Implementation of a Suicide Nomenclature within Two VA Healthcare Settings

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...

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Bibliographic Details
Published in:	Journal of clinical psychology in medical settings 2011-06, Vol.18 (2), p.116-128
Main Authors:	Brenner, Lisa A., Breshears, Ryan E., Betthauser, Lisa M., Bellon, Katherine K., Holman, Elizabeth, Harwood, Jeri E. F., Silverman, Morton M., Huggins, Joe, Nagamoto, Herbert T.
Format:	Article
Language:	eng
Subjects:	Algorithms Classification Cooperative Behavior Decision Support Techniques Family Medicine General Practice Health care Health Plan Implementation - organization & administration Health Psychology Hospitals, Veterans - statistics & numerical data Humans Inservice Training - organization & administration Interdisciplinary Communication Jargon Medicine Medicine & Public Health Mental disorders Mental health Military personnel Personality Assessment - statistics & numerical data Population Surveillance Prevention Psychiatric Department, Hospital - statistics & numerical data Psychometrics Quality Improvement - organization & administration Research methodology Risk assessment Self-Injurious Behavior - classification Self-Injurious Behavior - epidemiology Self-Injurious Behavior - prevention & control Self-Injurious Behavior - psychology Suicidal Ideation Suicide - classification Suicide - prevention & control Suicide - psychology Suicide - statistics & numerical data Suicide, Attempted - classification Suicide, Attempted - psychology Suicide, Attempted - statistics & numerical data Suicides & suicide attempts Surveillance Terminology as Topic United States Veterans Veterans - psychology Veterans - statistics & numerical data
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Summary:	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.
ISSN:	1068-9583 1573-3572