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Published in: Administration and Policy in Mental Health and Mental Health Services Research 1/2020

01-01-2020 | Suicide | Original Article

Awareness of Suicide Prevention Programs Among U.S. Military Veterans

Authors: Jack Tsai, Meghan Snitkin, Louis Trevisan, Shane W. Kraus, Robert H. Pietrzak

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 1/2020

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Abstract

To assess U.S. veterans’ awareness and participation in suicide prevention programs offered by the Department of Veterans Affairs (VA). A nationally representative sample of 1002 veterans was surveyed online in 2018. The majority of veterans reported knowing about Vet Centers (72%), the Veterans Crisis Line (65%), and the VA Center for Suicide Prevention (54%). However, only 5% had attended a community event related to veteran suicide and 2% had used VA’s Virtual Hope Box. Veterans aware of the Veterans Crisis Line had more medical conditions and were more likely to report VA as their primary healthcare provider. Veterans aware of VA’s Center for Suicide Prevention were younger, male, had more medical conditions, and more likely to screen positive for posttraumatic stress disorder, generalized anxiety disorder, and past homelessness. History of suicidal ideation or attempt was not associated with awareness of suicide prevention programs. VA’s suicide prevention programs reach a broad segment of the veteran population, including those with and without histories of suicidality. More targeted outreach may be needed for veterans most at-risk for suicide who are unaware of available resources.
Literature
go back to reference Amstadter, A. B., Begle, A. M., Cisler, J. M., Hernandez, M. A., Muzzy, W., & Acierno, R. (2010). Prevalence and correlates of poor self-rated health in the United States: The national elder mistreatment study. The American Journal of Geriatric Psychiatry,18(7), 615–623.CrossRef Amstadter, A. B., Begle, A. M., Cisler, J. M., Hernandez, M. A., Muzzy, W., & Acierno, R. (2010). Prevalence and correlates of poor self-rated health in the United States: The national elder mistreatment study. The American Journal of Geriatric Psychiatry,18(7), 615–623.CrossRef
go back to reference Britt, T. W., Greene-Shortridge, T. M., Brink, S., Nguyen, Q. B., Rath, J., Cox, A. L., … Castro, C. A. (2008). Perceived stigma and barriers to care for psychological treatment: Implications for reactions to stressors in different contexts. Journal of Social and Clinical Psychology, 27(4), 317–335.CrossRef Britt, T. W., Greene-Shortridge, T. M., Brink, S., Nguyen, Q. B., Rath, J., Cox, A. L., … Castro, C. A. (2008). Perceived stigma and barriers to care for psychological treatment: Implications for reactions to stressors in different contexts. Journal of Social and Clinical Psychology, 27(4), 317–335.CrossRef
go back to reference Bush, K., Kivlahan, D. R., & McDonnell, M. B. (1998). The AUDIT alcohol consumption questions (AUDIT-C): An effective brief screening test for problem drinking. JAMA Internal Medicine,158(16), 1789–1795. Bush, K., Kivlahan, D. R., & McDonnell, M. B. (1998). The AUDIT alcohol consumption questions (AUDIT-C): An effective brief screening test for problem drinking. JAMA Internal Medicine,158(16), 1789–1795.
go back to reference Bush, N. E., Smolenski, D. J., Denneson, L. M., Williams, H. B., Thomas, E. K., & Dobscha, S. K. (2016). A virtual hope box: Randomized controlled trial of a smartphone app for emotional regulation and coping with distress. Psychiatric Services,68(4), 330–336.CrossRef Bush, N. E., Smolenski, D. J., Denneson, L. M., Williams, H. B., Thomas, E. K., & Dobscha, S. K. (2016). A virtual hope box: Randomized controlled trial of a smartphone app for emotional regulation and coping with distress. Psychiatric Services,68(4), 330–336.CrossRef
go back to reference Fanning, J. R., & Pietrzak, R. H. (2013). Suicidality among older male veterans in the United States: Results from the National Health and Resilience in Veterans Study. Journal of Psychiatric Research,47(11), 1766–1775.CrossRef Fanning, J. R., & Pietrzak, R. H. (2013). Suicidality among older male veterans in the United States: Results from the National Health and Resilience in Veterans Study. Journal of Psychiatric Research,47(11), 1766–1775.CrossRef
go back to reference Gradus, J. L., Suvak, M. K., Wisco, B. E., Marx, B. P., & Resick, P. A. (2013). Treatment of posttraumatic stress disorder reduces suicidal ideation. Depression and Anxiety,30(10), 1046–1053.PubMed Gradus, J. L., Suvak, M. K., Wisco, B. E., Marx, B. P., & Resick, P. A. (2013). Treatment of posttraumatic stress disorder reduces suicidal ideation. Depression and Anxiety,30(10), 1046–1053.PubMed
go back to reference Hauser, C. (2015). ‘Buddy Check on 22!’ Veterans use scoail media to fight suicide. New York Times, p. A19 Hauser, C. (2015). ‘Buddy Check on 22!’ Veterans use scoail media to fight suicide. New York Times, p. A19
go back to reference Kleiman, S. E., Bovin, M. J., Black, S. K., Rodriguez, P., Brown, L. G., Brown, M. E.,… Spira, J. (in press). Psychometric properties of a brief measure of posttraumatic stress disorder-related impairment: The Brief inventory of psychosocial functioning. Psychological Services. Kleiman, S. E., Bovin, M. J., Black, S. K., Rodriguez, P., Brown, L. G., Brown, M. E.,… Spira, J. (in press). Psychometric properties of a brief measure of posttraumatic stress disorder-related impairment: The Brief inventory of psychosocial functioning. Psychological Services.
go back to reference Knox, K. L., Kemp, J., McKeon, R., & Katz, I. R. (2012). Implementation and early utilization of a suicide hotline for veterans. American Journal of Public Health,102(S1), S29–S32.CrossRef Knox, K. L., Kemp, J., McKeon, R., & Katz, I. R. (2012). Implementation and early utilization of a suicide hotline for veterans. American Journal of Public Health,102(S1), S29–S32.CrossRef
go back to reference Kroenke, K., Spitzer, R. L., Williams, J. B., & Löwe, B. (2009). An ultra-brief screening scale for anxiety and depression: The PHQ–4. Psychosomatics,50(6), 613–621.PubMed Kroenke, K., Spitzer, R. L., Williams, J. B., & Löwe, B. (2009). An ultra-brief screening scale for anxiety and depression: The PHQ–4. Psychosomatics,50(6), 613–621.PubMed
go back to reference Kroenke, K., Spitzer, R. L., Williams, J. B. W., Monahan, P. O., & Löwe, B. (2007). Anxiety disorders in primary care: Prevalence, impairment, comorbidity, and detection. Annals of Internal Medicine,146(5), 317–325.CrossRef Kroenke, K., Spitzer, R. L., Williams, J. B. W., Monahan, P. O., & Löwe, B. (2007). Anxiety disorders in primary care: Prevalence, impairment, comorbidity, and detection. Annals of Internal Medicine,146(5), 317–325.CrossRef
go back to reference Krysinska, K., & Lester, D. (2010). Post-traumatic stress disorder and suicide risk: A systematic review. Archives of suicide research,14(1), 1–23.CrossRef Krysinska, K., & Lester, D. (2010). Post-traumatic stress disorder and suicide risk: A systematic review. Archives of suicide research,14(1), 1–23.CrossRef
go back to reference Nock, M. K., Stein, M. B., Heeringa, S. G., Ursano, R. J., Colpe, L. J., Fullerton, C. S., … Schoenbaum, M. (2014). Prevalence and correlates of suicidal behavior among soldiers: Results from the Army study to assess risk and resilience in servicemembers (Army STARRS). JAMA Psychiatry, 71(5), 514–522.CrossRef Nock, M. K., Stein, M. B., Heeringa, S. G., Ursano, R. J., Colpe, L. J., Fullerton, C. S., … Schoenbaum, M. (2014). Prevalence and correlates of suicidal behavior among soldiers: Results from the Army study to assess risk and resilience in servicemembers (Army STARRS). JAMA Psychiatry, 71(5), 514–522.CrossRef
go back to reference Pietrzak, R. H., Johnson, D. C., Goldstein, M. B., Malley, J. C., & Southwick, S. M. (2009). Perceived stigma and barriers to mental health care utilization among OEF-OIF veterans. Psychiatric Services,60(8), 1118–1122.CrossRef Pietrzak, R. H., Johnson, D. C., Goldstein, M. B., Malley, J. C., & Southwick, S. M. (2009). Perceived stigma and barriers to mental health care utilization among OEF-OIF veterans. Psychiatric Services,60(8), 1118–1122.CrossRef
go back to reference Prins, A., Bovin, M. J., Smolenski, D. J., Marx, B. P., Kimerling, R., Jenkins-Guarnieri, M. A., … Leyva, Y. E. (2016). The primary care PTSD screen for DSM-5 (PC-PTSD-5): Development and evaluation within a veteran primary care sample. Journal of General Internal Medicine, 31(10), 1206–1211.CrossRef Prins, A., Bovin, M. J., Smolenski, D. J., Marx, B. P., Kimerling, R., Jenkins-Guarnieri, M. A., … Leyva, Y. E. (2016). The primary care PTSD screen for DSM-5 (PC-PTSD-5): Development and evaluation within a veteran primary care sample. Journal of General Internal Medicine, 31(10), 1206–1211.CrossRef
go back to reference Sherbourne, C. D., & Stewart, A. L. (1991). The MOS social support survey. Social Science and Medicine,32(6), 705–714.CrossRef Sherbourne, C. D., & Stewart, A. L. (1991). The MOS social support survey. Social Science and Medicine,32(6), 705–714.CrossRef
go back to reference Tsai, J., Mehta, K., Johnson, N. H., & Pietrzak, R. H. (in press). Experiences and knowledge of U.S. Department of Veterans Affairs clinical services, research, and education: Results from a national survey of veterans. Journal of Public Health Management and Practice. Tsai, J., Mehta, K., Johnson, N. H., & Pietrzak, R. H. (in press). Experiences and knowledge of U.S. Department of Veterans Affairs clinical services, research, and education: Results from a national survey of veterans. Journal of Public Health Management and Practice.
Metadata
Title
Awareness of Suicide Prevention Programs Among U.S. Military Veterans
Authors
Jack Tsai
Meghan Snitkin
Louis Trevisan
Shane W. Kraus
Robert H. Pietrzak
Publication date
01-01-2020
Publisher
Springer US
Keywords
Suicide
Suicide
Published in
Administration and Policy in Mental Health and Mental Health Services Research / Issue 1/2020
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI
https://doi.org/10.1007/s10488-019-00975-6

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