ArticleJournal of general internal medicine2014
Correlates of suicide among veterans treated in primary care: case-control study of a nationally representative sample.
Article in Journal of general internal medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 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.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.
- Posttraumatic Stress Disorder, Suicidal Ideation, and Suicidal Self-Directed Violence Among U.S. Military Personnel and Veterans: A Systematic Review of the Literature From 2010 to 2018.Frontiers in psychology · 2020Pooled it
- Risk of all-cause and cause-specific mortality, and suicide attempt in people with anxiety and stress-related disorders: a systematic review, meta-analysis and meta-regression analysis of 165 studies.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026Article
- Data linkage studies on veteran suicidality: a scoping review of the field, knowledge gaps and evidence appraisal.BMC psychiatry · 2026Article
- Anger-Related Affect and Suicidal Thoughts and Behaviors: A Systematic Review and Meta-Analysis.Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association · 2025Article
- Association Between Use of Services To Address Adverse Social Determinants of Health and Documented Suicide Attempt Among Patients in the Veterans Health Administration.Journal of community health · 2025Article
- Suicide Ideation, Plans, and Attempts Among Military Veterans vs Nonveterans With Disability.JAMA network open · 2023Article
- Associations Between Natural Language Processing-Enriched Social Determinants of Health and Suicide Death Among US Veterans.JAMA network open · 2023Article
- A practical guide to random-effects Bayesian meta-analyses with application to the psychological trauma and suicide literature.Psychological trauma : theory, research, practice and policy · 2023Article
- Impact of Lithium on Suicidality in the Veteran Population.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2022Article
- Anger, impulsivity and wall/object punching in a sample of U.S. veterans with psychiatric disorders.Journal of psychiatric research · 2022Article
- Suicidal ideation, suicide attempts, and suicide death among Veterans and service members: A comprehensive meta-analysis of risk factors.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2022Article
- Exploring the role of anger in nonsuicidal self-injury in veterans.Journal of psychiatric research · 2021Article
- Anger precedes and predicts nonsuicidal self-injury in veterans: Findings from an ecological momentary assessment study.Journal of psychiatric research · 2021Article
- Shared correlates of prescription drug misuse and severe suicide ideation among clinical patients at risk for suicide.Suicide & life-threatening behavior · 2020Article
- Using Interpretation Bias Modification to Reduce Anger in Veterans with Posttraumatic Stress Disorder: A Pilot Study.Journal of traumatic stress · 2020Article
- Anger mediates the relationship between posttraumatic stress disorder and suicidal ideation in veterans.Journal of affective disorders · 2020Article
- Associations between anger and suicidal ideation and attempts: A prospective study using the National Epidemiologic Survey on Alcohol and Related Conditions.Journal of psychiatric research · 2020Article
- Courses of suicidal ideation among military veterans in residential treatment for posttraumatic stress disorder.Depression and anxiety · 2020Article
- Comorbidity Profiles Identified in Older Primary Care Patients Who Attempt Suicide.Journal of the American Geriatrics Society · 2019Article
- Association between suicidal ideation and suicide: meta-analyses of odds ratios, sensitivity, specificity and positive predictive value.BJPsych open · 2019Article
Corrections and comments
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Authors and funding
8 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundVeterans receiving Veterans Affairs (VA) healthcare have increased suicide risk compared to the general population. Many patients see primary care clinicians prior to suicide. Yet little is known about the correlates of suicide among patients who receive primary care treatment prior to death.
objectiveOur aim was to describe characteristics of veterans who received VA primary care in the 6 months prior to suicide; and to compare these to characteristics of control patients who also received VA primary care.
designThis was a retrospective case-control study. SUBJECTS: The investigators partnered with VA operations leaders to obtain death certificate data from 11 states for veterans who died by suicide in 2009. Cases were matched 1:2 to controls based on age, sex, and clinician. MAIN MEASURES: Demographic, diagnosis, and utilization data were obtained from VA's Corporate Data Warehouse. Additional clinical and psychosocial context data were collected using manual medical record review. Multivariate conditional logistic regression was used to examine associations between potential predictor variables and suicide. KEY
resultsTwo hundred and sixty-nine veteran cases were matched to 538 controls. Average subject age was 63 years; 97 % were male. Rates of mental health conditions, functional decline, sleep disturbance, suicidal ideation, and psychosocial stressors were all significantly greater in cases compared to controls. In the final model describing men in the sample, non-white race (OR = 0.51; 95 % CI = 0.27-0.98) and VA service-connected disability (OR = 0.54; 95 % CI = 0.36-0.80) were associated with decreased odds of suicide, while anxiety disorder (OR = 3.52; 95 % CI = 1.79-6.92), functional decline (OR = 2.52; 95 % CI = 1.55-4.10), depression (OR = 1.82; 95 % CI = 1.07-3.10), and endorsement of suicidal ideation (OR = 2.27; 95 % CI = 1.07-4.83) were associated with greater odds of suicide.
conclusionsAssessment for anxiety disorders and functional decline in addition to suicidal ideation and depression may be especially important for determining suicide risk in this population. Continued development of interventions that support identifying and addressing these conditions in primary care is indicated.
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