Implementation of a Suicide Nomenclature within Two VA Healthcare Settings |
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| Authors: | Lisa A. Brenner Ryan E. Breshears Lisa M. Betthauser Katherine K. Bellon Elizabeth Holman Jeri E. F. Harwood Morton M. Silverman Joe Huggins Herbert T. Nagamoto |
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| Affiliation: | (1) Department of Veterans Affairs, VISN 19 Mental Illness Research, Education and Clinical Center (MIRECC), Denver, CO, USA;(2) Department of Psychiatry, University of Colorado Denver School of Medicine, Aurora, CO, USA;(3) Departments of Neurology and Physical Medicine and Rehabilitation, University of Colorado Denver School of Medicine, Aurora, CO, USA;(4) WellStar Health System, Marietta, GA, USA;(5) Department of Counseling and Human Development, University of Georgia, Athens, GA, USA;(6) Department of Veterans Affairs, Department of Patient-Focused Care, Eastern Colorado Health Care System, Denver, CO, USA;(7) Department of Pediatrics, University of Colorado Denver School of Medicine, Aurora, CO, USA;(8) Department of Biostatistics and Informatics, Colorado School of Public Health, Aurora, CO, USA;(9) Department of Veterans Affairs, Eastern Colorado Health Care System, Denver, CO, USA |
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| Abstract: | Suicide and suicide attempts are significant issues for military, Veterans Affairs (VA), and civilian healthcare systems. The lack of uniform terms related to self-directed violence (SDV) has inhibited epidemiological surveillance efforts, limited the generalizability of empirical studies of suicide and non-lethal forms of SDV, and complicated the implementation of evidence-based assessment and treatment strategies for individuals with suicidal thoughts and/or behaviors. The Department of Veterans Affairs recently adopted the Centers for Disease Control and Prevention’s (CDC) SDV Classification System (SDVCS). This paper describes an implementation study of the SDVCS in two VA Medical Centers. The Veterans Integrated Service Network (VISN) 19 Mental Illness Research, Education and Clinical Center (MIRECC) training program for the SDVCS, including the SDVCS Clinical Tool (CT), will be discussed. Although preliminary data suggest that the CT and SDVCS are generally perceived as being acceptable and useful, further work will likely be required to facilitate widespread adoption. Potential next steps in this process are presented. |
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