Suicide Mortality Among Patients Treated by the Veterans Health Administration From 2000 to 2007
Suicide Mortality Among Patients Treated by the Veterans Health Administration From 2000 to 2007
复制标题
DOI：
10.2105/ajph.2011.300441
复制
发表时间：
2012-01-01
影响因子：
12.7
通讯作者：
Knox, Kerry L.
中科院分区：
文献类型：
--
作者：
Blow, Frederic C.;Bohnert, Amy S. B.;Knox, Kerry L.
目标。我们试图调查 8 年来在退伍军人健康管理局 (VHA) 设施中接受医疗保健服务的个人的自杀率。方法。我们纳入了从 2000 财政年度（FY）到 2007 财政年度（1999 年 10 月 1 日至 2007 年 9 月 30 日；N = 8 855 655）接受 VHA 医疗保健服务的所有个人的年度队列。生命状况和死亡原因是从国家死亡指数结果中获得的。 VHA 患者的自杀现象比美国普通人群更为常见。从 2000 年到 2007 年，VHA 患者的总体自杀率略有下降，但显着下降 (P < .001)。 30 岁至 64 岁之间的男性退伍军人自杀风险最高。结论。 VHA 医疗保健系统患者的自杀风险较高，适合接受减少自杀服务，尽管近年来该群体的自杀率有所下降。 VHA 预防自杀的综合方法不仅关注最近从伊拉克和阿富汗返回的人，还关注中年和老年退伍军人。 （美国公共卫生杂志。2012；102：S98-S104。doi：10.2105/AJPH.2011.300441）
Objectives. We sought to examine rates of suicide among individuals receiving health care services in Veterans Health Administration (VHA) facilities over an 8-year period.Methods. We included annual cohorts of all individuals who received VHA health care services from fiscal year (FY) 2000 through FY 2007 (October 1, 1999 September 30,2007; N = 8 855 655). Vital status and cause of death were obtained from the National Death Index.Results. Suicide was more common among VHA patients than members of the general US population. The overall rates of suicide among VHA patients decreased slightly but significantly from 2000 to 2007 (P < .001). Male veterans between the ages of 30 and 64 years were at the highest risk of suicide.Conclusions. VHA health care system patients are at elevated risk for suicide and are appropriate for suicide reduction services, although the rate of suicide has decreased in recent years for this group. Comprehensive approaches to suicide prevention in the VHA focus not only on recent returnees from Iraq and Afghanistan but also on middle-aged and older Veterans. (Am J Public Health. 2012;102:S98-S104. doi:10.2105/AJPH.2011.300441)