ArticleJournal of behavioral medicine2021
Recent trends in the rural-urban suicide disparity among veterans using VA health care.
Article in Journal of behavioral medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed, 54 citations in OpenAlex.
- "Sitting on the Porch Just Hearing the Crickets": Rural Living and Mental Well-Being Among Veterans in the U.S. South.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Article
- Prevalence and Correlates of Social Risks and Receipt of Resources Among Rural and Urban Veterans.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Article
- Development of an intervention to incentivize secure firearm storage among veterans at risk for suicide.Injury epidemiology · 2026Article
- Establishing the Resilient Under-resourced Regions Addressing Life-threatening risk in VETeranS dataset (RURAL-VETS): building insights and critical data access for rural-residing Veterans.Frontiers in public health · 2026Article
- Suicide Prevention RCT Pilot: Rural Veterans Receiving Mental Health Community Care.Rural mental health · 2026Article
- Characteristics of Rural Veterans Using VA Video-to-Home Telehealth or Community Care Network for Mental Healthcare.Psychiatric research and clinical practice · 2026Article
- Rural-urban differences in post-9/11 women veterans' firearm ownership and characteristics.Injury epidemiology · 2025Article
- Opportunities and barriers to engaging caregivers in firearm suicide prevention: findings from focus groups with caregivers of veterans.Injury epidemiology · 2025Article
- Insomnia, Social Disconnectedness, and Suicidal Ideation Severity in Underserved Veterans.Cognitive therapy and research · 2025Article
- Comparing Suicide Rates for Cognitive Processing Therapy Versus Prolonged Exposure Therapy for Posttraumatic Stress Disorder.American journal of psychotherapy · 2025Article
- Access to Care and Services Among U.S. Rural Veterans With and Without Disabilities: A National Study.Healthcare (Basel, Switzerland) · 2025Article
- Using Natural Language Processing to Inform Targeted Rural and Urban Hispanic VA Suicide Prediction Models.Rural mental health · 2025Article
- Suicide Risk in U.S. Adults: Alcohol Misuse, Veteran Status, and Urbanization Comparison.Rural mental health · 2024Article
- An Analysis of Irregular Discharges From Residential Treatment Programs in the Department of Veterans Affairs Health Care System.Military medicine · 2023Article
- Rural and Urban Hispanic Patients of the Veterans Health Administration.Journal of racial and ethnic health disparities · 2023Article
- Social participation of adults aging with long-term physical disabilities: A cross-sectional study investigating the role of transportation mode and urban vs rural living.Disability and health journal · 2023Article
- Quantifying the Digital Divide: Associations of Broadband Internet with Tele-mental Health Access Before and During the COVID-19 Pandemic.Journal of general internal medicine · 2023Article
- Geography, rurality, and community distress: deaths due to suicide, alcohol-use, and drug-use among Colorado Veterans.Injury epidemiology · 2023Article
- Identifying built environment factors influencing the community participation of adults aging with long-term physical disabilities: a qualitative study.Disability & society · 2023Article
- Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
There is an elevated risk of suicide among people living in rural areas, and the rural-urban disparity in death by suicide is growing in the general United States population. The department of Veterans Affairs (VA) implemented programs targeting rural health in 2007 and suicide prevention in 2008. Rural-urban differences in suicide rates among VA users have not been examined since 2010. We sought to understand whether the rural-urban disparity in suicide risk among VA users decreased during a time of contemporaneous VA efforts to improve access to mental health care for rural Veterans and to improve the effectiveness of mental health services at preventing suicide. We performed a retrospective cohort study examining differences in the raw and adjusted annual suicide rate among rural and urban VA users between 2003 and 2017. All VHA users 2003-2017. Descriptive statistics are presented for all VHA users in 2017. This includes 6,120,355 unique VA users, 32.0% (n = 1,955,935) of whom lived at a rural address. Raw rates of death by suicide were higher in rural VA users than urban VA users overall (33.3 vs. 29.1 deaths per 100,000 population) and across years, but the age, sex, and race-adjusted rates converged in 2005. White VA users had over triple the rate of death by suicide as black VA users, and lived disproportionally in rural areas. The rural-urban suicide disparity among VA users persists. However, the disparity appears to be driven by differences in the racial composition of rural and urban patients, which were not accounted for in prior studies.
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