Literature DB >> 18751586

Suicide among discharged psychiatric inpatients in the Department of Veterans Affairs.

Rani A Desai1, David Dausey, Robert A Rosenheck.   

Abstract

OBJECTIVE: The objective of this study was to explore correlates of the use of firearms to commit suicide.
METHODS: A national sample of psychiatric patients discharged from Department of Veterans Affairs medical centers was followed from the time of discharge until December 1999. The study explores state-level measures as correlates of overall suicide and suicide by firearm, controlling for individual sociodemographic characteristics and psychiatric diagnosis. The outcomes of interest were completed suicide and suicide by firearm.
RESULTS: Patients who were male, Caucasian, and who had a diagnosis of substance abuse or post-traumatic stress disorder were significantly more likely to use a firearm than another means to commit suicide. Multivariable models indicated that veterans living in states with lower rates of gun ownership, more restrictive gun laws, and higher social capital were less likely to commit suicide with a firearm.
CONCLUSIONS: Gun ownership rates, legislation, and levels of community cohesiveness are significantly associated with the likelihood of psychiatric patients committing suicide with a gun.

Entities:  

Mesh:

Year:  2008        PMID: 18751586     DOI: 10.7205/milmed.173.8.721

Source DB:  PubMed          Journal:  Mil Med        ISSN: 0026-4075            Impact factor:   1.437


  13 in total

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10.  A comorbid mental disorder paradox: Using causal diagrams to understand associations between posttraumatic stress disorder and suicide.

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