@article{ref1,
title="A Study of Self-Injurious and Suicidal Behavior in a Veteran Population",
journal="Psychological services",
year="2011",
author="Kleespies, P.M. and AhnAllen, C.G. and Knight, J.A. and Presskreischer, B. and Barrs, K.L. and Boyd, B.L. and Dennis, J.P.",
volume="8",
number="3",
pages="236-250",
abstract="This patient safety improvement study was conducted (1) to establish a database of intentional patient self-injuries and suicidal behavior among veterans in a large urban VA health care system, and (2) to investigate whether there were demographic and/or clinical characteristics of veterans who self-injure that might predict seriousness of suicidal intent and aid in future efforts at prevention. A total of 175 clinician-administered, post self-injury interviews were completed between 2006 and 2008 in a VA health care system in the Northeast. <br><br>FINDINGS suggest that self-injuries with high suicidal intent were characterized by male gender, older age, planning of self-injury, no wish to be saved, and a negative feeling about having survived. Additional results indicated that staff ratings of patient intent to die were significantly lower than patient self-rated intent to die, a finding that gives rise to questions of whether staff may tend to underestimate patient suicidal intent. Also, although more than 80% of the veterans in this sample considered their self-injurious actions impulsive, planning of self-injury was significantly associated with higher intent to die. Veterans who completed suicide during the study time period were significantly more likely than those who had nonfatal self-injuries to have experienced combat. The implications of these findings are discussed, including whether combat exposure may lead to an acquired capacity for lethal behaviors such as suicide (Joiner, 2005). © 2011 American Psychological Association.<p /><p>Language: en</p>",
language="en",
issn="1541-1559",
doi="10.1037/a0024881",
url="http://dx.doi.org/10.1037/a0024881"
}