The DOI matches its Crossref record; 11 of the 11 references it cites were found in a registry or an index.
Psychiatric Diagnoses and Risk of Suicide in Veterans
Abstract
CONTEXT: Although numerous studies have documented the clear link between psychiatric conditions and suicide, few have allowed for the comparison between the strength of association between different psychiatric diagnoses and suicide. OBJECTIVE: To examine the strength of association between different types of psychiatric diagnoses and the risk of suicide in patients receiving health care services from the Department of Veterans Affairs in fiscal year (FY) 1999. DESIGN: This project examined National Death Index data and Veterans Health Administration patient treatment records. SETTING: Department of Veterans Affairs, Veterans Health Administration. PARTICIPANTS: All veterans who used Veterans Health Administration services during FY 1999 (N = 3 291 891) who were alive at the start of FY 2000. MAIN OUTCOME MEASURES: Psychiatric diagnoses were obtained from patient treatment records in FY 1998 and 1999 and used to predict subsequent death by suicide during the following 7 years in sex-stratified survival analyses controlling for age. RESULTS: In the 7 years after FY 1999, 7684 veterans died by suicide. In diagnosis-specific analyses, patients with bipolar disorder had the greatest estimated risk of suicide among men (hazard ratio, 2.98; 95% confidence interval, 2.73-3.25), and patients with substance use disorders had the greatest risk among women (6.62; 4.72-9.29). CONCLUSIONS: Although all the examined psychiatric diagnoses were associated with elevated risk of suicide in veterans, results indicate that men with bipolar disorder and women with substance use disorders are at particularly elevated risk for suicide.
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“Consistent with other research, this study demonstrates that those who die by suicide are more likely than the general population to have a mental health or substance use diagnosis.36”
From Variation in patterns of health care before suicide: a population case-control study. (2019) · cites this paper as [36]
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Citations
Cites
Combat Duty in Iraq and Afghanistan, Mental Health Problems, and Barriers to Care
Hoge, C. W., Castro, C. A., Messer, S. C., McGurk, D., Cotting, D. I., & Koffman, R. L. (2004) · New England Journal of Medicine · doi:10.1056/nejmoa040603 · Cited by 4,778
Nock, M. K., Borges, G., Bromet, E. J., Cha, C. B., Kessler, R. C., & Lee, S. (2008) · Epidemiologic Reviews · doi:10.1093/epirev/mxn002 · Cited by 2,897
Psychological autopsy studies of suicide: a systematic review.
CAVANAGH, J. T. O., CARSON, A. J., SHARPE, M., & LAWRIE, S. M. (2003) · Psychological Medicine · doi:10.1017/s0033291702006943 · Cited by 2,207
Toward a clinical model of suicidal behavior in psychiatric patients
Mann, J. J., Waternaux, C., Haas, G. L., & Malone, K. M. (1999) · American Journal of Psychiatry · doi:10.1176/ajp.156.2.181 · Cited by 1,791 · cited 2×
“By examining overlapping results from these different research methods, the presence of any psychiatric disorder has emerged as a consistent risk factor for suicide, with estimates from psychological autopsy studies of between 90% and 98% of all individuals who die by suicide meeting criteria for at least 1 psychiatri…”
BackgroundResultNock, M. K., Hwang, I., Sampson, N. A., & Kessler, R. C. (2010) · Molecular Psychiatry · doi:10.1038/mp.2009.29 · Cited by 1,125
Qin, P., Agerbo, E., & Mortensen, P. B. (2003) · American Journal of Psychiatry · doi:10.1176/appi.ajp.160.4.765 · Cited by 954
Nock, M. K., Hwang, I., Sampson, N., Kessler, R. C., Angermeyer, M., Beautrais, A., Borges, G., Bromet, E., Bruffaerts, R., de Girolamo, G., et al. (2009) · PLoS Medicine · doi:10.1371/journal.pmed.1000123 · Cited by 912 · cited 1×
“In addition, emerging literature regarding suicidal thoughts and nonfatal suicide attempts indicates that certain psychiatric conditions are more strongly associated with suicidal thoughts, whereas others have a stronger effect on suicidal behaviors in those individuals with ongoing suicidal ideation.(36-38) Comprehen…”
BackgroundNock, M. K., & Kessler, R. C. (2006) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.115.3.616 · Cited by 680 · cited 1×
“Prior research has consistently found associations between psychiatric conditions (eg, depression, bipolar disorder, posttraumatic stress disorder [PTSD], schizophrenia, and alcohol and/or drug use disorders) and risk of fatal and nonfatal suicide attempts.(12-17) However, determining the relative contribution of each…”
BackgroundSuicide Risk in Relation to Psychiatric Hospitalization: Evidence Based on Longitudinal Registers
Qin, P., & Nordentoft, M. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.4.427 · Cited by 620
Laursen, T. M., Munk-Olsen, T., Nordentoft, M., & Mortensen, P. B. (2007) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v68n0612 · Cited by 380
Epidemiology of completed and attempted suicide: toward a framework for prevention
Mościcki, E. K. (2001) · Clinical Neuroscience Research · doi:10.1016/s1566-2772(01)00032-9 · Cited by 359
Cited by
Sorted by citations
Risk factors for suicide in individuals with depression: a systematic review
Hawton, K., Casañas i Comabella, C., Haw, C., & Saunders, K. (2013) · Journal of Affective Disorders · doi:10.1016/j.jad.2013.01.004 · Cited by 1,469
Epidemiology of suicide in bipolar disorders: a systematic review of the literature
Pompili, M., Gonda, X., Serafini, G., Innamorati, M., Sher, L., Amore, M., Rihmer, Z., & Girardi, P. (2013) · Bipolar Disorders · doi:10.1111/bdi.12087 · Cited by 359
“Data derived from prospective follow-up studies suggested that among individuals with psychiatric conditions, BD had the strongest association with suicide (37).”
BackgroundSchaffer, A., Isometsä, E. T., Tondo, L., H Moreno, D., Turecki, G., Reis, C., Cassidy, F., Sinyor, M., Azorin, J., Kessing, L. V., et al. (2015) · Bipolar Disorders · doi:10.1111/bdi.12271 · Cited by 335
Suicide in older adults: current perspectives
Conejero, I., Olié, É., Courtet, P., & Calati, R. (2018) · Clinical Interventions in Aging · doi:10.2147/cia.s130670 · Cited by 446
“Moreover, in a cohort including patients from both the Veterans Affairs National Patient Care Database and the Centers for Disease Control and Prevention’s National Death Index, psychiatric disorders with the strongest associations with suicide were bipolar disorder, depression, substance use disorders (both alcohol a…”
Does Suicidal Ideation as Measured by the PHQ-9 Predict Suicide Among VA Patients?
Louzon, S. A., Bossarte, R., McCarthy, J. F., & Katz, I. R. (2016) · Psychiatric Services · doi:10.1176/appi.ps.201500149 · Cited by 291
Self-citation
Metadata
- Authors
- Ilgen, M. A., Bohnert, A. S. B., Ignacio, R. V., McCarthy, J. F., Valenstein, M. M., Kim, H. M., & Blow, F. C.
- Affiliations
- University of Michigan (US)
- Venue
- Archives of General Psychiatry
- Publisher
- American Medical Association (AMA)
- Published
- 2010-11-01
- Volume
- 67
- Issue
- 11
- Pages
- 1152
- ISSN
- 0003-990X (ISSN-L)
- OpenAlex
- W2060307158
- Cited by
- 311
- References
- 40
- Citations by year
- 2026: 8 · 2025: 12 · 2024: 20 · 2023: 17 · 2022: 20 · 2021: 30 · 2020: 25 · 2019: 23 · 2018: 26 · 2017: 18 · 2016: 19 · 2015: 19 · 2014: 18 · 2013: 25 · 2012: 29
- FWCI
- 19.71
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of General Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Keywords
- suicide risk, psychiatric diagnosis, veterans, bipolar disorder, substance use disorders, sex differences, suicide mortality, Department of Veterans Affairs, National Death Index
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Mental Disorders, Cause of Death, Centers for Disease Control and Prevention, U.S., Delivery of Health Care, Female, Humans, Male, Middle Aged, Risk Factors, Sex Factors, Suicide, United States, United States Department of Veterans Affairs, Veterans, Age Distribution, Substance-Related Disorders
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