Examination of potential disparities in suicide risk identification and follow-up care within the Veterans Health Administration.

Suicide & Life-threatening Behavior
Sarah P CarterMark A Reger

Abstract

To improve the identification and intervention of suicide risk, the Veterans Health Administration implemented the use of electronic patient record flags (PRF) to indicate when a veteran is identified as high risk for suicide and to increase the clinical contacts made with the veteran. The current study utilized an intersectional approach to assess potential disparities in the likelihood of receiving a PRF and the likelihood of receiving post-PRF follow-up care among veterans with substance use disorders (SUDs). Among 458,092 veterans who received a SUD diagnosis in 2012, Black veterans were less likely to receive a PRF, although Black-disabled veterans and Black-female veterans were more likely to receive a PRF. Homelessness was related to greater likelihood of receiving a PRF and post-PRF care. Hispanic/Latinx veterans who experienced homelessness were more likely to receive post-PRF care, while disabled veterans who experienced homelessness were less likely. Hispanic/Latinx, female veterans, and Black-disabled veterans were significantly less likely to receive post-PRF care. Overall, few marginalized or intersecting identities were associated with decreased PRF or decreased follow-up care. There are opportunities for specifi...Continue Reading

References

Aug 5, 2000·Health Affairs·K A PhillipsL A Aday
Feb 15, 2001·JAMA : the Journal of the American Medical Association·M B KushelJ S Haas
Dec 13, 2005·Psychiatric Services : a Journal of the American Psychiatric Association·Isabel T LagomasinoKenneth B Wells
Apr 19, 2006·Joint Commission Journal on Quality and Patient Safety·Peter D MillsKierston Howard
Apr 3, 2007·Suicide & Life-threatening Behavior·Stacey Freedenthal
Jun 15, 2007·Journal of Epidemiology and Community Health·Mark S KaplanJason T Newsom
Oct 13, 2009·American Journal of Public Health·Marc A SafranAlan Trachtenberg
Jun 1, 2010·Women & Health·Janine M JurkowskiJose Rossy-Millan
Nov 3, 2010·Archives of General Psychiatry·Mark A IlgenFrederic C Blow
Jan 19, 2011·International Journal for Equity in Health·Gerry Veenstra
Mar 7, 2012·American Journal of Public Health·Mark A IlgenMarcia Valenstein
Sep 27, 2014·Suicide & Life-threatening Behavior·Carol CooheyJulie K W Bockenstedt
Sep 19, 2015·Aging & Mental Health·Madeleine Mellqvist FässbergMargda Wærn
Dec 15, 2015·Advances in Medical Education and Practice·Maria OlenickValerie J Diaz
Jun 9, 2016·Health Affairs·Timothy B Creedon, Benjamin Lê Cook
Apr 16, 2017·Journal of Racial and Ethnic Health Disparities·Mana K AliJulie A Kreyenbuhl
Jul 22, 2017·Suicide & Life-threatening Behavior·Adam S HoffbergLisa A Brenner
Sep 14, 2017·Journal of Clinical Psychology in Medical Settings·Jessica Maura, Amy Weisman de Mamani
Apr 11, 2018·Journal of the American Medical Informatics Association : JAMIA·John R BlosnichMichael J Fine
Jun 9, 2018·Psychiatric Services : a Journal of the American Psychiatric Association·Joanna M BergEric J Hawkins
May 17, 2019·Medical Care·Eliseo J Pérez-StableCourtney Ferrell Aklin

❮ Previous
Next ❯

Citations

Jul 30, 2021·Psychiatric Services : a Journal of the American Psychiatric Association·Tyler C HeinJohn F McCarthy

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.