Postdischarge Behavioral Health Treatment and 6-Month Reattempt Rate for Veterans Hospitalized for Suicide Attempt

Abstract

BACKGROUND: The highest risk for suicide occurs immediately after psychiatric discharge. The U.S. Department of Veteran’s Affairs’ (VA) suicide prevention program emphasizes suicide surveillance and frequent contact after suicide attempt. OBJECTIVES: To describe the 6-month reattempt rate and appointment characteristics for veterans after VA hospitalization for suicide attempt. DESIGN: This retrospective observational study identified veterans hospitalized for suicide attempt (N = 504). Comparisons of patient characteristics and treatment delivery were conducted between veteran groups. RESULTS: The sample (N = 504) was predominantly White (82%) and male (91%), with a median age of 50 years. The 6-month reattempt rate was 6%. Timing of first appointment was earlier in the reattempt group (n = 20) versus the no-reattempt group (n = 467). Appointment intensity, especially telephone appointments, was greater in the reattempt group. CONCLUSION: The effect of postdischarge treatment on preventing suicide cannot be determined by evaluating only treatment timing and intensity. Future studies should measure the treatment quality and clinical severity.