@article{9ee616728f1042488da0c45fef1d3b24,
title = "Mental Health Care Utilization and Psychiatric Diagnoses in a Sample of Military Suicide Decedents and Living Matched Controls",
abstract = "This article examines mental health care utilization and psychiatric diagnoses among US military personnel who died by suicide. We employed an existing electronic health record dataset including 800 US military suicide decedents and 800 matched controls. Suicide decedents were more likely to have received outpatient and inpatient mental health care and to have been diagnosed with depression, bipolar, and nonaffective psychotic disorders. Younger decedents and those in the US Marine Corps were less likely to receive MH care before suicide. Given that approximately half of the suicide decedents in our sample had no mental health care visits before their death, our study suggests the need for programs to increase treatment engagement by at-risk individuals. Such programs could address barriers to care such as stigma regarding mental illness and concerns that seeking mental health care would damage a service member's career.",
keywords = "Suicide, diagnoses, military, service utilization",
author = "Ryan, {Arthur T.} and Marjan Ghahramanlou-Holloway and Wilcox, {Holly C.} and Umhau, {John C.} and Deuster, {Patricia A.}",
note = "Funding Information: Support was provided by the Department of Veterans Affairs Office of Academic Affiliations Advanced Fellowship Program in Mental Illness Research and Treatment to A. T. R. during preparation of this manuscript. A. T. R. is a postdoctoral fellow at VA Capitol Health Care Network (VISN 5) MIRECC at the Veterans Affairs Maryland Health Care System, Baltimore MD, and his work was supported with resources and the use of its facilities. A. T. R. is also a visiting postdoctoral fellow in the Division of Psychiatric Services Research at the University of Maryland School of Medicine Department of Psychiatry. Original data collection was supported by grants from the Defense Advanced Research Projects Agency, Arlington, Virginia, and by the Division of Intramural Basic and Clinical Research, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Bethesda, Maryland. This article reflects the authors' personal views and in no way represents the official view of any branch of the Department of Veterans Affairs, the Uniformed Services University of the Health Sciences, the Department of Defense, or the US Government. Funding Information: Support was provided by the Department of Veterans Affairs Office of Academic Affiliations Advanced Fellowship Program in Mental Illness Research and Treatment to A. T. R. during preparation of this manuscript. A. T. R. is a postdoctoral fellow at VA Capitol Health Care Network (VISN 5) MIRECC at the Veterans Affairs Maryland Health Care System, Baltimore MD, and his work was supported with resources and the use of its facilities. Publisher Copyright: {\textcopyright} Wolters Kluwer Health, Inc. All rights reserved.",
year = "2020",
month = sep,
day = "1",
doi = "10.1097/NMD.0000000000001192",
language = "English (US)",
volume = "208",
pages = "646--653",
journal = "Journal of Nervous and Mental Disease",
issn = "0022-3018",
publisher = "Lippincott Williams and Wilkins",
number = "9",
}