Predictive modeling and concentration of the risk of suicide: Implications for preventive interventions in the us department of veterans affairs

American Journal of Public Health

Volumn 105, Issue 9, 2015, Pages 1935-1942

  McCarthy, John F ^a   Bossarte, Robert M ^b   Katz, Ira R ^c   Thompson, Caitlin ^d   Kemp, Janet ^a   Hannemann, Claire M ^a   Nielson, Christopher ^a   Schoenbaum, Michael ^e  

^a DEPARTMENT OF VETERANS AFFAIRS   (United States)

^b CDC   (United States)

^c Office of Mental Health Operations   (United States)

^d Assisted Living and Skilled Nursing Facilities   (United States)

^e NATIONAL INSTITUTE OF MENTAL HEALTH   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

EPIDEMIOLOGY; FEMALE; GOVERNMENT; HUMAN; MALE; PREDICTIVE VALUE; PSYCHOLOGY; RISK ASSESSMENT; STATISTICS AND NUMERICAL DATA; SUICIDE; UNITED STATES; VETERAN;

FEMALE; HUMANS; MALE; PREDICTIVE VALUE OF TESTS; RISK ASSESSMENT; SUICIDE; UNITED STATES; UNITED STATES DEPARTMENT OF VETERANS AFFAIRS; VETERANS;

EID: 84939166548     PISSN: 00900036     EISSN: 15410048     Source Type: Journal    
DOI: 10.2105/AJPH.2015.302737     Document Type: Article

References (37)

1. Katz I. Lessons learned from mental health enhancement and suicide prevention activities in the Veterans Health Administration. Am J Public Health. 2012;102(suppl 1):S14-S16.
2. Office of the Surgeon General and National Action Alliance for Suicide Prevention. 2012 National Strategy for Suicide Prevention: Goals and Objectives for Action. Washington, DC: US Dept of Health and Human Services; 2012.
3. Kemp J. Suicide rates in VHA patients with comparisons with other Americans and other veterans through 2010. Available at: http://www.mentalhealth.va.gov/docs/ suicide-data-report-update-january-2014.pdf. Accessed November 3, 2014.
4. Centers for Disease Control and Prevention. Suicide among adults aged 35-64 years-United States, 1999-2010. MMWR Morb Mortal Wkly Rep. 2013;62 (17):321-325.
5. Xu JQ, Kochanek KD, Murphy SL, Arias E. Mortality in the United States, 2012. Hyattsville, MD: National Center for Health Statistics; 2014. NCHS data brief 168.
6. Katz IR, McCarthy JF, Ignacio RV, Kemp J. Suicide among veterans in 16 states, 2005 to 2008: comparisons between utilizers and nonutilizers of Veterans Health Administration (VHA) services based on data from the National Death Index, the National Violent Death Reporting System, and VHA administrative records. Am J Public Health. 2012;102(suppl 1):S105-S110.
7. Oquendo MA, Halberstam B, Mann JJ. Risk factors for suicidal behaviors: the utility and limitations of research instruments. In: First MB, ed. Standardized Evaluation in Clinical Practice. Arlington, VA: American Psychiatric Press; 2003:103-130.
8. Mann JJ, Apter A, Bertolote J. et al. Suicide prevention strategies: a systematic review. JAMA. 2005;294 (16):2064-2074.
9. Galfalvy HC, Oquendo MA, Mann JJ. Evaluation of clinical prognostic models for suicide attempts after a major depressive episode. Acta Psychiatr Scand. 2008;117(4):244-252.
10. Cooper J, Kapur N, Dunning J, Guthrie E, Appleby L, Mackway-Jones K. A clinical tool for assessing risk after self-harm. Ann Emerg Med. 2006;48(4):459-466.
11. Tiet QQ, Ilgen MA, Byrnes HF, Moos RH. Suicide attempts among substance use disorder patients: an initial step toward a decision tree for suicide management. Alcohol Clin Exp Res. 2006;30(6):998-1005.
12. Kessler RC, Warner CH, Ivany C, et al. Predicting suicides after psychiatric hospitalization in US Army soldiers: the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS). JAMA Psychiatry. 2015;72(1):49-57.
13. Tran T, Luo W, Phung D, et al. Risk stratification using data from electronic medical records better predicts suicide risks than clinical assessments. BMC Psychiatry. 2014;14(1):76.
14. Suicide Prevention Resource Center. Suicide prevention basics. Available at: http://www.sprc.org/basics/ about-suicide. Accessed November 3, 2014.
15. Morriss R, Kapur N, Byng R. Assessing risk of suicide or self harm in adults. BMJ. 2013;347:f4572.
16. Ganzini L, Denneson LM, Press N, et al. Trust is the basis for effective suicide risk screening and assessment in veterans. J Gen Intern Med. 2013;28(9):1215-1221.
17. Boudreaux ED, Horowitz LM. Suicide risk screening and assessment: designing instruments with dissemination in mind. Am J Prev Med. 2014;47(3 suppl 2):S163-S169.
18. Glenn CR, Nock MK. Improving the short-term prediction of suicidal behavior. Am J Prev Med. 2014;47 (3 suppl 2):S176-S180.
19. Claassen CA, Harvilchuck-Laurenson JD, Fawcett J. Prognostic models to detect and monitor the near-term risk of suicide: state of the science. Am J Prev Med. 2014;47(3 suppl 2):S181-S185.
20. Research Prioritization Task Force. A Prioritized Research Agenda for Suicide Prevention: An Action Plan to Save Lives. Rockville, MD: National Action Alliance for Suicide Prevention; 2014.
21. Institute of Medicine. Reducing risks for mental disorders: frontiers for preventive intervention research. In: Mrazek PJ, Haggerty RJ, eds. Committee on Prevention of Mental Disorders, Division of Biobehavorial Sciences and Mental Disorders. Washington, DC: National Academies Press; 1994.
22. The Assessment and Management of Risk for Suicide Working Group. VA/DoD Clinical Practice Guideline for Assessment and Management of Patients at Risk for Suicide. Version 1.0. Washington, DC: Veterans Health Administration and Department of Defense; 2013.
23. Pringle B, Colpe LJ, Heinssen RK, et al. A strategic approach for prioritizing research and action to prevent suicide. Psychiatr Serv. 2013;64(1):71-75.
24. 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(8):1033-1038.
25. Ilgen MA, Bohnert ASB, Ignacio R, et al. Psychiatric diagnoses and risk of suicide in veterans. Arch Gen Psychiatry. 2010;67(11):1152-1158.
26. McCarthy JF, Blow FC, Ignacio RV, Ilgen MA, Austin KL, Valenstein M. Suicide among patients in the Veterans Affairs health system: rural-urban differences in rates, risks, and methods. Am J Public Health. 2012;102(suppl 1):S111-S117.
27. Valenstein M, Kim HM, Ganoczy D, et al. Higher-risk periods for suicide among VA patients receiving depression treatment: prioritizing suicide prevention efforts. J Affect Disord. 2009;112(1-3):50-58.
28. Ilgen MA, Kleinberg F, Ignacio RV, et al. Noncancer pain conditions and risk of suicide. JAMA Psychiatry. 2013;70(7):692-697.
29. Kim HM, Smith EG, Ganoczy D, et al. Predictors of suicide in patient charts among patients with depression in the Veterans Health Administration health system: importance of prescription drug and alcohol abuse. J Clin Psychiatry. 2012;73(10):e1269-e1275.
30. Ilgen MA, McCarthy JF, Ignacio RV, et al. Psychopathology, Iraq and Afghanistan service, and suicide among Veterans Health Administration patients. J Consult Clin Psychol. 2012;80(3):323-330.
31. Brenner LA, Ignacio RV, Blow FC. Suicide and traumatic brain injury among individuals seeking Veterans Health Administration services. J Head Trauma Rehabil. 2011;26(4):257-264. 2100
32. Basham C, Denneson LM, Millet L, Shen X, Duckart J, Dobscha SK. Characteristics and VA health care utilization of U.S. veterans who completed suicide in Oregon between 2000 and 2005. Suicide Life Threat Behav. 2011;41(3):287-296.
33. IlgenMA, Conner KR, Valenstein M, Austin K, Blow FC. Violent and nonviolent suicide in veterans with substance-use disorders. J Stud Alcohol Drugs. 2010;71(4):473-479.
34. Pfeiffer PN, Ganoczy D, IlgenM, Zivin K, ValensteinM. Comorbid anxiety as a suicide risk factor among depressed veterans. Depress Anxiety. 2009;26(8):752-757.
35. Hanley JA, McNeil BJ. The meaning and use of the area under a receiver operating characteristic (ROC) curve. Radiology. 1982;143(1):29-36.
36. Hosmer DW, Lemeshow S, Sturdivant RX. Applied Logistic Regression. 3rd ed. Hoboken, NJ: Wiley; 2013.
37. Kilbourne AM, Ignacio RV, Kim HM, Blow FC. Datapoints: are VA patients with serious mental illness dying younger? Psychiatr Serv. 2009;60(5):589.