ArticleInjury epidemiology2025
Harnessing national data systems to understand circumstances surrounding veteran suicide: linking Department of Veterans Affairs and National Violent Death Reporting System Data.
Article in Injury epidemiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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Who cites it
4 citing papers in PubMed.
- Suicide by suffocation among Asian American, Native Hawaiian and Pacific Islander Veterans in the USA (2012-2018).Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2026Article
- Financial Stressors and Suicide.JAMA network open · 2026Article
- Demographic, Circumstantial, and Geographic Patterns of Firearm-related Homicides and Suicides in Mississippi, 2021-2023.Journal of public health in the deep South · 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
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundVeterans are at elevated risk for suicide compared to non-Veteran U.S. adults. Data sources and analyses to inform prevention efforts, especially for those who do not use Department of Veterans Affairs (VA) healthcare services, are needed. This study aimed to link VA and CDC's National Violent Death Reporting System (NVDRS) data to create a novel data source to characterize the circumstances precipitating and preceding suicide among Veterans, including among those who did not use VA healthcare.
methodsMulti-variable, multi-stage, deterministic linkage of VA-Department of Defense (DoD) Mortality Data Repository (MDR) and NVDRS-Restricted Access Database suicide and undetermined intent mortality records within 189 state-year strata (42 states, 2012-2018). Three linkage stages: (1) exact (matched on: age, sex, death date, underlying cause of death, day of month of birth, first initial of last name); (2) probable (all but one variable matched); (3) possible (all but 2 variables matched). Linkage success and accuracy of NVDRS-documented military history were assessed.
resultsAcross all state-years, 22,019 matches (89.20% of 24,685 MDR Veteran records) were identified (65.47% exact). When high missingness (2 + matching variables in > 10% of records; n = 23) or incomplete reporting (n = 12) state-years were excluded, match rate increased to 94.29% (77.15% exact). NVDRS-documented military history (ever served) was accurate for 87.79% of matched records, with an overall sensitivity of 84.62%. Sensitivity was lower for female (61.01%) and younger (17-39 years; 77.51%) Veterans.
conclusionsAccurate linkage of VA-DoD and NVDRS data is feasible and offers potential to improve understanding of circumstances surrounding suicide among Veterans.
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