ArticleJournal of consulting and clinical psychology2019
Utilization of and barriers to treatment among suicide decedents: Results from the Army Study to Assess Risk and Resilience Among Servicemembers (Army STARRS).
Article in Journal of consulting and clinical psychology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Adult Suicidality and Therapeutic Engagement: A Systematic Review.Clinical psychology & psychotherapyPooled it
- Efficacy of CBT for Treatment Seeking (CBT-TS) in Untreated Veterans and Service Members at Risk for Suicidal Behavior.Journal of general internal medicine · 2023Trial
- Automated Digital Safety Planning Interventions for Young Adults: Qualitative Study Using Online Co-design Methods.JMIR formative research · 2025Article
- Detecting suicide risk among U.S. servicemembers and veterans: a deep learning approach using social media data.Psychological medicine · 2024Article
- Undetected suicide attempts among U.S. soldiers: results from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS).Psychological medicine · 2024Article
- Perspectives of suicide loss survivors: Qualitative analysis of data from a psychological autopsy study of U.S. Army soldiers.Suicide & life-threatening behavior · 2024Article
- Building Resilience and Attachment in Vulnerable Adolescents: The Feasibility of a Virtually Delivered Group Intervention for Adolescents with Suicidal Ideation and Their Caregivers.Telemedicine reports · 2024Article
- External Validation and Updating of a Statistical Civilian-Based Suicide Risk Model in US Naval Primary Care.JAMA network open · 2023Article
- Do the American guideline-based leisure time physical activity levels for civilians benefit the mental health of military personnel?Frontiers in psychiatry · 2023Article
- Mental Health Treatment Seeking and History of Suicidal Thoughts Among Suicide Decedents by Mechanism, 2003-2018.JAMA network open · 2022Article
- Social closeness and support are associated with lower risk of suicide among U.S. Army soldiers.Suicide & life-threatening behavior · 2021Article
- A test of the interpersonal theory of suicide in a large, representative, retrospective and prospective study: Results from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS).Behaviour research and therapy · 2020Article
Corrections and comments
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Authors and funding
11 authors at 5 institutions in 2 countries.
Funding
Abstract
objectiveTo examine suicide decedents' use of mental health treatment and perceived barriers to initiating and maintaining treatment.
methodWe used a psychological autopsy study conducted as part of the Army Study to Assess Risk and Resilience Among Servicemembers (Army STARRS) that compared suicide decedents (n = 135) to soldiers in two control conditions: those propensity-score-matched on known sociodemographic and Army history variables (n = 137) and those with a history of suicidal thoughts in the past 12 months (n = 118). Informants were next of kin and Army supervisors.
resultsResults revealed that suicide decedents were significantly more likely to be referred to services and to use more intensive treatments (e.g., medication, overnight stay in hospital) than propensity-matched controls. However, decedents also were more likely to perceive significant barriers to treatment-seeking. All differences observed in the current study were between propensity-matched controls and decedents, with no observed differences between suicide ideators and decedents.
conclusionsMany suicide decedents used some form of mental health care at some point in their lives; however, they also were more likely than propensity-matched controls to perceive barriers that may have prevented service use. The lack of differences between suicide ideators and decedents suggests that more information is needed, beyond knowledge of treatment utilization or perceived barriers, to identify and intervene on those at highest risk for suicide. These findings underscore the importance of reducing attitudinal barriers that may deter suicidal soldiers from seeking treatment, and also improving risk detection among those who are attending treatment. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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