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Key findings for all veterans seen in depression and suicide study
Date:10/30/2007

depressed veterans committed suicide during the study period, representing 0.21 percent of the depressed veterans studied. They then analyzed the characteristics of all the depressed veterans who committed suicide, and calculated suicide hazard ratios and suicide rates per 100,000 person-years for each subgroup.

Doctors learn about patient characteristics that might increase risk of suicide, says first author Kara Zivin, Ph.D., a VA investigator and assistant professor in the U-M Department of Psychiatry. Typically, these are older age, male gender, and white race, as well as depression, and medical or substance abuse issues. But our study indicates that among veterans in depression treatment, the predictors of suicide may not be the same. We hope our findings will help guide physicians in understanding suicide risk among currently depressed veterans.

Zivin and senior author Marcia Valenstein, M.D., an associate professor of psychiatry at U-M and leader of this study, note that these data are but the first of many findings that will likely emerge from analysis of the VA data.

We are also examining whether there are specific periods during depression treatment when veterans are at higher risk and might need higher levels of monitoring, says Valenstein. In addition, we are examining whether different types of depression treatments, such as different antidepressants or sleeping medications, are associated with different rates of suicide.

The study divided veterans into three age groups: 18 to 44 years, 45 to 64 years, and 65 years or older. It did not assess whether they had served in combat during a particular conflict, although the existence of a disability connected to military service was considered.

Interestingly, the depressed veterans who did not have a service-connected disability were more likely to commit suicide than those with a service-connected disability. This may be due to greater access to treatments am
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Contact: Kara Gavin
kegavin@umich.edu
734-764-2220
University of Michigan Health System
Source:Eurekalert

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