Department of Veterans Affairs, Serious Mental Illness Treatment Resource and Evaluation Center (SMITREC) and Health Services Research and Development Center of Excellence, Ann Arbor, MI, USA.
Am J Public Health. 2012 Mar;102 Suppl 1(Suppl 1):S98-104. doi: 10.2105/AJPH.2011.300441.
We sought to examine rates of suicide among individuals receiving health care services in Veterans Health Administration (VHA) facilities over an 8-year period.
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.
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.
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.
我们旨在研究在退伍军人健康管理局 (VHA) 医疗机构接受医疗服务的个体在 8 年期间的自杀率。
我们纳入了在 2000 财年至 2007 财年期间（1999 年 10 月 1 日至 2007 年 9 月 30 日）接受 VHA 医疗服务的所有个体的年度队列。通过国家死亡索引获得生命状态和死因。
VHA 患者的自杀率高于美国普通人群。VHA 患者的自杀总体率从 2000 年到 2007 年略有但显著下降（P<0.001）。30 至 64 岁的男性退伍军人自杀风险最高。
VHA 医疗保健系统的患者自杀风险较高，适合进行自杀减少服务，尽管近年来该群体的自杀率有所下降。VHA 中的综合自杀预防方法不仅关注最近从伊拉克和阿富汗返回的人员，还关注中年和老年退伍军人。
