Patterns of treatment utilization before suicide among male veterans with substance use disorders.

Abstract:

OBJECTIVES:We sought to describe the extent and nature of contact with the health care system before suicide among veterans with substance use disorders (SUDs). METHODS:We examined all male Veterans Health Administration patients who died by suicide between October 1, 1999, and September 30, 2007, and who had a documented SUD diagnosis during the 2 years before death (n = 3132). RESULTS:Over half (55.5%; n = 1740) of the male patients were seen during the month before suicide, and 25.4% (n = 796) were seen during the week before suicide. In examining those with a medical visit in the year before suicide (n = 2964), most of the last visits before suicide (56.6%; n = 1679) were in a general medical setting, 32.8% (n = 973) were in a specialty mental health setting, and 10.5% (n = 312) were in SUD treatment. CONCLUSIONS:Men with SUDs who died from suicide were frequently seen in the month before their death. Most were last seen in general medical settings, although a substantial minority of those with SUDs was seen in specialty mental health settings.

journal_name

Am J Public Health

authors

Ilgen MA,Conner KR,Roeder KM,Blow FC,Austin K,Valenstein M

doi

10.2105/AJPH.2011.300392

subject

Has Abstract

pub_date

2012-03-01 00:00:00

pages

S88-92

eissn

0090-0036

issn

1541-0048

journal_volume

102 Suppl 1

pub_type

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