As the Veterans face suicide rate 1.5 times higher than the US adult population, the prevention of suicide in the Veterans Bureau of Health (VHA) is an important priority. VHA’s 27/7 Crisis Support Hotline, VCL (Veterans Crisis Line), has managed more than 5 million calls since 2007. Caringary correspondence is effective in reducing the suicide rate of high -risk individuals after hospitals, including regular mail to individuals who express treatment and concern. However, the effect of caring for the CRISIS LINE caller was not previously evaluated.
New study
In April 2024, the evaluator of PUGET SOUND VA and partner PEPREC (PECIVERED Policy Resource Center) is the Journal of the American Medical Association Network Open) A letter from clinical or colleagues in danger. The main goal was to investigate the results of the VCL caring letter intervention and decide whether there was a difference in the results of the signature.
methods
The author performed an efficiency implementation hybrid type 1 evaluation. They randomly evaluated not only the observation of the results related to caring for caring receipts, but also the impact of fellow clinical letters. Data collection connects VCL contact records with National Vha Administration. All Veterans who contacted the CRISIS LINE were included in the CARISIS LINE between the VHA’s company’s data warehouse (CDW) and contacted CRISIS LINE between June 11, 2020 and June 10, 2021. Veterans were randomly assigned to receive nine cars for a year from clinician or fellow veteran signators for a year. Registration occurred as a follow -up measure between June 11, 2020 and June 10, 2021. Analysis was completed between July 2022 and August 2023.
Main result
The colleagues and clinical signatures have had similar suicide attempts within 12 months of request for VCL (7.4%, 7.6%, respectively). In addition, mortality (3.8%of colleagues and 3.7%of clinical recipients died within 12 months of index) and health care (69.0%of peer recipients, and 68.5%of clinical recipients had similar secondary results, including at least one mental health visit for 12 months after the index call.
Comparing the results of those who have not been cared for and those who have been caring for any type of caring, 6,801 car care beneficiaries (7.7%) and 10,910 non -temporary (7.8%) attempted suicide for 12 months after the index. There was no evidence that there was a connection between caring letters and mortality. However, the Veterans who received the caring letter were much more likely to have subsequent inpatients and outpatient treatments (eg mental health care, ED visits).
conclusion
The car career was not related to suicide attempts or all cause mortality, but there was a high probability of using outpatient and inpatient mental health care, ED visits and outpatient patients or inpatient VA treatment. The difference between the clinical clinical and clinical and the card sent by the recipient was not confirmed. This result is used to optimize letters intervention caring by VCL.
PEPREC is a team of health economists, public health researchers and policy analysts who support VA efforts to improve the lives of Veterans by using advanced quantum methods that are mostly funded by QUERI in the Veterans Health Bureau.
