@article{ref1,
title="Female veterans' willingness to seek Veterans Health Administration and non-Veterans Health Administration services for suicidal thoughts and mental health concerns",
journal="Medical care",
year="2021",
author="Bahraini, Nazanin H. and Hoffmire, Claire A. and Holliday, Ryan and Monteith, Lindsey L.",
volume="59",
number="",
pages="S23-S30",
abstract="BACKGROUND: The extent to which female veterans are willing to seek Veterans Health Administration (VHA) and non-VHA care when they are suicidal or experiencing mental  health (MH) concerns is unknown. <br><br>OBJECTIVES: The objectives of this study were to:  (1) examine whether current, past, and never VHA using female veterans' willingness  to seek VHA care differs from their willingness to seek non-VHA care if suicidal or  experiencing MH symptoms; (2) examine if VHA use, military sexual trauma, and  suicidal ideation and attempt are associated with female veterans' willingness to  use VHA and non-VHA care when experiencing suicidal thoughts or MH symptoms. RESEARCH DESIGN: A cross-sectional anonymous survey. SUBJECTS: Four hundred thirty  nine female veterans, including current, past, and never VHA users were included. MEASURES: General Help-Seeking Questionnaire, Self-Injurious Thoughts and Behaviors  Interview, and the VA Military Sexual Trauma Screening Questions. <br><br>RESULTS: Current  VHA users reported more willingness to use VHA than non-VHA care; conversely, past  and never VHA users reported less willingness to use VHA care relative to non-VHA  care. Military sexual assault and none or past VHA use were associated with lower  willingness to use VHA care if suicidal or experiencing MH symptoms. In contrast,  those with none or past VHA use reported greater willingness to use non-VHA care if  suicidal or experiencing MH symptoms, while prior suicide attempt was associated  with lower willingness. <br><br>CONCLUSIONS: Ensuring that acceptable and effective suicide  prevention services are available to female veterans in both VHA and community  settings is critical. Increasing help-seeking intentions among female veterans who  have attempted suicide or experienced military sexual assault is also essential.<p /> <p>Language: en</p>",
language="en",
issn="0025-7079",
doi="10.1097/MLR.0000000000001480",
url="http://dx.doi.org/10.1097/MLR.0000000000001480"
}