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Predictive Importance of Social Contacts on U.S. Veteran Suicide Safety Plans.
Chalker, Samantha A; Parrish, Emma M; Martinez Ceren, Camila S; Depp, Colin A; Goodman, Marianne; Doran, Neal.
Afiliación
  • Chalker SA; Department of Psychiatry, University of California, San Diego (Chalker, Parrish, Martinez Ceren, Depp, Doran); U.S. Department of Veterans Affairs (VA) San Diego Healthcare System, San Diego (Chalker, Depp, Doran); James J. Peters VA Medical Center, Bronx, New York City, and Icahn School of Medicine
  • Parrish EM; Department of Psychiatry, University of California, San Diego (Chalker, Parrish, Martinez Ceren, Depp, Doran); U.S. Department of Veterans Affairs (VA) San Diego Healthcare System, San Diego (Chalker, Depp, Doran); James J. Peters VA Medical Center, Bronx, New York City, and Icahn School of Medicine
  • Martinez Ceren CS; Department of Psychiatry, University of California, San Diego (Chalker, Parrish, Martinez Ceren, Depp, Doran); U.S. Department of Veterans Affairs (VA) San Diego Healthcare System, San Diego (Chalker, Depp, Doran); James J. Peters VA Medical Center, Bronx, New York City, and Icahn School of Medicine
  • Depp CA; Department of Psychiatry, University of California, San Diego (Chalker, Parrish, Martinez Ceren, Depp, Doran); U.S. Department of Veterans Affairs (VA) San Diego Healthcare System, San Diego (Chalker, Depp, Doran); James J. Peters VA Medical Center, Bronx, New York City, and Icahn School of Medicine
  • Goodman M; Department of Psychiatry, University of California, San Diego (Chalker, Parrish, Martinez Ceren, Depp, Doran); U.S. Department of Veterans Affairs (VA) San Diego Healthcare System, San Diego (Chalker, Depp, Doran); James J. Peters VA Medical Center, Bronx, New York City, and Icahn School of Medicine
  • Doran N; Department of Psychiatry, University of California, San Diego (Chalker, Parrish, Martinez Ceren, Depp, Doran); U.S. Department of Veterans Affairs (VA) San Diego Healthcare System, San Diego (Chalker, Depp, Doran); James J. Peters VA Medical Center, Bronx, New York City, and Icahn School of Medicine
Psychiatr Serv ; 74(3): 244-249, 2023 03 01.
Article en En | MEDLINE | ID: mdl-36039556
OBJECTIVE: Safety planning is a suicide prevention intervention that relies partly on an individual's social relationships as distractions during or help in a suicidal crisis. The primary objectives of this study were to estimate rates of missingness on social aspects of safety plans to determine whether rates differ by demographic characteristics and diagnoses and to examine whether missing social contacts on safety plans may affect clinical outcomes. METHODS: Data were drawn from the U.S. Department of Veterans Affairs San Diego Healthcare System's electronic medical record (N=1,602 individuals) from 2018 to 2021. Safety plans were coded according to the absence of listed distraction or help contacts, and clinical records of suicide attempts, suicide deaths, and use of crisis services were recorded for 1 year after completion of the safety plan. RESULTS: In total, 30% of plans lacked a contact for distraction or help. Male veterans were less likely to have a distraction contact listed, and veterans identifying as Hispanic or Latino were more likely to have a help contact listed. The lack of a help contact (odds ratio [OR]=2.11) and having neither distraction nor help contacts (OR=2.45) were associated with a markedly higher risk for next-year suicide attempt or death. The lack of a help contact was associated with increased odds of a next-year psychiatric inpatient hospitalization (OR=1.90) and an emergency department visit (OR=1.88). CONCLUSIONS: A lack of social contacts on safety plans may be a potential indicator for increased suicide risk among veterans.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Contexto en salud: 1_ASSA2030 / 6_ODS3_enfermedades_notrasmisibles Problema de salud: 1_sistemas_informacao_saude / 6_mental_health_behavioral_disorders Asunto principal: Veteranos Tipo de estudio: Prognostic_studies / Risk_factors_studies Límite: Humans / Male Idioma: En Revista: Psychiatr Serv Asunto de la revista: PSIQUIATRIA Año: 2023 Tipo del documento: Article

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Contexto en salud: 1_ASSA2030 / 6_ODS3_enfermedades_notrasmisibles Problema de salud: 1_sistemas_informacao_saude / 6_mental_health_behavioral_disorders Asunto principal: Veteranos Tipo de estudio: Prognostic_studies / Risk_factors_studies Límite: Humans / Male Idioma: En Revista: Psychiatr Serv Asunto de la revista: PSIQUIATRIA Año: 2023 Tipo del documento: Article
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