ArticleAmerican journal of public health2012
Suicide among patients in the Veterans Affairs health system: rural-urban differences in rates, risks, and methods.
Article in American journal of public health, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05477706 (Use of a Peer Intervention to Improve Access Among Rural Women Veterans With Psychological Distress and Unmet Social Needs), which is not on this map. Cited by 65 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Use of a Peer Intervention to Improve Access Among Rural Women Veterans With Psychological Distress and Unmet Social Needs
Who cites it
65 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review of the association between alcohol-related deaths and area-level socioeconomic deprivation and other geographic characteristics in high-income countries.BMC public health · 2026Pooled it
- Comparing Suicide Rates Across Subpopulations of Veterans Receiving Veterans Health Administration Care, 2017-2021: The Suicide Risk Encyclopedia.Administration and policy in mental health · 2026Article
- An Examination of Mental Health Rates in Children During the First Year of the COVID-19 Pandemic: Findings from the National Health Interview Survey 2019-2020.Child psychiatry and human development · 2026Review
- Assessing the utility of health access data and social determinants of health in ecological suicide prediction models.Social psychiatry and psychiatric epidemiology · 2026Article
- Article
- Development of an intervention to incentivize secure firearm storage among veterans at risk for suicide.Injury epidemiology · 2026Article
- Survey of the Availability of Neurology Services on Hawai'i Island.Hawai'i journal of health & social welfare · 2026Article
- The Promise of a Retreat: Perspectives of U.S. Women Veterans and Interdisciplinary Experts on the Development of a Retreat-Based Suicide Prevention Program for Violence-Exposed Women Veterans.Violence against women · 2026Article
- Article
- Rural-urban differences in post-9/11 women veterans' firearm ownership and characteristics.Injury epidemiology · 2025Article
- Geospatial estimates of suicidal ideation and suicide attempt prevalence in the U.S. veteran population (2022).Injury epidemiology · 2025Article
- Barriers to accessing care among rural women veterans: A qualitative study with veterans, peer specialists, and primary care professionals.Psychological services · 2025Article
- Article
- Rural Suicide: Demographics, Causes, and Treatment Implications.Community mental health journal · 2025Article
- Veteran Perspectives on Priority Areas for Rural Community-Level Suicide Prevention.Rural mental health · 2025Article
- Using Natural Language Processing to Inform Targeted Rural and Urban Hispanic VA Suicide Prediction Models.Rural mental health · 2025Article
- Pilot implementation of a telehealth safety planning group intervention for suicidal rural Veterans enhanced by lived experience veteran peer participation.Frontiers in psychiatry · 2025Article
- Patient and Support Person Satisfaction Following a Whole Health-Informed Interdisciplinary Pain Team Meeting.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2024Article
- Assessing access: Texting hotline app provides mental health crisis care for economically deprived youth.Social science & medicine (1982) · 2024Article
- Suicide Risk in U.S. Adults: Alcohol Misuse, Veteran Status, and Urbanization Comparison.Rural mental health · 2024Article
5 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesUsing national patient cohorts, we assessed rural-urban differences in suicide rates, risks, and methods in veterans.
methodsWe identified all Department of Veterans Affairs (VA) patients in fiscal years 2003 to 2004 (FY03-04) alive at the start of FY04 (n = 5,447,257) and all patients in FY06-07 alive at the start of FY07 (n = 5,709,077). Mortality (FY04-05 and FY07-08) was assessed from National Death Index searches. Census criteria defined rurality. We used proportional hazards regressions to calculate rural-urban differences in risks, controlling for age, gender, psychiatric diagnoses, VA mental health services accessibility, and regional administrative network. Suicide method was categorized as firearms, poisoning, strangulation, or other.
resultsRural patients had higher suicide rates (38.8 vs 31.4/100,000 person-years in FY04-05; 39.6 vs 32.4/100,000 in FY07-08). Rural residence was associated with greater suicide risks (20% greater, FY04-05; 22% greater, FY07-08). Firearm deaths were more common in rural suicides (76.8% vs 61.5% in FY07-08).
conclusionsRural residence is a suicide risk factor, even after controlling for mental health accessibility. Public health and health system suicide prevention should address risks in rural areas.
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