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Health care contact and suicide risk documentation prior to suicide death

Title: Health care contact and suicide risk documentation prior to suicide death: Results from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS).
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Name(s): Ribeiro, Jessica D, author
Gutierrez, Peter M, author
Joiner, Thomas E, author
Kessler, Ronald C, author
Petukhova, Maria V, author
Sampson, Nancy A, author
Stein, Murray B, author
Ursano, Robert J, author
Nock, Matthew K, author
Type of Resource: text
Genre: Journal Article
Text
Date Issued: 2017-04-01
Physical Form: computer
online resource
Extent: 1 online resource
Language(s): English
Abstract/Description: Prior research has shown that a substantial portion of suicide decedents access health care in the weeks and months before their death. We examined whether this is true among soldiers. The sample included the 569 Regular Army soldiers in the U.S. Army who died by suicide on active duty between 2004 and 2009 compared to 5,690 matched controls. Analyses examined the prevalence and frequency of health care contacts and documentation of suicide risk (i.e., the presence of prior suicidal thoughts and behaviors) over the year preceding suicide death. Predictors of health care contact and suicide risk documentation were also examined. Approximately 50% of suicide decedents accessed health care in the month prior to their death, and over 25% of suicide decedents accessed health care in the week prior to their death. Mental health encounters were significantly more prevalent among suicide decedents (4 weeks: 27.9% vs. 7.9%, χ2 = 96.2, p < .001; 52 weeks: 59.4% vs. 33.7%, χ2 = 120.2, p < .001). Despite this, risk documentation was rare among suicide decedents (4 weeks: 13.8%; 52 weeks: 24.5%). Suicide decedents who were male, never married, and non-Hispanic Black were less likely to access care prior to death. Number of mental health encounters was the only predictor of suicide risk documentation among decedents at 4 weeks (OR = 1.14) and 52 weeks (OR = 1.05) prior to their death. Many soldiers who die by suicide access health care shortly before death, presenting an opportunity for suicide prevention. However, in most cases, there was no documentation of prior suicidal thoughts or behaviors, highlighting the need for improvements in risk detection and prediction. Increasing the frequency, scope, and accuracy of risk assessments, especially in mental health care settings, may be particularly useful. (PsycINFO Database Record
Identifier: FSU_pmch_28333538 (IID), 10.1037/ccp0000178 (DOI), PMC5364817 (PMCID), 28333538 (RID), 28333538 (EID), 2017-12488-008 (PII)
Grant Number: U01 MH087981
Publication Note: This NIH-funded author manuscript originally appeared in PubMed Central at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5364817.
Subject(s): Adult
Female
Humans
Male
Middle Aged
Military Personnel/statistics & numerical data
Patient Acceptance of Health Care/statistics & numerical data
Resilience, Psychological
Risk Assessment/statistics & numerical data
Suicide/statistics & numerical data
United States
Persistent Link to This Record: http://purl.flvc.org/fsu/fd/FSU_pmch_28333538
Host Institution: FSU
Is Part Of: Journal of consulting and clinical psychology.
1939-2117
Issue: iss. 4, vol. 85

Choose the citation style.
Ribeiro, J. D., Gutierrez, P. M., Joiner, T. E., Kessler, R. C., Petukhova, M. V., Sampson, N. A., … Nock, M. K. (2017). Health care contact and suicide risk documentation prior to suicide death: Results from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS). Journal Of Consulting And Clinical Psychology. Retrieved from http://purl.flvc.org/fsu/fd/FSU_pmch_28333538