Suicide risk factors among veterans: Risk management in the changing culture of the department of veterans affairs

Journal of Behavioral Health Services and Research

Volumn 24, Issue 3, 1997, Pages 350-358

  Lambert, Michael T ^a   Fowler, D Robert ^b,c  

^a Mental Health Service (116A)   (United States)

^b Dept Vet Aff N Texas Hlth C ^*  (United States)

^c UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ALCOHOLISM; AMBULATORY CARE; ARTICLE; DEPRESSION; FIREARM; HEALTH CARE DELIVERY; HEALTH CARE SYSTEM; HEALTH STATUS; HOMELESSNESS; HUMAN; MALE; PREVALENCE; RISK FACTOR; RISK MANAGEMENT; SOCIAL ENVIRONMENT; SOLDIER; SUICIDE;

EID: 3042972901     PISSN: 10943412     EISSN: None     Source Type: Journal    
DOI: 10.1007/bf02832668     Document Type: Article

References (50)

1. Hollingsworth JW, Bondy PK: The role of Veterans Affairs hospitals in the health care system. New England Journal of Medicine 1990; 322:1851-1857.
2. Rosenheck R: Department of Veterans Affairs National Mental Health Program Performance Monitoring System: Fiscal Year 1995 Report. West Haven, CT: Northeast Program Evaluation Center for Health Services Research and Development Services, 1995.
3. Topping S, Ginter PM: The Veterans Administration medical care system. In: Duncan WJ, Ginter PM, Swayne LE (Eds.): Strategic Management of Health Care Organizations. Boston: PWS-Kent Publishing Company, 1992, pp. 685-700.
4. Kizer KW: Prescription for Change: The Guiding Principles and Strategic Objectives Underlying the Transformation of the Veterans Healthcare System. Washington, DC: Department of Veterans Affairs, 1996.
5. U.S. Bureau of the Census: Statistical Abstract of the United States: 1994. 114th ed. Washington, DC: Department of Health and Human Services, 1994.
6. Annual Report of the Secretary of Veterans Affairs. Washington, DC: Department of Veterans Affairs, 1994.
7. Fawcett J, Clark DC, Scheftner WA: The assessment and management of the suicidal patient. Psychiatric Medicine 1991; 9(2):299-311.
8. Buzan RD, Weisberg MP: Suicide: Risk factors and therapeutic considerations in the emergency department. Emergency Medicine in Review 1992; 10:335-343.
9. Kaplan MS, Adamek ME, Johnson S: Trends in firearm suicide among older American males: 1979-1988. The Gerontologist 1994; 34(1):59-65.
10. Frierson RL: Suicide attempts by the old and very old. Archives of Internal Medicine 1991; 151:141-144.
11. Suicide Surveillance. Atlanta, GA: Centers for Disease Control, 1988.
12. Senbueler JM, Goldstein S: Attempted suicide among the aged. Journal of the American Geriatric Society 1977; 25:245-248.
13. Osgood N: Suicide in the elderly. Postgraduate Medicine 1982; 2:123-130.
14. Richardson R, Lowenstein S, Weissberg M: Coping with the suicidal elderly: A physician's guide. Geriatrics 1989; 9:43-51.
15. McIntosh JL, Santos JF, Hubbard RW, et al.: Epidemiology. In: American Psychological Association (Ed.): Elder Suicide: Research, Theory, and Treatment. Washington, DC: American Psychological Association, 1994, pp. 7-61.
16. National Center for Health Statistics: Advance report of final mortality statistics, 1989. NCHS Monthly Vital Statistics Report 1992; 40(8, Supp. 2).
17. Miller NS, Mahler JC, Gold MS: Suicide risk associated with drug and alcohol dependence. Journal of Addictive Diseases 1991; 10(3):49-61.
18. Winokur G, Black DW: Suicide - What can be done? New England Journal of Medicine 1992; 327(7):490-491.
19. Black DW, Warrack G, Winokur G: The Iowa record-linkage study I: Suicides and accidental deaths among psychiatric patients. Archives of General Psychiatry 1985; 42:71-75.
20. Murphy GE, Wetzel RD, Robin E, et al.: Multiple risk factors predict suicide in alcoholism. Archives of General Psychiatry 1992; 49:459-463.
21. Bullman TA, Han KK: A study of suicide among Vietnam veterans. Federal Practitioner 1996; 12(3):9-13.
22. Kramer TL, Lindy JD, Greer BL, et al.: The comorbidity of posttraumatic stress disorder and suicidality in Vietnam veterans. Journal of Life Threatening Behavior 1994; 24:58-67.
23. Bullman TA, Kang HK: The risk of suicide among wounded Vietnam veterans. American Journal of Public Health 1996; 86(5):662-667.
24. Lambert MT, Griffith JM, Hendrickse W: Characteristics of patients with substance abuse diagnoses on a general psychiatry unit in a VA medical center. Psychiatric Services 1996; 47(10):1104-1107.
25. Booth M, Blow FC, Cook CAL: Impact of Psychiatric Comorbidities in Acute Medical/Surgical Patients, Executive Summary IIR#91.077-A. North Little Rock, AK: Health Services Research and Development, Veterans Health Administration, 1996.
26. Conwell Y, Rotenberg M, Caine ED: Completed suicide at age 50 and over. Journal of the American Geriatric Society 1990; 38:640-644.
27. Klevens RM, Giovino GA, Peddicord JP, et al.: The association between veteran status and cigarette-smoking behaviors. American Journal of Preventive Medicine 1995; 11(4):245-250.
28. Soldo BJ, Manton KG: Health status and service needs of the oldest old: Current patterns and future trends. Milbank Memorial Fund Quarterly 1985; 63:286-319.
29. Veterans Health Administration: 1987 Survey of Veterans. Washington, DC: U.S. Bureau of the Census, 1989, p. 103.
30. Lambert MT, Bonner J: Characteristics and six month outcome of patients who use suicide threats to seek hospital admission. Psychiatric Services 1996; 47(8):871-873.
31. Rosenheck R, Frisman L, Chung AM: The proportion of veterans among homeless men. American Journal of Public Health 1994; 84(3):466-469.
32. Gronvall JA: Medical care of low-income veterans in the VA health care system. Health Affairs 1987; Spring:167-175.
33. Kellermann AL, Rivara FP, Somes G, et al.: Suicide in the home in relation to gun ownership. New England Journal of Medicine 1992; 327(7):467-472.
34. Brent DA, Perper JA, Allman CJ, et al.: The presence and accessibility of firearms in the homes of adolescent suicides: A case-control study. Journal of the American Medical Association 1991; 266:2989-2995.
35. Lester D: An availability-acceptability theory of suicide. Activitas Nervosa Superior 1987; 29(3):164-166.
36. Freeman T, Clothier J, Thornton C, et al.: Firearm collection and use among combat veterans admitted to a posttraumatic stress disorder rehabilitation unit. Journal of Nervous and Mental Disease 1994; 182(10):592-594.
37. Lehmann L, McCormick RA, McCracken L: Suicidal behavior among patients in the VA health care system. Psychiatric Services 1995; 46(10):1069-1071.
38. Katon W, Von Korff M, Lin E, et al.: Adequacy and duration of antidepressant treatment in primary care. Medical Care 1992; 30:67-76.
39. Rapp SR, Parisi SA, Wallace CE: Comorbid psychiatric disorders in elderly medical patients: A one year prospective study. Journal of the American Geriatrics Society 1991; 39:124-131.
40. Gronvall JA: The VA's affiliation with academic medicine: An emergency post-war strategy becomes a permanent partnership. Academic Medicine 1989; 64:61-66.
41. Stein LI, Test MA: Alternative to mental hospital treatment, I: Conceptual model, treatment program, and clinical evaluation. Archives of General Psychiatry 1980; 37:392-397.
42. Lambert MT, Hendrickse W, Andrews RA, et al.: Malignant post-Vietnam stress syndrome revisited. Journal of Nervous and Mental Disease 1996; 184(1):354-357.
43. United States Congress: Veterans Eligibility Reform Act of 1996. Public Law No. 104-262. Washington DC, October 9, 1996.
44. Lambert MT: Psychiatric crisis intervention in the general emergency service of a Veterans Affairs hospital. Psychiatric Services 1995; 46(3):283-284.
45. Department of Veterans Affairs: Restructuring Models of Care in Substance Abuse Treatment. Satellite conference presented to the DVA network, Washington, DC: Department of Veterans Affairs, July-December 1996.
46. Lamoreaux J: The organizational structure for medical information management in the Department of Veterans Affairs: An overview of major healthcare databases. Medical Care 1996; 34(3 supp.):MS31-44.
47. Rush AJ, Golden WE, Hall GW, et al.: Depression in Primary Care: Volume 1, Detection and Diagnosis. Clinical Practice Guideline, Number 5. Rockville, MD: U.S. Department of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research. Pub. No. 93-0550, April 1993.
48. Rush AJ, Golden WE, Hall GW, et al.: Depression in Primary Care: Volume 2, Treatment of Depression. Clinical Practice Guideline, Number 5. Rockville, MD: U.S. Department of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research. Pub. No. 93-0551, April 1993.
49. Veterans Health Administration Quality Management Institute and Education Center: Clinical Decision Making Aids: Clinical Practice Guidelines, Clinical Pathways, and Clinical Algorithms, Version 1. Durham, NC: Veterans Health Administration, 1996.
50. Committee on Care of Severely Chronically Mentally Ill Veterans: First Annual Report of the Secretary, Department of Veterans Affairs, to Congress. Washington, DC: Department of Veterans Affairs, 1997.