ArticleAmerican journal of preventive medicine2019
Causes of Excess Mortality in Veterans Treated for Posttraumatic Stress Disorder.
Article in American journal of preventive medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Seeking safety intervention for comorbid post-traumatic stress and substance use disorder: A meta-analysis.Brain and behavior · 2023Pooled 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
- State of the Science: The epidemiology of posttraumatic stress disorder.Journal of traumatic stress · 2026Review
- Post-traumatic stress disorder and risk of all-cause and cause-specific mortality: a nationwide population and sibling-controlled cohort study in Taiwan.Epidemiology and psychiatric sciences · 2026Article
- High-risk emergency department visits and risk of all-cause mortality, suicide, and fatal overdose among US military veterans.American journal of epidemiology · 2026Article
- Comparing Suicide Rates for Cognitive Processing Therapy Versus Prolonged Exposure Therapy for Posttraumatic Stress Disorder.American journal of psychotherapy · 2025Article
- Exploring comorbidity networks in mild traumatic brain injury subjects through graph theory: a traumatic brain injury model systems study.BMC neurology · 2025Article
- Hospitalizations with post-traumatic stress disorder in France between 2013 and 2022: a nationwide retrospective study.European psychiatry : the journal of the Association of European Psychiatrists · 2025Article
- Posttraumatic Stress Disorder in Older Veterans admitted to VA Community Living Centers: Prevalence and Risk Correlates.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2025Article
- Suicide Risk Among Veterans Who Receive Evidence-Based Therapy for Posttraumatic Stress Disorder.JAMA network open · 2024Article
- Severity of posttraumatic stress disorder, type 2 diabetes outcomes and all-cause mortality: A retrospective cohort study.Journal of psychosomatic research · 2023Article
- Prevalence of Heart Failure Stages in a Universal Health Care System: The Military Health System Experience.The American journal of medicine · 2023Observational
- Assessment of Post-traumatic Stress Disorder Among Objective Esophageal Motility and Reflux Phenotypes in Symptomatic Veterans.Journal of clinical psychology in medical settings · 2023Article
- Characterizing the Influence of Exposure to Military Sexual Trauma and Intimate Partner Violence on Mental Health Outcomes among Female Veterans.Journal of interpersonal violence · 2023Article
- Article
- A Randomized Pilot Study of Acceptance and Commitment Therapy to Improve Social Support for Veterans with PTSD.Journal of clinical medicine · 2022Article
- [Comorbidity of posttraumatic stress disorder and addiction from a biopsychosocial perspective].Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2022Article
- Association of Traumatic Brain Injury With Mortality Among Military Veterans Serving After September 11, 2001.JAMA network open · 2022Article
- Regulation of sleep disorders in patients with traumatic brain injury by intestinal flora based on the background of brain-gut axis.Frontiers in neuroscience · 2022Article
- Acute and Delayed Effects of Stress Eliciting Post-Traumatic Stress-Like Disorder Differentially Alters Fecal Microbiota Composition in a Male Mouse Model.Frontiers in cellular and infection microbiology · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
introductionPublished research indicates that posttraumatic stress disorder (PTSD) is associated with increased mortality. However, causes of death among treatment-seeking patients with PTSD remain poorly characterized. The study objective was to describe causes of death among Veterans with PTSD to inform preventive interventions for this treatment population.
methodsA retrospective cohort study was conducted for all Veterans who initiated PTSD treatment at any Department of Veterans Affairs Medical Center from fiscal year 2008 to 2013. The primary outcome was mortality within the first year after treatment initiation. In 2018, collected data were analyzed to determine leading causes of death. For the top ten causes, standardized mortality ratios (SMRs) were calculated from age- and sex-matched mortality tables of the U.S. general population.
resultsA total of 491,040 Veterans were identified who initiated PTSD treatment. Mean age was 48.5 (±16.0) years, 90.7% were male, and 63.5% were of white race. In the year following treatment initiation, 1.1% (5,215/491,040) died. All-cause mortality was significantly higher for Veterans with PTSD compared with the U.S. population (SMR=1.05, 95% CI=1.02, 1.08, p<0.001). Veterans with PTSD had a significant increase in mortality from suicide (SMR=2.52, 95% CI=2.24, 2.82, p<0.001), accidental injury (SMR=1.99, 95% CI=1.83, 2.16, p<0.001), and viral hepatitis (SMR=2.26, 95% CI=1.68, 2.93, p<0.001) versus the U.S. POPULATION: Of those dying from accidental injury, more than half died of poisoning (52.3%, 325/622).
conclusionsVeterans with PTSD have an elevated risk of death from suicide, accidental injury, and viral hepatitis. Preventive interventions should target these important causes of death.
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