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Table 3 The compliance before, 6, 12, and 24 months after the implementation of clinical guidelines for suicidal behaviour in % (n).

From: Supported local implementation of clinical guidelines in psychiatry: a two-year follow-up

  Implementation clinics Control clinics
Indicator % (n) OR (95% CI) % (n) OR (95% CI)
Accessibility/wait time     
   0 months 15.7 (19) reference 29.5 (18) reference
   6 months 14.2 (17) 0.9 (0.4-1.8) 31.7 (19) 1.1 (0.5-2.4)
   12 months 70.4 (169) 13.7 (7.7-24.4) 0 na
   24 months 59.2 (142) 8.3 (4.7-14.6) 0 na
Diagnostic assessment     
   0 months 49.6 (60) reference 26.2 (16) reference
   6 months 73.3 (88) 2.9 (1.7-5.0) 16.7 (10) 0.6 (0.2-1.5)
   12 months 83.3 (200) 5.4 (3.2-8.9) 0.8 (1) 0 (0.0-0.2)
   24 months 91.7 (220) 11.8 (6.5-21.2) 0 na
Diagnostic instrument     
   0 months 0 reference 0 reference
   6 months 7.5 (9) na 0 na
   12 months 0 na 0 na
   24 months 7.5 (18) na 0 na
Standardized rating scale     
   0 months 41.3 (50) reference 27.9 (17) reference
   6 months 67.5 (81) 3.0 (1.7-5.0) 16.7 (10) 0.5 (0.2-1.4)
   12 months 79.2 (190) 5.5 (3.4-8.9) 0 na
   24 months 78.3 (188) 5.2 (3.2-8.4) 0.8 (1) 0.0 (0.0-0.2)
Standardized rating scale during treatment     
   0 months 16.5 (20) reference 16.4 (10) reference
   6 months 52.5 (63) 5.8 (3.2-10.5) 10.0 (6) 0.6 (0.2-1.7)
   12 months 22.9 (55) 1.6 (0.9-2.7) 0.8 (1) 0.04 (0.02-0.35)
   24 months 55.8 (134) 6.6 (3.8-11.3) 5.0 (6) 0.3 (0.1-0.9)
Substance/drug abuse     
   0 months 52.1 (63) reference 55.7 (34) reference
   6 months 64.2 (77) 1.7 (1.0-2.9) 56.7 (34) 1.0 (0.5-2.1)
   12 months 77.5 (186) 3.4 (2.1-5.5) 25.0 (30) 0.3 (0.2-0.5)
   24 months 80.0 (192) 3.8 (2.4-6.2) 29.2 (35) 0.3 (0.1-0.6)
Treatment (care) plan     
   0 months 37.4 (68) reference 44.3 (27) reference
   6 months 58.9 (106) 4.4 (2.5-7.6) 41.7 (25) 0.9 (0.4-1.9)
   12 months 67.1 (161) 4.4 (2.7-7.1) 0.8 (1) 0.0 (0.0-0.1)
   24 months 79.2 (190) 8.0 (4.9-13.3) 0.8 (1) 0.0 (0.0-0.1)
Evaluation/outcome     
   0 months 20.7 (25) Reference 19.7 (12) reference
   6 months 47.5 (57) 3.5 (2.0-6.2) 8.3 (5) 0.4 (0.1-1.2)
   12 months 25.8 (62) 1.3 (0.8-2.3) 0 na
   24 months 51.7 (124) 4.1 (2.5-6.9) 0 na
Continuity     
   0 months 86.0 (104) reference 49.2 (30) reference
   6 months 81.7 (98) 0.7 (0.4-1.5) 31.7 (19) 0.5 (0.2-1.1)
   12 months 96.3 (231) 4.2 (1.8-9.9) 0 na
   24 months 91.3 (219) 1.7 (0.9-3.5) 0 na
Suicide assessment     
   0 months 55.4 (67) reference 82.0 (50) reference
   6 months 93.3 (112) 13.6 (5.9-31.5) 73.3 (44) 0.6 (0.2-1.4)
   12 months 87.1 (209) 6.1 (3.5-10.6) 50.0 (60) 0.2 (0.1-0.5)
   24 months 97.1 (233) 33.6 (14.1-80.2) 56.7 (68) 0.3 (0.1-0.6)
Specialist assessment     
   0 months 50.4 (61) reference 83.6 (51) reference
   6 months 85.4 (103) 6.5 (3.4-12.3) 83.3 (50) 1.0 (0.4-2.6)
   12 months 87.5 (210) 7.5 (4.4-12.9) 86.7 104) 1.3 (0.5-3.0)
   24 months 91.7 (220) 11.8 (6.5-21.5) 71.7 (86) 0.5 (0.2-1.1)
Follow-up     
   0 months 72.7 (88) reference 75.4 (46) reference
   6 months 88.3 (106) 2.9 (1.5-5.8) 65.0 (39) 0.6 (0.3-1.4)
   12 months 86.3 (207) 2.4 (1.4-4.1) 34.2 (41) 0.2 (0.1-0.3)
   24 months 92.1 (221) 4.5 (2.4-8.3) 37.5 (45) 0.2 (0.1-0.4)
Evaluation assessment     
   0 months 32.2 (39) reference 18.0 (11) reference
   6 months 64.2 (77) 4.0 (2.3-6.9) 13.3 (8) 0.6 (0.2-1.6)
   12 months 63.8 (153) 3.8 (2.4-6.1) 6.7 (8) 0.3 (0.1-0.8)
   24 months 75.0 (180) 6.8 (4.2-11.2) 10.8 (13) 0.4 (0.2-1.1)
  1. Odds ratios adjusted for age and gender with baseline as the reference is presented with CI (95%)
  2. na The numbers did not allow calculations.