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.


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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.