VA Suicide Prevention Applications Network: A National Health Care System–Based Suicide Event Tracking System

Hoffmire, Claire; Stephens, Brady; Morley, Sybil; Thompson, Caitlin; Kemp, Janet; Bossarte, Robert M.

doi:10.1177/0033354916670133

Cited by 87Suicide and Self-Harm StudiesMedical Coding and Health InformationOpioid Use Disorder Treatment

VA Suicide Prevention Applications Network: A National Health Care System–Based Suicide Event Tracking System

Open access

Hoffmire, Claire, Stephens, Brady, Morley, Sybil, Thompson, Caitlin, Kemp, Janet, Bossarte, Robert M.·2016·Public Health Reports®

DOI 10.1177/0033354916670133PMC PMC5230828

Open this paper in CoChat — free account Open PDF

Abstract

Objectives: The US Department of Veterans Affairs’ Suicide Prevention Applications Network (SPAN) is a national system for suicide event tracking and case management. The objective of this study was to assess data on suicide attempts among people using Veterans Health Administration (VHA) services. Methods: We assessed the degree of data overlap on suicide attempters reported in SPAN and the VHA’s medical records from October 1, 2010, to September 30, 2014—overall, by year, and by region. Data on suicide attempters in the VHA’s medical records consisted of diagnoses documented with E95 codes from the International Classification of Diseases, Ninth Revision. Results: Of 50 518 VHA patients who attempted suicide during the 4-year study period, data on fewer than half (41%) were reported in both SPAN and the medical records; nearly 65% of patients whose suicide attempt was recorded in SPAN had no data on attempted suicide in the VHA’s medical records. Conclusion: Evaluation of administrative data suggests that use of SPAN substantially increases the collection of data on suicide attempters as compared with the use of medical records alone, but neither SPAN nor the VHA’s medical records identify all suicide attempters. Further research is needed to better understand the strengths and limitations of both systems and how to best combine information across systems.

Integrity signals

Registry

Crossref · 10.1177/0033354916670133

Cites

5 of 5 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

We couldn’t retrieve this paper’s full text, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Suicide Behavior Reports are mandated in the VA and include descriptions of all suicide attempts, suicide deaths, and other suicidal behaviors including interrupted attempts.
“Suicide Behavior Reports for suicide behaviors in the postdischarge 6 months were also retrieved from the medical records at each hospital.These reports are mandated in the VA and include descriptions of all suicide attempts, suicide deaths, and other suicidal behaviors including interrupted attempts.2,40”
From Comparison of the Safety Planning Intervention With Follow-up vs Usual Care of Suicidal Patients Treated in the Emergency Department (2018) · cites this paper as [40]

Updated Guidelines for Evaluating Public Health Surveillance Systems: Recommendations from the Guidelines Working Group
German, R. R., Lee, L. M., Horan, J. M., Milstein, R. L., Pertowski, C. A., & Waller, M. (2001) · PsycEXTRA Dataset · doi:10.1037/e548222006-001 · Cited by 1,130 · see citing works
International Classification of Diseases, Ninth Revision
National Cancer Institute (2020) · Definitions · doi:10.32388/bd1nux · Cited by 891 · see citing works
National Strategy for Suicide Prevention: Goals and Objectives for Action
Service., U. S. P. H. (2001) · PsycEXTRA Dataset · doi:10.1037/e415652005-001 · Cited by 458 · see citing works
Nonfatal Suicidal Behaviors in U.S. Army Administrative Records, 2004–2009: Results from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS)
Ursano, R. J., Kessler, R. C., Heeringa, S. G., Cox, K. L., Naifeh, J. A., Fullerton, C. S., Sampson, N. A., Kao, T., Aliaga, P. A., Vegella, P. L., et al. (2015) · Psychiatry · doi:10.1080/00332747.2015.1006512 · Cited by 64 · see citing works
Improving National Data Systems for Surveillance of Suicide-Related Events
Data and Surveillance Task Force of the National Action Alliance for Suicide Prevention (2014) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2014.05.026 · Cited by 50 · see citing works

Flagged first, then by citations

Sorted by citations

Comparison of the Safety Planning Intervention With Follow-up vs Usual Care of Suicidal Patients Treated in the Emergency Department
Stanley, B., Brown, G. K., Brenner, L. A., Galfalvy, H. C., Currier, G. W., Knox, K. L., Chaudhury, S. R., Bush, A. L., & Green, K. L. (2018) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2018.1776 · Cited by 648 · see citing works
Suicide prediction models: a critical review of recent research with recommendations for the way forward
Kessler, R. C., Bossarte, R. M., Luedtke, A., Zaslavsky, A. M., & Zubizarreta, J. R. (2020) · Molecular Psychiatry · doi:10.1038/s41380-019-0531-0 · Cited by 234 · see citing works
Self-citation
GWAS meta-analysis of suicide attempt: identification of 12 genome-wide significant loci and implication of genetic risks for specific health factors
Docherty, A. R., Mullins, N., Ashley-Koch, A. E., Qin, X., Coleman, J. R. I., Shabalin, A., Kang, J., Murnyak, B., Wendt, F., Adams, M., et al. (2023) · American Journal of Psychiatry · doi:10.1176/appi.ajp.21121266 · Cited by 160 · see citing works
Social Determinants and Military Veterans’ Suicide Ideation and Attempt: a Cross-sectional Analysis of Electronic Health Record Data
Blosnich, J. R., Montgomery, A. E., Dichter, M. E., Gordon, A. J., Kavalieratos, D., Taylor, L., Ketterer, B., & Bossarte, R. M. (2020) · Journal of General Internal Medicine · doi:10.1007/s11606-019-05447-z · Cited by 123 · see citing works
Self-citation
Sleep, suicide behaviors, and the protective role of sleep medicine
Bishop, T. M., Walsh, P., Ashrafioun, L., Lavigne, J. E., & Pigeon, W. R. (2019) · Sleep Medicine · doi:10.1016/j.sleep.2019.07.016 · Cited by 106 · see citing works
Risk of Suicide Attempt in Patients With Recent Diagnosis of Mild Cognitive Impairment or Dementia
Günak, M. M., Barnes, D. E., Yaffe, K. S., Li, Y., & Byers, A. L. (2021) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2021.0150 · Cited by 102 · see citing works
Evaluation of the Recovery Engagement and Coordination for Health–Veterans Enhanced Treatment Suicide Risk Modeling Clinical Program in the Veterans Health Administration
McCarthy, J. F., Cooper, S. A., Dent, K. R., Eagan, A. E., Matarazzo, B. B., Hannemann, C. M., Reger, M. A., Landes, S. J., Trafton, J. A., Schoenbaum, M., et al. (2021) · JAMA Network Open · doi:10.1001/jamanetworkopen.2021.29900 · Cited by 98 · see citing works
Machine learning methods for developing precision treatment rules with observational data
Kessler, R. C., Bossarte, R. M., Luedtke, A. R., Zaslavsky, A. M., & Zubizarreta, J. R. (2019) · Behaviour Research and Therapy · doi:10.1016/j.brat.2019.103412 · Cited by 84 · see citing works
Self-citation
A genome-wide association study of suicide attempts in the million veterans program identifies evidence of pan-ancestry and ancestry-specific risk loci
Kimbrel, N. A., Ashley‐Koch, A. E., Qin, X., Lindquist, J. H., Garrett, M. E., Dennis, M. F., Hair, L. P., Huffman, J. E., Jacobson, D., Madduri, R., et al. (2022) · Molecular Psychiatry · doi:10.1038/s41380-022-01472-3 · Cited by 69 · see citing works
Social determinants and emergency department utilization: Findings from the Veterans Health Administration
Davis, C. I., Montgomery, A. E., Dichter, M. E., Taylor, L. D., & Blosnich, J. R. (2020) · The American Journal of Emergency Medicine · doi:10.1016/j.ajem.2020.05.078 · Cited by 62 · see citing works
Associations of Military-Related Traumatic Brain Injury With New-Onset Mental Health Conditions and Suicide Risk
Brenner, L. A., Forster, J. E., Gradus, J. L., Hostetter, T. A., Hoffmire, C. A., Walsh, C. G., Larson, M. J., Stearns‐Yoder, K. A., & Adams, R. S. (2023) · JAMA Network Open · doi:10.1001/jamanetworkopen.2023.26296 · Cited by 60 · see citing works
Self-citation
High Occurrence of Psychiatric Disorders and Suicidal Behavior Across Dementia Subtypes
Lai, A. X., Kaup, A. R., Yaffe, K. S., & Byers, A. L. (2018) · American Journal of Geriatric Psychiatry · doi:10.1016/j.jagp.2018.08.012 · Cited by 55 · see citing works
Using Administrative Data to Predict Suicide After Psychiatric Hospitalization in the Veterans Health Administration System
Kessler, R. C., Bauer, M. S., Bishop, T. M., Demler, O. V., Dobscha, S. K., Gildea, S. M., Goulet, J. L., Karras, E., Kreyenbuhl, J., Landes, S. J., et al. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.00390 · Cited by 52 · see citing works
Self-citation
Use of the Columbia‐Suicide Severity Rating Scale (C‐ SSRS ) in a large sample of Veterans receiving mental health services in the Veterans Health Administration
Katz, I. R., Barry, C. N., Cooper, S. A., Kasprow, W. J., & Hoff, R. A. (2019) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12584 · Cited by 50 · see citing works
Nonpharmacological Treatment of Army Service Members with Chronic Pain Is Associated with Fewer Adverse Outcomes After Transition to the Veterans Health Administration
Meerwijk, E. L., Larson, M. J., Schmidt, E. M., Adams, R. S., Bauer, M. R., Ritter, G. A., Buckenmaier, C. C., & Harris, A. H. S. (2019) · Journal of General Internal Medicine · doi:10.1007/s11606-019-05450-4 · Cited by 45 · see citing works
Evaluation of a Model to Target High-risk Psychiatric Inpatients for an Intensive Postdischarge Suicide Prevention Intervention
Kessler, R. C., Bauer, M. S., Bishop, T. M., Bossarte, R. M., Castro, V. M., Demler, O., Gildea, S. M., Goulet, J. L., King, A. J., Kennedy, C. J., et al. (2023) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2022.4634 · Cited by 41 · see citing works
Self-citation
Genome-wide association study identifies four pan-ancestry loci for suicidal ideation in the Million Veteran Program
Ashley‐Koch, A. E., Kimbrel, N. A., Qin, X., Lindquist, J. H., Garrett, M. E., Dennis, M. F., Hair, L. P., Huffman, J. E., Jacobson, D., Madduri, R., et al. (2023) · PLoS Genetics · doi:10.1371/journal.pgen.1010623 · Cited by 40 · see citing works
Estimated Average Treatment Effect of Psychiatric Hospitalization in Patients With Suicidal Behaviors
Ross, E. L., Bossarte, R. M., Dobscha, S. K., Gildea, S. M., Hwang, I. H., Kennedy, C. J., Liu, H., Luedtke, A. R., Marx, B. P., Nock, M. K., et al. (2023) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2023.3994 · Cited by 42 · see citing works
Self-citation
Increased Risk of Suicide Attempts and Unintended Death Among Those Transitioning From Prison to Community in Later Life
Barry, L. C., Steffens, D. C., Covinsky, K. E., Conwell, Y., Li, Y., & Byers, A. L. (2018) · American Journal of Geriatric Psychiatry · doi:10.1016/j.jagp.2018.07.004 · Cited by 40 · see citing works
Gender differences in the development of suicidal behavior among United States military veterans: A national qualitative study
Denneson, L. M., Tompkins, K. J., McDonald, K. L., Hoffmire, C. A., Britton, P. C., Carlson, K. F., Smolenski, D. J., & Dobscha, S. K. (2020) · Social Science & Medicine · doi:10.1016/j.socscimed.2020.113178 · Cited by 34 · see citing works
Self-citation
Prescription Medications for the Treatment of Insomnia and Risk of Suicide Attempt: a Comparative Safety Study
Lavigne, J. E., Hur, K., Kane, C. P., Au, A., Bishop, T. M., & Pigeon, W. R. (2019) · Journal of General Internal Medicine · doi:10.1007/s11606-019-05030-6 · Cited by 38 · see citing works
Evaluation of Suicide Mortality Among Sexual Minority US Veterans From 2000 to 2017
Lynch, K. E., Gatsby, E., Viernes, B., Schliep, K. C., Whitcomb, B. W., Alba, P. R., DuVall, S. L., & Blosnich, J. R. (2020) · JAMA Network Open · doi:10.1001/jamanetworkopen.2020.31357 · Cited by 32 · see citing works
Association Between Positive Results on the Primary Care–Posttraumatic Stress Disorder Screen and Suicide Mortality Among US Veterans
Cooper, S. A., Szymanski, B. R., Bohnert, K. M., Sripada, R. K., & McCarthy, J. F. (2020) · JAMA Network Open · doi:10.1001/jamanetworkopen.2020.15707 · Cited by 29 · see citing works
Comorbidity Profiles Identified in Older Primary Care Patients Who Attempt Suicide
Morin, R. T., Li, Y., Mackin, R. S., Whooley, M. A., Conwell, Y., & Byers, A. L. (2019) · Journal of the American Geriatrics Society · doi:10.1111/jgs.16126 · Cited by 26 · see citing works
Association of Frailty With Risk of Suicide Attempt in a National Cohort of US Veterans Aged 65 Years or Older
Kuffel, R. L., Morin, R. T., Covinsky, K. E., Boscardin, W. J., Lohman, M. C., Li, Y., & Byers, A. L. (2023) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2022.5144 · Cited by 27 · see citing works
The Association of Pain Intensity and Suicide Attempts Among Patients Initiating Pain Specialty Services
Ashrafioun, L., Kane, C. P., Bishop, T. M., Britton, P. C., & Pigeon, W. R. (2019) · Journal of Pain · doi:10.1016/j.jpain.2019.01.012 · Cited by 25 · see citing works
Opioid use disorders, psychiatric comorbidities, and risk for suicide attempts among veterans seeking pain care
Ashrafioun, L., Zerbo, K. R., Bishop, T. M., & Britton, P. C. (2019) · Psychological Medicine · doi:10.1017/s0033291719002307 · Cited by 20 · see citing works
Invisible Wounds: Health and Well-Being Impacts of Mental Disorder Disability Compensation on Veterans
Silver, D., & Zhang, J. (2022) · National Bureau of Economic Research · doi:10.3386/w29877 · Cited by 20 · see citing works
Veterans Justice Programs: Assessing Population Risks for Suicide Deaths and Attempts
Palframan, K. M., Blue‐Howells, J., Clark, S. C., & McCarthy, J. F. (2020) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12631 · Cited by 17 · see citing works
Pain Conditions and Suicide Attempts in Military Veterans: A Case-Control Design
Boska, R. L., Bishop, T. M., & Ashrafioun, L. (2021) · Pain Medicine · doi:10.1093/pm/pnab287 · Cited by 16 · see citing works
Social Stressors and Health Among Older Transgender and Gender Diverse Veterans
Jasuja, G. K., Reisman, J. I., Rao, S. R., Wolfe, H. L., Hughto, J. M. W., Reisner, S. L., & Shipherd, J. C. (2022) · LGBT Health · doi:10.1089/lgbt.2022.0012 · Cited by 16 · see citing works
Deep sequential neural network models improve stratification of suicide attempt risk among US veterans
Martinez, C., Levin, D., Jones, J. L., Finley, P. D., McMahon, B. H., Dhaubhadel, S., Cohn, J. D., Program, M. V., Workgroup, M. S. E., Oslin, D. W., et al. (2023) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocad167 · Cited by 17 · see citing works
Feasibility and acceptability of the mobile application for the prevention of suicide (MAPS)
Primack, J. M., Bozzay, M. L., Barredo, J., Armey, M. F., Miller, I. W., Fisher, J. B., Holman, C. S., & Schatten, H. T. (2021) · Military Psychology · doi:10.1080/08995605.2021.1962187 · Cited by 15 · see citing works
Posttraumatic stress disorder, suicide, and unintended overdose death in later life: A national cohort study of veterans aged 50 and older
Clark, R., Kuffel, R. L., Neylan, T. C., Maguen, S., Li, Y., Boscardin, W. J., & Byers, A. L. (2022) · Journal of the American Geriatrics Society · doi:10.1111/jgs.18199 · Cited by 14 · see citing works
Clinical characteristics of veterans with gambling disorders seeking pain treatment
Ronzitti, S., Kraus, S. W., Decker, S. E., & Ashrafioun, L. (2019) · Addictive Behaviors · doi:10.1016/j.addbeh.2019.03.014 · Cited by 13 · see citing works
Intervention to address homelessness and all-cause and suicide mortality among unstably housed US Veterans, 2012–2016
Montgomery, A. E., Dichter, M. E., Byrne, T. H., & Blosnich, J. R. (2020) · Journal of Epidemiology & Community Health · doi:10.1136/jech-2020-214664 · Cited by 12 · see citing works
Psychiatric Risk Assessment from the Clinician’s Perspective: Lessons for the Future
Cohen, A. S., Fedechko, T. L., Schwartz, E. K., Le, T. P., Foltz, P. W., Bernstein, J., Cheng, J., Rosenfeld, E. P., & Elvevåg, B. (2019) · Community Mental Health Journal · doi:10.1007/s10597-019-00411-x · Cited by 12 · see citing works
Assessment of Suicidal Intent in Self-directed Violence and Subsequent Care Received Among Military Veterans
Chen, J. I., Cameron, D. C., Laliberte, A. Z., Hooker, E. R., Niederhausen, M., & Denneson, L. M. (2021) · Medical Care · doi:10.1097/mlr.0000000000001455 · Cited by 11 · see citing works
ASCEND for veteran suicide prevention: Enhancing surveillance to save lives
Hoffmire, C. A., Mohatt, N. V., Holliday, R. P., Barnes, S. M., Brenner, L. A., & Monteith, L. L. (2022) · Psychiatry Research · doi:10.1016/j.psychres.2022.114432 · Cited by 11 · see citing works
Self-citation
Suicide theory-guided natural language processing of clinical progress notes to improve prediction of veteran suicide risk: protocol for a mixed-method study
Meerwijk, E. L., Tamang, S. R., Finlay, A. K., Ilgen, M. A., Reeves, R., & Harris, A. H. S. (2022) · BMJ Open · doi:10.1136/bmjopen-2022-065088 · Cited by 10 · see citing works
Gender Differences in Recovery Needs After a Suicide Attempt
Denneson, L. M., Tompkins, K. J., McDonald, K. L., Britton, P. C., Hoffmire, C. A., Smolenski, D. J., Carlson, K. F., & Dobscha, S. K. (2021) · Medical Care · doi:10.1097/mlr.0000000000001381 · Cited by 11 · see citing works
Self-citation
Characteristics of surveillance systems for suicide and self-harm: A scoping review
Silva, A. C., Vanzela, A. S., Pedrollo, L. F. S., Baker, J. A., Carvalho, J. C., Sequeira, C., Vedana, K. G. G., & Santos, J. C. (2024) · PLOS Global Public Health · doi:10.1371/journal.pgph.0003292 · Cited by 10 · see citing works
Identifying suicide documentation in clinical notes through zero‐shot learning
Workman, T. E., Goulet, J. L., Brandt, C., Warren, A. R., Eleazer, J. R., Skanderson, M., Lindemann, L., Blosnich, J. R., O’Leary, J. R., & Zeng‐Treitler, Q. (2023) · Health Science Reports · doi:10.1002/hsr2.1526 · Cited by 10 · see citing works
Ascertainment of Patient Suicides by Veterans Affairs Facilities and Associations With Veteran, Clinical, and Suicide Characteristics
Palframan, K. M., Szymanski, B. R., & McCarthy, J. F. (2021) · American Journal of Public Health · doi:10.2105/ajph.2021.306262 · Cited by 10 · see citing works
Development of a 3-Step theory of suicide ontology to facilitate 3ST factor extraction from clinical progress notes
Meerwijk, E. L., Jones, G. A., Shotqara, A. S., Reyes, S., Tamang, S. R., Eddington, H., Reeves, R., Finlay, A. K., & Harris, A. H. S. (2023) · Journal of Biomedical Informatics · doi:10.1016/j.jbi.2023.104582 · Cited by 9 · see citing works
Elucidating the chronic, complex nature of suicidal ideation: A national qualitative study of veterans with a recent suicide attempt
Denneson, L. M., McDonald, K. L., Tompkins, K. J., & Meunier, C. C. (2020) · Journal of Affective Disorders Reports · doi:10.1016/j.jadr.2020.100030 · Cited by 8 · see citing works
Developing an individualized treatment rule for Veterans with major depressive disorder using electronic health records
Zainal, N. H., Bossarte, R. M., Gildea, S. M., Hwang, I. H., Kennedy, C. J., Liu, H., Leung, L. B., Luedtke, A. R., Marx, B. P., Petukhova, M. V., et al. (2024) · Molecular Psychiatry · doi:10.1038/s41380-024-02500-0 · Cited by 8 · see citing works
Self-citation
Using iterative random forest to find geospatial environmental and Sociodemographic predictors of suicide attempts
Pavicic, M., Walker, A. M., Sullivan, K. A., Lagergren, J. H., Cliff, A. M., Romero, J., Streich, J., Garvin, M. R., Pestian, J. P., McMahon, B. H., et al. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1178633 · Cited by 8 · see citing works
Caring Letters Sent by a Clinician or Peer to At-Risk Veterans
Reger, M. A., Legler, A., Lauver, M., Tenso, K., Manchester, C., Griffin, C., Strombotne, K. L., Landes, S. J., Porter, S. A., Bourgeois, J. E., et al. (2024) · JAMA Network Open · doi:10.1001/jamanetworkopen.2024.8064 · Cited by 8 · see citing works
Reevaluating Suicide Mortality for Veterans With Data From the VA-DoD Mortality Data Repository, 2000–2010
Hoffmire, C. A., Barth, S. K., & Bossarte, R. M. (2020) · Psychiatric Services · doi:10.1176/appi.ps.201900324 · Cited by 8 · see citing works
Self-citation
Gender Differences in the Predictors of Suicide-related Morbidity Among Veterans Reporting Current Housing Instability
Montgomery, A. E., Dichter, M. E., & Blosnich, J. R. (2021) · Medical Care · doi:10.1097/mlr.0000000000001422 · Cited by 8 · see citing works
Patient Characteristics Associated with Receiving Gender-Affirming Hormone Therapy in the Veterans Health Administration
Wolfe, H. L., Vimalananda, V. G., Wong, D. H., Reisman, J. I., Rao, S. R., Shipherd, J. C., Blosnich, J. R., Livingston, N. A., & Jasuja, G. K. (2022) · Transgender Health · doi:10.1089/trgh.2022.0040 · Cited by 7 · see citing works
A Comparison of Dimensional and Categorical Approaches to Characterizing the Association Between Posttraumatic Stress Disorder and Future Suicide Attempts
Lee, D. J., Kearns, J. C., Stanley, I. H., Spitzer, E. G., Woodward, B., Keane, T. M., & Marx, B. P. (2021) · Journal of Traumatic Stress · doi:10.1002/jts.22689 · Cited by 8 · see citing works
The Relationship Between Pain Severity, Insomnia, and Suicide Attempts Among a National Veteran Sample Initiating Pain Care
Ashrafioun, L., Bishop, T. M., & Pigeon, W. R. (2021) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000975 · Cited by 7 · see citing works
Mortality following non‐fatal suicide attempts by Veterans in Veterans Health Administration care
Hein, T. C., Cooper, S. A., & McCarthy, J. F. (2021) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12811 · Cited by 6 · see citing works
Genome-wide association study meta-analysis of suicide attempt identifies twelve genome-wide significant loci and implicates genetic risks for specific health factorsPreprint
Docherty, A. R., Mullins, N., Ashley‐Koch, A. E., Qin, X., Coleman, J. R. I., Shabalin, A. A., Kang, J., Murnyak, B., Wendt, F. R., Adams, M. J., et al. (2022) · medRxiv · doi:10.1101/2022.07.03.22277199 · Cited by 7 · see citing works
Coexisting service-related factors preceding suicide: a network analysis
Rex, M., Brezicka, T., Carlström, E., Wærn, M., & Ali, L. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-050953 · Cited by 6 · see citing works
Complex pain phenotypes: Suicidal ideation and attempt through latent multimorbidity
Song, K., Brintz, B. J., Wang, C., McGeary, D. D., McGeary, C. A., Potter, J. S., Jaramillo, C. A., Eapen, B. C., & Pugh, M. J. (2022) · PLoS ONE · doi:10.1371/journal.pone.0267844 · Cited by 6 · see citing works
Gender Differences in Barriers and Facilitators to Care among U.S. military Veterans at High Risk for Suicide: A Qualitative Study
McDonald, K. L., Meunier, C. C., Liu, B., Roth, B., & Denneson, L. M. (2023) · Military Behavioral Health · doi:10.1080/21635781.2023.2221472 · Cited by 6 · see citing works
Shorter and longer-term risk for non-fatal suicide attempts among male U.S. military veterans after discharge from psychiatric hospitalization
Britton, P. C., Crasta, D. J., Bohnert, K. M., Kane, C. P., Klein, J. M., & Pigeon, W. R. (2021) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2021.08.027 · Cited by 6 · see citing works
Tele-collaborative outreach to rural patients with chronic pain: pragmatic effectiveness trial protocol for the CORPs study
Morasco, B. J., Pal, N., Ono, S. S., McPherson, S., Lynch, F. L., Dickerson, J. F., Dobscha, S. K., Krebs, E. E., Makris, U. E., Mixon, A. S., et al. (2024) · Pain Medicine · doi:10.1093/pm/pnae075 · Cited by 5 · see citing works
Risk of Suicide-Related Outcomes After SARS-COV-2 Infection: Results from a Nationwide Observational Matched Cohort of US Veterans
Hynes, D. M., Niederhausen, M., Chen, J. I., Shahoumian, T. A., Rowneki, M., Hickok, A. W., Shepherd‐Banigan, M. E., Hawkins, E. J., Naylor, J. C., Teo, A. R., et al. (2023) · Journal of General Internal Medicine · doi:10.1007/s11606-023-08440-9 · Cited by 5 · see citing works
Virtual Mental Health Care and Suicide-Related Events
Tenso, K., Strombotne, K. L., Garrido, M. M., Lum, J., & Pizer, S. D. (2024) · JAMA Network Open · doi:10.1001/jamanetworkopen.2024.43054 · Cited by 4 · see citing works
Analysis of Reported Suicide Safety Events Among Veterans Who Received Treatment Through Department of Veterans Affairs–Contracted Community Care
Riblet, N. B. V., Soncrant, C., Mills, P. D., & Yackel, E. E. (2023) · Military Medicine · doi:10.1093/milmed/usad088 · Cited by 4 · see citing works
Comorbidity profiles in older patients last seen by mental health prior to suicide attempt
Morin, R. T., Li, Y., Karel, M. J., Consolino, T., Hwong, A. R., Clark, R., & Byers, A. L. (2023) · Aging & Mental Health · doi:10.1080/13607863.2023.2228228 · Cited by 4 · see citing works
Comparison of National and Local Approaches to Detecting Suicides in Healthcare Settings
Riblet, N. B. V., Shiner, B. R., Watts, B. V., & Britton, P. C. (2019) · Military Medicine · doi:10.1093/milmed/usz045 · Cited by 4 · see citing works
Sexual Trauma, Suicide, and Overdose in a National Cohort of Older Veterans
Hargrave, A. S., Cohen, B. E., Gibson, C. J., Keyhani, S., Li, Y., Boscardin, W. J., & Byers, A. L. (2025) · Annals of Internal Medicine · doi:10.7326/annals-24-01145 · Cited by 3 · see citing works
Retraining the veterans health administration’s REACH VET suicide risk prediction model for patients involved in the legal system
Meerwijk, E. L., Finlay, A. K., & Harris, A. H. S. (2025) · npj Mental Health Research · doi:10.1038/s44184-025-00143-9 · Cited by 3 · see citing works
Evaluating the accuracy of the Veterans Health Administration’s REACH VET suicide prediction model for legal involved veterans
Harris, A. H. S., Finlay, A. K., & Meerwijk, E. L. (2025) · npj Mental Health Research · doi:10.1038/s44184-025-00167-1 · Cited by 3 · see citing works
Sexual and Gender Minority Status and Suicide Mortality: An Explainable Artificial Intelligence Analysis
Yin, Y., Workman, T. E., Blosnich, J. R., Brandt, C., Skanderson, M., Shao, Y., Goulet, J. L., & Zeng‐Treitler, Q. (2024) · International Journal of Public Health · doi:10.3389/ijph.2024.1606855 · Cited by 2 · see citing works
Association Between Use of Services To Address Adverse Social Determinants of Health and Documented Suicide Attempt Among Patients in the Veterans Health Administration
Blosnich, J. R., DeRussy, A. J., Richman, J., Dichter, M. E., True, G., & Montgomery, A. E. (2025) · Journal of Community Health · doi:10.1007/s10900-025-01467-5 · Cited by 2 · see citing works
Service-Connected Disabilities and Suicide Attempts in Veterans: The Moderating Role of Mental Health Care Utilization
Kuhlman, S. T. W., Bishop, T. M., Walsh, P., & Pigeon, W. R. (2021) · Military Behavioral Health · doi:10.1080/21635781.2021.2013350 · Cited by 2 · see citing works
Suicide among Veterans receiving Veterans Health Administration Home Based Primary Care and following discharge from Community Living Centers
Cooper, S. A., Szymanski, B. R., Karel, M. J., Katz, I. R., & McCarthy, J. F. (2021) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12780 · Cited by 2 · see citing works
Using Explainable-AI to Find Geospatial Environmental and Sociodemographic Predictors of Suicide AttemptsPreprint
Pavicic, M., Walker, A. M., Sullivan, K. A., Lagergren, J. H., Cliff, A. M., Romero, J., Streich, J., Garvin, M. R., Workgroup, M. S. E., Program, T. M. V., et al. (2022) · medRxiv · doi:10.1101/2022.04.26.22274333 · Cited by 2 · see citing works
Differentiating Individual Characteristics Associated with Suicidal Ideations, Plans, and Attempts among low-Income Veterans
Tsai, J., Liang, J., & Maroufy, V. (2025) · Chronic Stress · doi:10.1177/24705470251348749 · Cited by 1 · see citing works
Characteristics of Veterans’ Last Clinical Contact Before Suicide Attempt or Death
Raines, A. M., Clausen, B. K., Boffa, J. W., Houtsma, C., Simons, M. P., Ennis, C. R., & McGrew, S. J. (2025) · Military Medicine · doi:10.1093/milmed/usaf253 · Cited by 1 · see citing works
Invisible Wounds: How Mental Disability Benefits Shape Veteran Well-Being
Silver, D., & Zhang, J. (2026) · American Economic Journal: Economic Policy · doi:10.1257/pol.20230811
Natural Language Processing Applied to Psychiatric Clinical Notes: Scoping Review
Rao, S., Chen, X. R., Deng, G., Xie, J., Jiang, T., Li, T., Zhang, Y., & Jiang, H. (2026) · JMIR Medical Informatics · doi:10.2196/91249 · Cited by 1 · see citing works
Prevention of suicide following psychiatric hospitalization
Riblet, N. B. V., & Shiner, B. R. (2021) · doi:10.1093/med/9780198834441.003.0061
Self-Directed Violence Surveillance in the Veterans Health Administration: A National Examination of Factors Associated with Undetermined Versus Suicide Attempt Classification
Denneson, L. M., Cameron, D. C., Hooker, E. R., Laliberte, A. Z., & Chen, J. I. (2022) · Community Mental Health Journal · doi:10.1007/s10597-022-01079-6
Risk of Suicide Attempts and Self-Directed Violence after SARS-CoV-2 Infection: Outcomes from an Emulated Trial of a Nationwide Observational Matched Cohort of US VeteransPreprint
Hynes, D. M., Niederhausen, M., Chen, J. I., Shahoumian, T. A., Rowneki, M., Hickok, A. W., Shepherd‐Banigan, M. E., Hawkins, E. J., Naylor, J. C., Teo, A. R., et al. (2022) · medRxiv · doi:10.1101/2022.12.23.22283902
Sleep disorders and suicide attempts following discharge from residential treatment
Bishop, T. M., Youngren, W. A., Klein, J. S., Speed, K. J., & Pigeon, W. R. (2023) · Frontiers in Sleep · doi:10.3389/frsle.2023.1173650 · Cited by 1 · see citing works
Natural language processing applied to psychiatric clinical notes: Scoping review (Preprint)Preprint
Rao, S., Chen, X., Deng, G., Xie, J., Jiang, T., Li, T., Zhang, Y., & Jiang, H. (2026) · doi:10.2196/preprints.91249
Predictive Accuracy of Natural Language Processing Extracted 3-Step Theory of Suicide Factor Scores Derived From Veterans’ Clinical Progress Notes
Meerwijk, E. L., Shotqara, A. S., Finlay, A. K., Reeves, R. R., Tamang, S. R., Ilgen, M. A., & Harris, A. H. S. (2026) · Medical Care · doi:10.1097/mlr.0000000000002289
Sex-Specific Associations Between Cannabis Use, Suicidal Intent, and Suicidal Ideation Among Low-Income U.S. Veterans
Stefanovics, E. A., Potenza, M. N., & Tsai, J. (2026) · Journal of Community Health · doi:10.1007/s10900-026-01553-2
Longitudinal Risk for Suicidal Self-Directed Violence Among Veterans With Cancer
Sullivan, D. R., Disher, N. G., Rosa, W. E., Vlajic, S. A., Handley, R., Scott, J., Denneson, L. M., Niederhausen, M., Lyons, P. G., Vranas, K. C., et al. (2026) · JAMA Oncology · doi:10.1001/jamaoncol.2026.1459
Lithium for the prevention of suicide in US veterans: a target trial emulation
Szmulewicz, A., Gerlovin, H., Rezaee, N. J., Robb, W., Martínez‐Alés, G., Liu, H., Bossarte, R. M., Smith, E. G., Katz, I. R., Ferguson, R. E., et al. (2026) · BMJ Mental Health · doi:10.1136/bmjment-2026-302694
Self-citation

Harnessing national data systems to understand circumstances surrounding veteran suicide: linking Department of Veterans Affairs and National Violent Death Reporting System Data
Hoffmire, C. A., Schneider, A. L., Gaeddert, L. A., Logan, J. E., Kittel, J. A., Holliday, R. P., & Monteith, L. L. (2025) · Injury Epidemiology · doi:10.1186/s40621-024-00559-5 · Cited by 2 · see citing works
Self-citation
Use of Text Search to Effectively Identify Lifetime Prevalence of Suicide Attempts among Veterans
Hammond, K. W., Laundry, R. J., OLeary, T. M., & Jones, W. (2013) · Hawaii International Conference on System Sciences (HICSS) · doi:10.1109/hicss.2013.586 · Cited by 21 · see citing works
Association Between Use of Services To Address Adverse Social Determinants of Health and Documented Suicide Attempt Among Patients in the Veterans Health Administration
Blosnich, J. R., DeRussy, A. J., Richman, J., Dichter, M. E., True, G., & Montgomery, A. E. (2025) · Journal of Community Health · doi:10.1007/s10900-025-01467-5 · Cited by 2 · see citing works
Characteristics of Veterans’ Last Clinical Contact Before Suicide Attempt or Death
Raines, A. M., Clausen, B. K., Boffa, J. W., Houtsma, C., Simons, M. P., Ennis, C. R., & McGrew, S. J. (2025) · Military Medicine · doi:10.1093/milmed/usaf253 · Cited by 1 · see citing works
Suicide Risk and Veterans Health Administration Utilization Among those With a Documented Suicide Attempt in the US Military
Reger, M. A., Morley, S. W., Masters, K. D., & Stephens, B. M. (2026) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.25m16168
Self-citation

Authors: Hoffmire, C., Stephens, B., Morley, S., Thompson, C., Kemp, J., & Bossarte, R. M.
Affiliations: United States Department of Veterans Affairs (US)
Corresponding author: Hoffmire, Claire
ORCID: Hoffmire, Claire
Morley, Sybil
Thompson, Caitlin
Bossarte, Robert M.
Venue: Public Health Reports®
Publisher: SAGE Publications
Published: 2016-10-22
Volume: 131
Issue: 6
Pages: 816-821
ISSN: 0033-3549 (ISSN-L)
1468-2877
DOI: 10.1177/0033354916670133
PMC: PMC5230828
OpenAlex: W2537126250
Cited by: 87
References: 5
Citations by year: 2026: 7 · 2025: 6 · 2024: 6 · 2023: 15 · 2022: 13 · 2021: 15 · 2020: 9 · 2019: 13 · 2018: 3
FWCI: 7.14
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: Public Health Reports (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
Health Sciences › Health Professions › Health Information Management › Medical Coding and Health Information
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
Keywords: suicide prevention, suicide attempts, suicide attempters, Veterans Health Administration, administrative data, medical records, data overlap, veterans, case management, data linkage
MeSH terms: Suicide Prevention, Humans, Medical Records, Population Surveillance, Suicide, Attempted, United States, United States Department of Veterans Affairs, Veterans

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

VA Suicide Prevention Applications Network: A National Health Care System–Based Suicide Event Tracking System

Abstract

Integrity signals

Claims the paper makes

Claims other papers make about this one

Cites

Cited by

Related

Record

About these checks