@article{ref1,
title="Suicide mortality and related behavior following calls to the Veterans Crisis Line by Veterans Health Administration patients",
journal="Suicide and life-threatening behavior",
year="2020",
author="Hannemann, Claire M. and Katz, Ira and McCarthy, Megan and Hughes, Gregory and McKeon, Richard and McCarthy, John",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVES: To assess outcomes for Veterans Health Administration (VHA) patients following calls to the Veterans Crisis Line (VCL). <br><br>METHODS: 158,927 VHA patients had  an initial VCL call in 2010-2015 with documented identifiers. Multivariable  proportional hazards regressions assessed risks of suicide and suicide-related  behavior through 12 months. Covariates included age, sex, region, mental health  encounters in the prior year, time of day, weekday/weekend status, call outcome, and  responder determination of caller risk. <br><br>RESULTS: Annualized suicide rates per  100,000 within 1, 3, 6, and 12 months were 797, 520, 387, and 298, respectively. Average age was 49.9 (SD = 15.2), 86.5% were male, 68.6% received mental health  encounters in the prior year, and 5.9% had calls categorized as at high risk. Adjusting for covariates, suicide risk was greater among male callers and those with  calls categorized as at high or moderate risk. <br><br>CONCLUSIONS: Veterans Crisis Line  serves a high-risk population at a critical time. Rates were particularly high  within one month and remained substantially elevated through 12 months. <br><br>FINDINGS  have directly informed ongoing efforts to enhance coordination between VCL and VHA  to support suicide prevention.<p /> <p>Language: en</p>",
language="en",
issn="0363-0234",
doi="10.1111/sltb.12722",
url="http://dx.doi.org/10.1111/sltb.12722"
}