Deans' stroke musings: Suicide after stroke in the United States veteran health administration population

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Saturday, October 23, 2021

Suicide after stroke in the United States veteran health administration population

Suicides after stroke are completely the responsibility of the stroke medical world. By not having ANY STROKE PROTOCOLS LEADING TO 100% RECOVERY. That leads to depression and indifference to life. It is not a mental health problem, it's a research problem to solve for 100% recovery. Work on the primary problem, not the secondary problem of mental health.

Suicide after stroke in the United States veteran health administration population

Archives of Physical Medicine and Rehabilitation , Volume 102(9) , Pgs. 1729-1734.

NARIC Accession Number: J87290. What's this?
ISSN: 0003-9993.
Author(s): Wyrwa, Jordan M. ; Shirel, Tyler M. ; Hostetter, Trisha A. ; Schneider, Alexandra L.; Hoffmire, Claire A. ; Stearns-Yoder, Kelly A. ; Forster, Jeri E. ; Odom, Nathan E. ; Brenner, Lisa A..
Publication Year: 2021.
Number of Pages: 6.

Abstract:

Study examined the relationship between stroke and suicide among veterans seeking care within the Veterans Health Administration (VHA). Data were analyzed for 1,647,671 veterans with at least 90 days of VHA utilization between fiscal years 2001-2015, including 1,405,762 without stroke and 241,909 with stroke. Cox proportional hazards models were used to assess the association between history of stroke and suicide. Among those veterans who died by suicide, the association between history of stroke and method of suicide was also investigated. The fully adjusted model, which controlled for age, sex, mental health diagnoses, mild traumatic brain injury, and modified Charlson/Deyo Index (stroke-related diagnoses excluded), demonstrated a hazard ratio of 1.13. Most suicides in both cohorts was by firearm, and a significantly larger proportion of suicides occurred by firearm in the group with stroke than the cohort without (81.2 vs 76.6 percent). The findings suggest that veterans with a history of stroke are at increased risk for suicide, specifically by firearm, compared with veterans without a history of stroke. Increased efforts are needed to address the mental health needs and lethal means safety of veterans with a history of stroke, with the goal of improving function and decreasing negative psychiatric outcomes, such as suicide.
Descriptor Terms: HEALTH CARE, MENTAL HEALTH, MILITARY, STROKE, SUICIDE, VETERANS.

Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Wyrwa, Jordan M. , Shirel, Tyler M. , Hostetter, Trisha A. , Schneider, Alexandra L., Hoffmire, Claire A. , Stearns-Yoder, Kelly A. , Forster, Jeri E. , Odom, Nathan E. , Brenner, Lisa A.. (2021). Suicide after stroke in the United States veteran health administration population. Archives of Physical Medicine and Rehabilitation , 102(9), Pgs. 1729-1734. Retrieved 10/23/2021, from REHABDATA database.