Evaluating Clinician Attitudes After Local Implementation of the Veterans Affairs Predictive Analytic Model for Suicide Prevention

2022 ◽  
Vol 28 (1) ◽  
pp. 14-23
Author(s):  
Marilyn L. Piccirillo ◽  
Larry D. Pruitt ◽  
Mark A. Reger
Keyword(s):  
Suicide Prevention ◽  
Veterans Affairs ◽  
Analytic Model ◽  
Local Implementation ◽  
Clinician Attitudes

scholarly journals Adapting and implementing Caring Contacts in a Department of Veterans Affairs emergency department: a pilot study protocol

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Sara J. Landes ◽  
JoAnn E. Kirchner ◽  
John P. Areno ◽  
Mark A. Reger ◽  
Traci H. Abraham ◽  
...  
Keyword(s):  
Emergency Department ◽  
Suicide Prevention ◽  
Medical Center ◽  
Scale Up ◽  
Veterans Affairs ◽  
Advisory Board ◽  
Department Of Veterans Affairs ◽  
Emergency Department Setting ◽  
Key Stakeholders ◽  
Risk Period

Abstract Background Suicide among veterans is a problem nationally, and suicide prevention remains a high priority for the Department of Veterans Affairs (VA). Focusing suicide prevention initiatives in the emergency department setting provides reach to veterans who may not be seen in mental health and targets a critical risk period, transitions in care following discharge. Caring Contacts is a simple and efficacious suicide prevention approach that could be used to target this risk period. The purpose of this study is to (1) adapt Caring Contacts for use in a VA emergency department, (2) conduct a pilot program at a single VA emergency department, and (3) create an implementation toolkit to facilitate spread of Caring Contacts to other VA facilities. Methods This project includes planning activities and a pilot at a VA emergency department. Planning activities will include determining available data sources, determining logistics for identifying and sending Caring Contacts, and creating an implementation toolkit. We will conduct qualitative interviews with emergency department staff and other key stakeholders to gather data on what is needed to adapt and implement Caring Contacts in a VA emergency department setting and possible barriers to and facilitators of implementation. An advisory board of key stakeholders in the facility will be created. Qualitative findings from interviews will be presented to the advisory board for discussion, and the board will use these data to inform decision making regarding implementation of the pilot. Once the pilot is underway, the advisory board will convene again to discuss ongoing progress and determine if any changes are needed to the implementation of the Caring Contacts intervention. Discussion Findings from the current project will inform future scale-up and spread of this innovation to other VA medical center emergency departments across the network and other networks. The current pilot will adapt Caring Contacts, create an implementation toolkit and implementation guide, evaluate the feasibility of gathering outcome measures, and provide information about what is needed to implement this evidence-based suicide prevention intervention in a VA emergency department.

scholarly journals Associations between the Department of Veterans Affairs' Suicide Prevention Campaign and Calls to Related Crisis Lines

2014 ◽  
Vol 129 (6) ◽  
pp. 516-525 ◽  
Author(s):  
Robert M. Bossarte ◽  
Elizabeth Karras ◽  
Naiji Lu ◽  
Xin Tu ◽  
Brady Stephens ◽  
...  
Keyword(s):  
Suicide Prevention ◽  
Veterans Affairs ◽  
Department Of Veterans Affairs ◽  
Prevention Campaign

Application of an Analytic Model to Early Readmission Rates Within the Department of Veterans Affairs

Medical Care ◽  
1997 ◽  
Vol 35 (8) ◽  
pp. 768-781 ◽  
Author(s):  
Nelda P. Wray, ◽  
Nancy J. Peterson, ◽  
Julianne Souchek, ◽  
Carol M. Ashton, ◽  
John C. Hollingsworth,
Keyword(s):  
Veterans Affairs ◽  
Analytic Model ◽  
Department Of Veterans Affairs ◽  
Readmission Rates ◽  
Early Readmission

scholarly journals Current Trends in Veteran Suicides – from 2001 to 2019

2021 ◽  
Author(s):  
Avinash Sharma
Keyword(s):  
Suicide Prevention ◽  
Adult Population ◽  
State Level ◽  
Veterans Affairs ◽  
Age Group ◽  
Department Of Veterans Affairs ◽  
Current Trends ◽  
Geographical Regions ◽  
The Us ◽  
Reporting Data

In 2019, Veterans made up 8% of the total US adult population (19.8 million vs 255 million). However, the percentage of Veteran suicide was 14% of US adult suicides (6,261 vs 45,861). The US Department of Veterans Affairs (VA) annually releases data on Veterans' suicide, categorized by gender, age group, geographical region, and states. The 2021 National Veteran Suicide Prevention Annual, released in September 2021, provides a concrete summary of the issues related to Veteran suicide and the VA's approach to solving them. This article builds on that report and provides additional perspectives on these suicide numbers, using features such as age group and geographical regions. This work aims to get a better understanding and insights into the Veterans' suicide data. All analysis was conducted using the data published by the US Department of Veterans Affairs (VA) Office of Mental Health and Suicide Prevention. Two datasets were used: 1) National Veteran Suicide Data and Reporting - Data Appendix (2019), and 2) State-Level Veteran Suicide Data: 2019 Update - State Data Appendix.

scholarly journals Ascertainment of Patient Suicides by Veterans Affairs Facilities and Associations With Veteran, Clinical, and Suicide Characteristics

2021 ◽  
Vol 111 (S2) ◽  
pp. S116-S125
Author(s):  
Kristen M. Palframan ◽  
Benjamin R. Szymanski ◽  
John F. McCarthy
Keyword(s):  
Suicide Prevention ◽  
Death Certificate ◽  
Care Facility ◽  
Health Care Facility ◽  
Veterans Affairs ◽  
Veterans Health ◽  
Health Administration ◽  
Cross Sectional ◽  
Clinical Utilization ◽  
Multivariable Analyses

Objectives. To evaluate the sensitivity of health care facility documentation of suicide deaths among US veterans with recent Veterans Health Administration (VHA) care and assess variation in identification by veteran, clinical, and suicide death characteristics. Methods. Cross-sectional analyses included 11 148 veterans who died by suicide in 2013 to 2017, per National Death Index death certificate information, with VHA encounters in the year of death or the previous year. Facility suicide ascertainment was assessed per site reports in the VHA Suicide Prevention Applications Network. Bivariate and multivariable analyses assessed ascertainment by decedent demographic, clinical, utilization, and method of suicide characteristics. Results. Site reports identified 3667 suicide decedents (32.9%). Veteran suicide decedents identified by facilities were more likely to be younger and with clinical risk factors and more recent VHA encounters. Suicide deaths involving poisoning were less likely to be identified than deaths involving other methods. Conclusions. VHA facility ascertainment of suicide deaths among recent patients was neither comprehensive nor representative. Findings will inform efforts to enhance facility suicide surveillance and veteran suicide prevention.

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