Rocky Mountain Mental Illness Research, Education, and Clinical Center for Veteran Suicide Prevention.
University of Colorado Anschutz Medical Campus, Aurora, CO.
Med Care. 2021 Apr 1;59(Suppl 2):S103-S105. doi: 10.1097/MLR.0000000000001399.
: Suicidal self-directed violence among Veterans experiencing homelessness remains a significant public health concern. To prevent suicide in this population, concerted clinical and research efforts remain necessary.
: This paper serves as a consensus statement by the recently-formed Department of Veterans Affairs (VA) Suicide Prevention among Veterans Experiencing Homelessness Workgroup. We provide a brief overview of current initiatives to prevent suicide among Veterans experiencing homelessness. We also discuss methods of studying this complex subset of the Veteran population, as well as future research endeavors necessary to inform gaps in understanding.
: Veterans experiencing homelessness are a complex subset of the Veteran population whose risk for suicide may be exacerbated by a number of factors (e.g., multimorbidity, rurality). While the VA has implemented a number of initiatives to prevent suicide among Veterans experiencing homelessness (e.g., universal screening for suicidal ideation and recent suicide attempts, Suicide Prevention Gatekeeper Training), there is a continued need to understand how best to tailor these initiatives to Veterans experiencing homelessness. Moreover, because Veterans experiencing homelessness often access a number of services within the community (e.g., community-based clinics, homeless shelters), collaboration between the VA and community is necessary.
无家可归的退伍军人中自杀性自我伤害仍然是一个严重的公共卫生问题。为了预防这一人群的自杀，仍需要协调临床和研究工作。
本文是美国退伍军人事务部（VA）最近成立的预防无家可归退伍军人自杀工作组的一份共识声明。我们简要概述了目前预防无家可归退伍军人自杀的举措。我们还讨论了研究这一退伍军人群体复杂亚群的方法，以及为了解决理解差距所需的未来研究工作。
无家可归的退伍军人是退伍军人群体中的一个复杂亚群，他们的自杀风险可能因多种因素而加剧（例如，多种疾病、农村地区）。虽然 VA 已经实施了多项举措来预防无家可归的退伍军人自杀（例如，对自杀意念和最近自杀企图进行普遍筛查、自杀预防看门人培训），但仍需要了解如何最好地将这些举措针对无家可归的退伍军人进行调整。此外，由于无家可归的退伍军人经常在社区内接受多项服务（例如，社区诊所、收容所），VA 和社区之间的合作是必要的。
