Suicide among patients in the Veterans Affairs health system: Rural-urban differences in rates, risks, and methods

American Journal of Public Health

Volumn 102, Issue SUPPL. 1, 2012, Pages

  McCarthy, John F ^a   Blow, Frederic C ^a   Ignacio, Rosalinda V ^a   Ilgen, Mark A ^a   Austin, Karen L ^a   Valenstein, Marcia ^a  

^a VETERANS AFFAIRS MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CHI SQUARE DISTRIBUTION; FEMALE; HUMAN; MALE; NONPARAMETRIC TEST; PROPORTIONAL HAZARDS MODEL; PSYCHOLOGICAL ASPECT; RISK FACTOR; RURAL POPULATION; STATISTICS; SUICIDE; UNITED STATES; URBAN POPULATION; VETERAN;

CHI-SQUARE DISTRIBUTION; FEMALE; HUMANS; MALE; PROPORTIONAL HAZARDS MODELS; RISK FACTORS; RURAL POPULATION; STATISTICS, NONPARAMETRIC; SUICIDE; UNITED STATES; URBAN POPULATION; VETERANS;

EID: 84857333738     PISSN: 00900036     EISSN: 15410048     Source Type: Journal    
DOI: 10.2105/AJPH.2011.300463     Document Type: Article

References (40)

1. Institute of Medicine. Reducing Suicide: A National Imperative. Washington, DC: National Academies Press; 2004.
2. US Department of Health and Human Services. The Surgeon General's Call to Action to Prevent Suicide. Washington, DC: National Institutes of Health; 1999.
3. Agha Z, Lofgren RP, VanRuiswyk JV, Layde PM. Are patients at Veterans Affairs medical centers sicker? Arch Intern Med. 2000;160(21):3252-3257.
4. Ilgen MA, Bohnert ASB, Ignacio RV, McCarthy JF, Valenstein MM, Kim HM, et al. Psychiatric diagnoses and risk of suicide in Veterans. Arch Gen Psychiatry. 2010; 67(11):1152-1158.
5. Lambert MT, Fowler DR. Suicide risk factors among veterans: risk management in the changing culture of the Department of Veterans Affairs. J Ment Health Adm. 1997;24(3):350-358.
6. Hawthorne K. Statement to the Senate Committee on Veterans' Affairs. February, 26, 2009. Available at: http://veterans.senate.gov/hearings.cfm? action=release.display&release-id=7fd5424b-eac7-4fd3-8e84-dda1a89daf80. Accessed January 1, 2011.
7. US Census Bureau. Geographic Comparison Table: United States-Urban/Rural and Inside/Outside Metropolitan Area. Available at: http://factfinder.census. gov/servlet/GCTTable?-bm=y&-geo-id=01000US&-box-head-nbr= GCT-P1&-ds-name=DEC-2000-SF1-U&-format=US-1. Accessed January 18, 2011.
8. Kane T. Who are the recruits? The demographic characteristics of U.S. military enlistment, 2003-2005. CDA06-09.Washington, DC: The Heritage Foundation.; October 26, 2006.
9. Kapusta ND, Zorman A, Etzerdorfer E, Ponocny-Seliger E, Jandl-Jager E, Sonneck G. Rural-urban differences in Austrian suicides. Soc Psychiatric Psych Epidemiol. 2008;43:311-318.
10. Singh GK, Siahpush M. Increasing rural-urban gradients in US suicide mortality, 1970-1997. Am J Public Health. 2002;92(7):1161-1167. (Pubitemid 34700985)
11. Levin KA, Leyland AH. Urban/rural inequalities in suicide in Scotland, 1981-1999. Soc Sci Med. 2005; 60:2877-2890. (Pubitemid 40488277)
12. Middleton N, Gunnell D, Frankel S, Whitley E, Dorling D. Urban-rural differences in suicide trends in young adults: England and Wales, 1981-1998. Soc Sci Med. 2003;57:1183-1194. (Pubitemid 36945245)
13. Razvodovsky Y, Stickley A. Suicide in urban and rural regions of Belarus, 1990-2005. Public Health. 2009;123(1):27-31.
14. Hirsch JK. A review of the literature on rural suicide: risk and protective factors, incidence and prevention. Crisis. 2006;27(4):189-199.
15. Hoyt DR, Conger RD, Valde JG, Weihs K. Psychological distress and help seeking in rural America. Am J Community Psychol. 1997;25(4):449-470. (Pubitemid 127714780)
16. Bossarte R, Claassen CA, Knox K. Veteran suicide prevention: emerging priorities and opportunities for intervention. Mil Med. 2010;175(7):461-462.
17. Bruce ML. Suicide risk and prevention in veteran populations. Ann N Y Acad Sci. 2010;1208:98-103.
18. Kang HK, Bullman TA. Is there an epidemic of suicides among current and former U.S. military personnel? Ann Epidemiol. 2009;19(10):757-760.
19. Kaplan MS, Huguet N, McFarland BH, Newsom JT. Suicide among male veterans: a prospective populationbased study. J Epidemiol :Community Health. 2007;61(7): 619-624. (Pubitemid 46998895)
20. Miller M, Barber C, Azrael D, Calle EE, Lawler E, Mukamal KJ. Suicide among US Veterans: a prospective study of 500,000 middle-aged and elderly men. Am J Epidemiol. 2009;170:494-500.
21. McCarthy JF, Valenstein M, Kim HM, Ilgen M, Zivin K, Blow FC. Suicide mortality among patients receiving care in the Veterans Health Administration health system. Am J Epidemiol. 2009;169: 1033-1038.
22. Department of Veterans Affairs. Fact Sheet 164-10: National Income Thresholds. Available at: http://www.va.gov/healtheligibility/Library/pubs/ VAIncomeThresholds/VAIncomeThresholds.pdf. Accessed July 4, 2011.
23. Weeks WB, Kazis LE, Shen Y, et al. Differences in health-related quality of life in rural and urban veterans. Am J Public Health. 2004;94:1762-1767. (Pubitemid 39331767)
24. West A, Weeks WB. Physical and mental health and access to care among nonmetropolitan Veterans Health Administration patients younger than 65 years. J Rural Health. 2006;22(1):9-16.
25. McCarthy JF, Blow FC, Valenstein M, et al. Veterans Affairs Health System and mental health treatment retention among patients with serious mental illness: evaluating accessibility and availability barriers. Health Serv Res. 2007;42(3 Pt 1):1042-1060. (Pubitemid 46699471)
26. Centers for Disease Control and Prevention. Case Fatality Rate Among Persons Age 10 and Older, by Mechanism, United States, 2002-2006. Available at: http://www.cdc.gov/violenceprevention/suicide/statistics/case-fatality.html. Accessed January 28, 2011.
27. Price JH, Mrdjenovich AJ, Dake JA. Prevalence of state firearm mortality and mental health care resources. J Community Health. 2009;34:383-391.
28. Kaplan MS, McFarland BH, Huguet N. Firearm suicide among vterans in the general population: findings from the National Violent Death Reporting System. J Trauma. 2009;67(3):503-507.
29. Cowper DC, Kubal JD, Maynard C, Hynes DM. A primer and comparative review of major US mortality databases. Ann Epidemiol. 2002;12(7):462-468.
30. Sohn MW, Arnold N, Maynard C, Hynes DM. Accuracy and completeness of mortality data in the Department of Veterans Affairs. Popul Health Metr. 2006;4:2.
31. International Classification of Diseases, Ninth Revision, Clinical Modification. Hyattsville, Md: National Center for Health Statistics; 1980.
32. McCarthy JF, Blow FC. Older patients with serious mental illness: sensitivity to distance barriers for outpatient care. Med Care. 2004;42(11):1073-1080. (Pubitemid 39472114)
33. International Classification of Diseases. 10th Revision. Geneva, Switzerland: World Health Organization; 1994.
34. Centers for Disease Control and Prevention. Percentage of Suicides Among Persons Ages 10 Years and Older, by Sex and Mechanism, United States, 2002-2006. Available at: http://www.cdc.gov/violenceprevention/suicide/statistics/ mechanism01.html. Accessed July 4, 2011.
35. Page A, Morrell S, Taylor R, Dudley M, Carter G. Further increases in rural suicide among Australian adults: secular trends, 1979-2003. Soc Sci Med. 2007; 65:442-453. (Pubitemid 47017518)
36. Desai RA, Dausey DJ, Rosenheck RA. Mental health service delivery and suicide risk: The role of individual patient and facility factors. Am J Psychiatry. 2005; 162(2):311-318. (Pubitemid 40216212)
37. Branas CC, Nance ML, Elliott MR, Richmond TS, Schwab W. Urban-rural shifts in intentional firearm death: different causes, same results. Am J Public Health. 2004;94(10):1750-1755. (Pubitemid 39331765)
38. Miller M, Hemenway D. Guns and suicide in the United States. N Engl J Med. 2008;359(10):989-991.
39. McCarthy JF, Valenstein M, Blow FC. Residential mobility among patients in the VA health system: associations with psychiatric morbidity, geographic accessibility, and continuity of care. Adm Policy Ment Health. 2007;34(5):448-455. (Pubitemid 47338474)
40. Saunderson T, Haynes R, Langford IH. Urban-rural variations in suicides and undetermined deaths in England and Wales. J Public Health Med. 1998;20: 261-267. (Pubitemid 28458687)