Evidence map›Paper›PMID 42636250›Full record

ArticlePloS one2026

ADDIE-guided development and pilot feasibility evaluation of a prototype VR training simulation for suicide prevention among rural U.S. veterans.

Donna L Schuman, Micki Washburn, Regina T Praetorius, Jaci S Mester, Minjaal Raval, Joshua Wilson, Suzanne Lohman, Renee Castillo

Abstract read
In one paragraph

Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Donna L SchumanSchool of Social Work, University of Texas at Arlington, Arlington, Texas, United States of America.ORCID https://orcid.org/0000-0001-9340-3121
Micki WashburnSchool of Social Work, University of Texas at Arlington, Arlington, Texas, United States of America.ORCID https://orcid.org/0000-0003-1486-2501
Regina T PraetoriusSchool of Social Work, University of Texas at Arlington, Arlington, Texas, United States of America.
Jaci S MesterCollege of Nursing and Health Innovation, University of Texas at Arlington, Arlington, Texas, United States of America.
Minjaal RavalSchool of Social Work, University of Texas at Arlington, Arlington, Texas, United States of America.
Joshua WilsonSchool of Social Work, University of Texas at Arlington, Arlington, Texas, United States of America.
Suzanne LohmanSchool of Social Work, University of Texas at Arlington, Arlington, Texas, United States of America.
Renee CastilloDepartment of Psychology, Texas Christian University, Fort Worth, Texas, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSuicide risk is disproportionately higher for rural veterans who often lack access to specialty-trained health professionals equipped to deliver effective prevention interventions. Virtual reality offers a scalable training solution to address these gaps. This mixed-methods feasibility study systematically developed and evaluated a prototype virtual reality simulation for a training module in suicide risk identification and lethal means safety counseling during rural veteran home visits.

methodsThirty participants (10 nursing/social work students, 10 health professionals, and 10 rural community members) completed the veteran suicide prevention simulation using Meta Quest 2 headsets. Sense of presence (including negative effects) was assessed with the ITC-Sense of Presence Inventory; additional outcomes included representativeness, acceptability, and cue recall.

resultsParticipants reported high engagement, with moderate spatial presence, and ecological validity, and low negative effects (e.g., nausea). Prominent lethal means cues were highly recalled (firearms: 93.3%; alcohol: 83.3%), while subtler cues (e.g., isolation) were less frequently noted. Most endorsed representational accuracy, with qualitative feedback praising authenticity and suggesting improvements in interactivity and navigation.

conclusionsFindings support the preliminary feasibility and acceptability of the VET-SAVR prototype for suicide risk identification and lethal means counseling training. Refinements to navigation, cue salience, and mitigation of negative VR effects are warranted before future efficacy testing.

Indexed as

Suicide PreventionVeteransVirtual RealityAdultFeasibility StudiesFemaleHumansMaleMiddle AgedPilot ProjectsRural PopulationSuicideUnited States

Identifiers

PMID42636250
PMCPMC13502552

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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.