Evidence map›Paper›PMID 28903578›Full record

ArticleCanadian journal of psychiatry. Revue canadienne de psychiatrie2018

Mental Health Services Use Trends in Canadian Veterans: A Population-Based Retrospective Cohort Study in Ontario.

Alyson L Mahar, Alice B Aiken, Heidi Cramm, Marlo Whitehead, Patti Groome, Paul Kurdyak

Open access · bronzeAbstract read
In one paragraph

Article in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. The health and well-being of older Veterans in Canada: A scoping review.Journal of military, veteran and family health · 2026
    Article
  3. Article
  4. Article
  5. Journal of military, veteran and family health · 2024
    Review
  6. Sharing of military Veterans' mental health data across Canada: A scoping review.Journal of military, veteran and family health · 2024
    Review
  7. Article
  8. Exploring Veteran cultural competency in Canadian health care services.Journal of military, veteran and family health · 2023
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Canadian family physician Medecin de famille canadien · 2019
    Article
  15. Caring for Canadian military families.Canadian family physician Medecin de famille canadien · 2019
    Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 1 country.

Alyson L Mahar1 Evaluative Clinical Sciences, Sunnybrook Health Sciences Centre, Toronto, Ontario.ORCID 0000-0002-6862-3760
Alice B Aiken2 Canadian Institute for Military & Veteran Health Research, Kingston, Ontario.
Heidi Cramm2 Canadian Institute for Military & Veteran Health Research, Kingston, Ontario.
Marlo Whitehead5 Institute for Clinical Evaluative Sciences, Toronto, Ontario.
Patti Groome5 Institute for Clinical Evaluative Sciences, Toronto, Ontario.
Paul Kurdyak5 Institute for Clinical Evaluative Sciences, Toronto, Ontario.
Queen's University · CACentre for Addiction and Mental Health · CADalhousie University · CAInstitute for Clinical Evaluative Sciences · CASunnybrook Health Science Centre · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveA substantial evidence base in the peer-reviewed literature exists investigating mental illness in the military, but relatively less is documented about mental illness in veterans. This study uses provincial, administrative data to study the use of mental health services by Canadian veterans in Ontario.

methodThis was a retrospective cohort study of Canadian Armed Forces and Royal Canadian Mounted Police veterans who were released between 1990 and 2013 and resided in Ontario. Mental health-related primary care physician, psychiatrist, emergency department (ED) visits, and psychiatric hospitalisations were counted. Repeated measures were presented in 5-year intervals, stratified by age at release.

resultsThe cohort included 23,818 veterans. In the first 5 years following entry into the health care system, 28.9% of veterans had ≥1 mental health-related primary care physician visit, 5.8% visited a psychiatrist at least once, and 2.4% received acute mental health services at an ED. The use of mental health services was consistent over time. Almost 8% of veterans aged 30 to 39 years saw a psychiatrist in the first 5 years after release, compared to 3.5% of veterans aged ≥50 years at release. The youngest veterans at release (<30 years) were the most frequent users of ED services for a mental health-related reason (5.1% had at least 1 ED visit).

conclusionUnderstanding how veterans use the health care system for mental health problems is an important step to ensuring needs are met during the transition to civilian life.

Indexed as

AdultFemaleHumansMaleMental Health ServicesMiddle AgedOntarioPatient Acceptance of Health CarePhysicians, Primary CarePsychiatryRetrospective StudiesVeteranshealth servicesmental disordersmilitary personnelveteranveteran health

Identifiers

PMID28903578
PMCPMC5971406
OpenAlexW2754251812

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.