Skip to main content Accessibility help
×
Home
Hostname: page-component-544b6db54f-6mft8 Total loading time: 0.159 Render date: 2021-10-23T02:44:34.036Z Has data issue: true Feature Flags: { "shouldUseShareProductTool": true, "shouldUseHypothesis": true, "isUnsiloEnabled": true, "metricsAbstractViews": false, "figures": true, "newCiteModal": false, "newCitedByModal": true, "newEcommerce": true, "newUsageEvents": true }

Article contents

EPA-0233 – Primary Health Care Utilization Prior to Suicide: A Retrospective Case-control Study Among Active-duty Military Personnel

Published online by Cambridge University Press:  15 April 2020

E. Hochman
Affiliation:
Ward B, Geha Mental Health Center, Petach-Tikva, Israel
L. Shelef
Affiliation:
Mental Health, Israeli Defense Force Medical Corps, Ramat Gan, Israel
J.J. Mann
Affiliation:
Division of Molecular Imaging and Neuropathology Department of Psychiatry, Columbia University, Ney York, USA
S. Portugese
Affiliation:
Mental Health, Israeli Defense Force Medical Corps, Ramat Gan, Israel
A. Krivoy
Affiliation:
Ward B, Geha Mental Health Center, Petach-Tikva, Israel
G. Shoval
Affiliation:
Ward F, Geha Mental Health Center, Petach-Tikva, Israel
M. Weiser
Affiliation:
Department of Psychiatry, Sheba Medical Center, Ramat Gan, Israel
E. Fruchter
Affiliation:
Mental Health, Israeli Defense Force Medical Corps, Ramat Gan, Israel
Get access

Abstract

Objective:

About 45% of civilian suicides see a doctor within one month of death. Thus, educating primary care physicians (PCP) to detect and mitigate depression is an important suicide-prevention strategy. However, the pre-suicide PCP consulting rate has not been examined in a military population. The authors investigated the utilization of primary health care and mental health services by active-duty military personnel suicide cases (SC) prior to death in comparison to matched military controls (MC).

Method:

All suicides (N=170) were extracted from a cohort of all active-duty Israeli military male personnel between 2002 and 2012. Applying a retrospective nested case-control design we compared SC primary care services utilization with demographic and occupationally matched MC (N=500).

Results:

Whereas 38.3% of SC contacted PCP within the last month before death only 27.6% of SC contacted a mental health specialist during their entire service time. The PCP contact rate within one month before death or index day did not differ between SC and MC (38.3% vs. 33.8%, X2 = 1.05, df= 1, p = 0.3). More SC contacted a mental health specialist within service time than MC (27.6% vs. 13.6%, X2 = 10.85, df= 1, p = 0.001).

Conclusions:

Even though PCP contact rate by military suicides is slightly lower than that reported for civilian suicides prior to their death, it is higher than mental health specialist contact rate and higher than age matched civilian suicides. These results imply that PCP education is a viable approach to suicide-prevention in a military setting.

Type
E02 - e-Poster Oral Session 02: Depression and Suicide
Copyright
Copyright © European Psychiatric Association 2014

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)
Submit a response

Comments

No Comments have been published for this article.

Send article to Kindle

To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

EPA-0233 – Primary Health Care Utilization Prior to Suicide: A Retrospective Case-control Study Among Active-duty Military Personnel
Available formats
×

Send article to Dropbox

To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

EPA-0233 – Primary Health Care Utilization Prior to Suicide: A Retrospective Case-control Study Among Active-duty Military Personnel
Available formats
×

Send article to Google Drive

To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

EPA-0233 – Primary Health Care Utilization Prior to Suicide: A Retrospective Case-control Study Among Active-duty Military Personnel
Available formats
×
×

Reply to: Submit a response

Please enter your response.

Your details

Please enter a valid email address.

Conflicting interests

Do you have any conflicting interests? *