a decreasing trendP = .77
Using 1-Joinpoint models demonstrated a statistically significant increase in Ontario suicide rates beginning in 2008 (APC = 2.02; P = .01), and a decreasing trend at PM was observed beginning in 2012 (APC = -19.36; P = .77), coincident with the time DART implementation approached saturation in all oncology clinics ( 20 ) ( Supplementary Figure 3, C and D , available online).