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Suicide Mortality Among Patients Treated by the Veterans Health Administration from 2000 to 2007

Overview
Specialty Public Health
Date 2012 Mar 7
PMID 22390612
Citations 28
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Abstract

Objectives: We sought to examine rates of suicide among individuals receiving health care services in Veterans Health Administration (VHA) facilities over an 8-year period.

Methods: We included annual cohorts of all individuals who received VHA health care services from fiscal year (FY) 2000 through FY 2007 (October 1, 1999-September 30, 2007; N = 8,855,655). Vital status and cause of death were obtained from the National Death Index.

Results: Suicide was more common among VHA patients than members of the general US population. The overall rates of suicide among VHA patients decreased slightly but significantly from 2000 to 2007 (P < .001). Male veterans between the ages of 30 and 64 years were at the highest risk of suicide.

Conclusions: VHA health care system patients are at elevated risk for suicide and are appropriate for suicide reduction services, although the rate of suicide has decreased in recent years for this group. Comprehensive approaches to suicide prevention in the VHA focus not only on recent returnees from Iraq and Afghanistan but also on middle-aged and older Veterans.

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References
1.
Hoge C, Auchterlonie J, Milliken C . Mental health problems, use of mental health services, and attrition from military service after returning from deployment to Iraq or Afghanistan. JAMA. 2006; 295(9):1023-32. DOI: 10.1001/jama.295.9.1023. View

2.
Cowper D, Kubal J, Maynard C, Hynes D . A primer and comparative review of major US mortality databases. Ann Epidemiol. 2002; 12(7):462-8. DOI: 10.1016/s1047-2797(01)00285-x. View

3.
Lambert M, Fowler D . Suicide risk factors among veterans: risk management in the changing culture of the Department of Veterans Affairs. J Ment Health Adm. 1997; 24(3):350-8. DOI: 10.1007/BF02832668. View

4.
Rihmer Z, Rutz W, Pihlgren H . Depression and suicide on Gotland. An intensive study of all suicides before and after a depression-training programme for general practitioners. J Affect Disord. 1995; 35(4):147-52. DOI: 10.1016/0165-0327(95)00055-0. View

5.
Watanabe K, Kang H . Military service in Vietnam and the risk of death from trauma and selected cancers. Ann Epidemiol. 1995; 5(5):407-12. DOI: 10.1016/1047-2797(95)00039-a. View