0.01 | 0.02 | 0.00 | 2.8 | |
† suicides N=854; non-suicides N=1,752,323 ‡ 2004/2005 flscal year Notes: Physician claims on same day in same facility with same diagnosis and provider specialty are consolidated. Excludes emergency department visits and inpatient separations on day of death. Sources: Alberta Health Care Insurance Plan Population Registry, Alberta Health and Wellness Death Database, Alberta Health and Wellness Physician Claims flles, Alberta Ambulatory Care Classiflca- tion System, Alberta Health and Wellness Inpatient Hospital flles. |
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