ArticleAmerican journal of public health2013
Suicide mortality following nursing home discharge in the Department of Veterans Affairs health system.
Article in American journal of public health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Similarities and differences in the prevalence and risk factors of suicidal behavior between caregivers and people with dementia: a systematic review.BMC geriatrics · 2024Pooled it
- Mental health supported accommodation services: a systematic review of mental health and psychosocial outcomes.BMC psychiatry · 2018Pooled it
- Training to implement BE-ACTIV(VA), a behavioral intervention for depression in VA nursing homes: staff satisfaction and efficacy.Gerontology & geriatrics education · 2026Article
- Suicidal Ideation After Hip Fracture in Older Adults.Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society · 2025Article
- How Residing in a Long-Term Care Facility Affects Suicidal Risk in Patients With Dementia: A Systematic Review.Cureus · 2022Review
- Care Transitions to the Community from Veterans Affairs Nursing Homes: Experiences of Social Connection and Disconnection.Journal of the American Medical Directors Association · 2021Article
- Validation of the MEDSAIL Tool to Screen for Capacity for Safe and Independent Living Among Nursing Home Residents.Journal of the American Medical Directors Association · 2020Article
- An Evidence Map of the Women Veterans' Health Research Literature (2008-2015).Journal of general internal medicine · 2017Review
- Factors affecting residents transition from long term care facilities to the community: a scoping review.BMC health services research · 2017Article
- Improving Suicide Risk Detection and Clinical Follow-up after Discharge from Nursing Homes.Clinical gerontologistArticle
- SAVE-CLC: An Intervention to Reduce Suicide Risk in Older Veterans following Discharge from VA Nursing Facilities.Clinical gerontologistArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesWe assessed suicide rates up to 6 months following discharge from US Department of Veterans Affairs (VA) nursing homes.
methodsIn VA Minimum Data Set (MDS) records, we identified 281 066 live discharges from the 137 VA nursing homes during fiscal years 2002 to 2008. We used MDS and administrative data to assess resident age, gender, behaviors, pain, and indications of psychoses, bipolar disorder, dementia, and depression. We identified vital status and suicide mortality within 6 months of discharge through National Death Index searches.
resultsSuicide rates within 6 months of discharge were 88.0 per 100 000 person-years for men and 89.4 overall. Standardized mortality ratios relative to age- and gender-matched individuals in the VA patient population were 2.3 for men (95% confidence interval [CI] = 1.9, 2.8) and 2.4 overall (95% CI = 2.0, 2.9). In multivariable proportional hazards regression analyses, resident characteristics, diagnoses, behaviors, and pain were not significantly associated with suicide risk.
conclusionsSuicide risk was elevated following nursing home discharge. This underscores the importance of ongoing VA efforts to enhance discharge planning and timely postdischarge follow-up.
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