Reconsidering the Existing Paradigm for Suicide Prevention Among Older Adult Veterans and Other Americans

Published:February 24, 2023DOI:
      A review of findings from research on risk for suicide among older adult veterans by Sulllivan and colleagues
      • Sullivan JL
      • Simons KV
      • Mills WL
      • et al.
      A paucity of data on veterans 65 and older and risk of suicide: A systematic review.
      identified several factors, including diagnosis with posttraumatic stress disorder and social isolation associated with increased risk for self-harm among older adult veterans. While this review will surely raise awareness of characteristics associated with suicide among older Veterans, the assumptions underlying much of the reviewed literature limit utility of these findings. In the following sections, we provide a critical review of existing research, identify gaps in previous efforts and suggest ways for research and clinical services to improve on existing services.
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        • Sullivan JL
        • Simons KV
        • Mills WL
        • et al.
        A paucity of data on veterans 65 and older and risk of suicide: A systematic review.
        Am J Geriatr Psychiatry. 2022; (S1064-7481(22)00563-2)
        • Bachmann S.
        Epidemiology of suicide and the psychiatric oerspective.
        Int J Environ Res Public Health. 2018; 15: 1425
        • Merians AN
        • Na PJ
        • Tsai J
        • et al.
        Mental health burden in enlisted and commissioned U.S. military veterans: importance of indirect trauma exposure in commissioned veterans.
        Psychiatry. 2022; 85: 418-432
        • Bohnert KM
        • Ilgen MA
        • Louzon S
        • et al.
        Substance use disorders and the risk of suicide mortality among men and women in the US Veterans Health Administration.
        Addiction. 2017; 112: 1193-1201
        • Conner KR
        • Bohnert AS
        • McCarthy JF
        • et al.
        Mental disorder comorbidity and suicide among 2.96 million men receiving care in the Veterans Health Administration health system.
        J Abnorm Psychol. 2013; 122: 256-263
        • Byers AL
        • Li Y
        • Barnes DE
        • et al.
        TBI and risk of death in military veterans over 14 years: Injury severity, timing, and cause of death.
        J Psychiatr Res. 2022; 156: 200-205
        • Ammerman BA
        • Reger MA
        Evaluation of prevention efforts and risk factors among veteran suicide decedents who died by firearm.
        Suicide Life Threat Behav. 2020; 50: 679-687
        • Séguin M
        • Beauchamp G
        • Notredame C
        Adversity over the life course: a comparison between women and men who died by suicide.
        Front Psychiatr. 2021; 12682637
        • Conner KR
        • Bossarte RM
        • He H
        • et al.
        Posttraumatic stress disorder and suicide in 5.9 million individuals receiving care in the veterans health administration health system.
        J Affect Disord. 2014; 166: 1-5
        • Blosnich JR
        • Dichter ME
        • Cerulli C
        • et al.
        Disparities in adverse childhood experiences among individuals with a history of military service.
        JAMA Psychiatry. 2014; 71: 1041-1048
      1. VA: Suicide among Veterans and Other Americans, 2001–2014.
        Department of Veterans Affairs, Washington D.C2016
        • Stallman H
        Suicide following hospitalization: systematic treatment failure needs to be the focus rather than risk factors.
        Lancet Psychiatry. 2020; 7: P303
      2. VA: VA REACH VET Initiative Helps Save Veterans Lives. Washington D.C., Department of Veterans Affairs, 2017.

        • Blosnich JR
        • Garfin DR
        • Maguen S
        • et al.
        Differences in childhood adversity, suicidal ideation, and suicide attempt among veterans and nonveterans.
        Am Psychol. 2021; 76: 284-299
        • Pease JL
        • Martin CE
        • Rowe C
        • et al.
        Impact of residential PTSD treatment on suicide risk in veterans.
        Suicide Life Threat Behav. 2022;