Table 2

Patients With Clinically Significant Depression, Self-Harm Behavior, or Both (Composite) During Follow-up (12 or 24 Months), by General Practitioner Control (n = 10,360) and Intervention (n = 11,402) Study Group

OutcomePresent at Baseline No. (%)Present During Follow-up No. (%)Crude CCAa OR (95%CI)Adjusted CCAb OR (95% CI)Crude ITTa OR (95% CI)Adjusted ITTb OR (95% CI)
PHQ-9 ≥ 10
 Control, n (%)851 (8.2)906 (8.7)0.92 (0.81–1.05)0.94 (0.82–1.07)0.90 (0.81–1.00)0.93 (0.83–1.03)
 Intervention, n (%)900 (7.9)921 (8.1)
Self-harm behavior
 Control, n (%)439 (4.2)531 (5.1)0.78 (0.66–0.92)c0.79 (0.67–0.93)c0.79 (0.68–0.93)c0.80 (0.68–0.94)c
 Intervention, n (%)489 (4.3)509 (4.5)
Composite outcome
 Control, n (%)1,105 (10.7)1,180 (11.4)0.86d (0.77–0.98)c0.87 (0.77–0.99)c0.87 (0.81–0.94)c0.90d (0.83–0.97)c
 Intervention, n (%)1,187 (10.4)1,182 (10.4)
  • CCA = complete case analysis of the effect of the intervention on the outcomes of interest; ITT = intention-to-treat analysis of the effect of the intervention on outcomes of interest based on imputation by chain equations; OR = odds ratio; PHQ-9 = 9-item Patient Health Questionnaire.

  • Notes: Composite outcome includes older adults with either PHQ-9 ≥10 or self-harm behavior in the past 12 months. Missing information at baseline; controls: PHQ-9 = 272, self-harm ideation/attempt = 201, composite = 397; intervention: PHQ-9 = 274, self-harm ideation/attempt = 217, composite = 397. Missing information at follow-up: controls: PHQ-9 = 137, self-harm ideation or attempt = 109, composite = 209; intervention: PHQ-9 = 114, self-harm ideation or attempt = 112, composite = 191.

  • a Adjusted for the baseline value of the respective outcome.

  • b Adjusted for the baseline value of the respective outcome as well as for age, sex, migrant and marital status, living arrangements, education, and number of comorbidities.

  • c P <.05.

  • d The total variance of the crude model was 3.3 and of the adjusted model, 3.4.