{"id":"https://openalex.org/W2016455461","doi":"https://doi.org/10.1097/htr.0b013e31821fdb6e","title":"Suicide and Traumatic Brain Injury Among Individuals Seeking Veterans Health Administration Services","display_name":"Suicide and Traumatic Brain Injury Among Individuals Seeking Veterans Health Administration Services","publication_year":2011,"publication_date":"2011-07-01","ids":{"openalex":"https://openalex.org/W2016455461","doi":"https://doi.org/10.1097/htr.0b013e31821fdb6e","mag":"2016455461","pmid":"https://pubmed.ncbi.nlm.nih.gov/21734509"},"language":"en","primary_location":{"id":"doi:10.1097/htr.0b013e31821fdb6e","doi":"https://doi.org/10.1097/htr.0b013e31821fdb6e","is_oa":false,"landing_page_url":"https://doi.org/10.1097/htr.0b013e31821fdb6e","pdf_url":null,"source":{"id":"https://openalex.org/S48790426","display_name":"Journal of Head Trauma Rehabilitation","issn_l":"0885-9701","issn":["0885-9701","1550-509X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Head Trauma Rehabilitation","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5012144114","display_name":"Lisa A. Brenner","orcid":"https://orcid.org/0000-0002-2629-214X","observed_orcids":["https://orcid.org/0000-0002-2629-214X"]},"institutions":[{"id":"https://openalex.org/I4210113540","display_name":"VA Rocky Mountain Network","ror":"https://ror.org/01x6zzb23","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210113540"]},{"id":"https://openalex.org/I4210119030","display_name":"Mental Illness Research, Education and Clinical Centers","ror":"https://ror.org/02hd1sz82","country_code":"US","type":"funder","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210119030"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Lisa A. Brenner","raw_affiliation_strings":["VISN 19 Mental Illness Research Education and Clinical Center (MIRECC), Denver, Colorado 80220, USA. Lisa.Brenner@va.gov","Blow)","Brenner)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"VISN 19 Mental Illness Research Education and Clinical Center (MIRECC), Denver, Colorado 80220, USA. Lisa.Brenner@va.gov","institution_ids":["https://openalex.org/I4210113540","https://openalex.org/I4210119030"]},{"raw_affiliation_string":"Blow)","institution_ids":[]},{"raw_affiliation_string":"Brenner)","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5028649449","display_name":"Rosalinda V. Ignacio","orcid":"https://orcid.org/0000-0003-1055-3840","observed_orcids":["https://orcid.org/0000-0003-1055-3840"]},"institutions":[{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]},{"id":"https://openalex.org/I4210122509","display_name":"Ann Arbor VA Medical Center","ror":"https://ror.org/039n0s143","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210102099","https://openalex.org/I4210122509","https://openalex.org/I4210127612"]},{"id":"https://openalex.org/I921990950","display_name":"University of Colorado Denver","ror":"https://ror.org/02hh7en24","country_code":"US","type":"education","lineage":["https://openalex.org/I921990950"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rosalinda V. Ignacio","raw_affiliation_strings":["School of Medicine, University of Colorado, Denver (Dr Brenner)","University of Michigan Ann Arbor (Ms Ignacio and Dr Blow)","Veteran Affairs Serious Mental Illness Treatment Research and Evaluation Center (SMITREC), Ann Arbor, Michigan (Ms Ignacio and Dr Blow)","Blow)","Brenner)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Medicine, University of Colorado, Denver (Dr Brenner)","institution_ids":["https://openalex.org/I921990950"]},{"raw_affiliation_string":"University of Michigan Ann Arbor (Ms Ignacio and Dr Blow)","institution_ids":["https://openalex.org/I27837315"]},{"raw_affiliation_string":"Veteran Affairs Serious Mental Illness Treatment Research and Evaluation Center (SMITREC), Ann Arbor, Michigan (Ms Ignacio and Dr Blow)","institution_ids":["https://openalex.org/I4210122509"]},{"raw_affiliation_string":"Blow)","institution_ids":[]},{"raw_affiliation_string":"Brenner)","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5007557408","display_name":"Frederic C. Blow","orcid":"https://orcid.org/0000-0001-7741-8366","observed_orcids":["https://orcid.org/0000-0001-7741-8366"]},"institutions":[{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]},{"id":"https://openalex.org/I4210122509","display_name":"Ann Arbor VA Medical Center","ror":"https://ror.org/039n0s143","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210102099","https://openalex.org/I4210122509","https://openalex.org/I4210127612"]},{"id":"https://openalex.org/I921990950","display_name":"University of Colorado Denver","ror":"https://ror.org/02hh7en24","country_code":"US","type":"education","lineage":["https://openalex.org/I921990950"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Frederic C. Blow","raw_affiliation_strings":["School of Medicine, University of Colorado, Denver (Dr Brenner)","University of Michigan Ann Arbor (Ms Ignacio and Dr Blow)","Veteran Affairs Serious Mental Illness Treatment Research and Evaluation Center (SMITREC), Ann Arbor, Michigan (Ms Ignacio and Dr Blow)","Blow)","Brenner)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Medicine, University of Colorado, Denver (Dr Brenner)","institution_ids":["https://openalex.org/I921990950"]},{"raw_affiliation_string":"University of Michigan Ann Arbor (Ms Ignacio and Dr Blow)","institution_ids":["https://openalex.org/I27837315"]},{"raw_affiliation_string":"Veteran Affairs Serious Mental Illness Treatment Research and Evaluation Center (SMITREC), Ann Arbor, Michigan (Ms Ignacio and Dr Blow)","institution_ids":["https://openalex.org/I4210122509"]},{"raw_affiliation_string":"Blow)","institution_ids":[]},{"raw_affiliation_string":"Brenner)","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":16.8744,"has_fulltext":false,"cited_by_count":187,"citation_normalized_percentile":{"value":0.9937667,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":96,"max":100},"biblio":{"volume":"26","issue":"4","first_page":"257","last_page":"264"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10376","display_name":"Suicide and Self-Harm Studies","score":0.9667999744415283,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10376","display_name":"Suicide and Self-Harm Studies","score":0.9667999744415283,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10416","display_name":"Traumatic Brain Injury Research","score":0.031300000846385956,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10706","display_name":"Traumatic Brain Injury and Neurovascular Disturbances","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/suicide","display_name":"suicide","score":0.671999990940094},{"id":"https://openalex.org/keywords/traumatic-brain-injury","display_name":"traumatic brain injury","score":0.9990000128746033},{"id":"https://openalex.org/keywords/veterans","display_name":"veterans","score":0.7990000247955322},{"id":"https://openalex.org/keywords/veterans-health-administration","display_name":"Veterans Health Administration","score":0.8199999928474426},{"id":"https://openalex.org/keywords/suicide-risk","display_name":"suicide risk","score":0.6869999766349792},{"id":"https://openalex.org/keywords/concussion","display_name":"concussion","score":0.6150000095367432},{"id":"https://openalex.org/keywords/skull-fracture","display_name":"skull fracture","score":0.9039999842643738},{"id":"https://openalex.org/keywords/cerebral-contusion","display_name":"cerebral contusion","score":0.9750000238418579},{"id":"https://openalex.org/keywords/traumatic-intracranial-hemorrhage","display_name":"traumatic intracranial hemorrhage","score":0.9900000095367432},{"id":"https://openalex.org/keywords/psychiatric-comorbidity","display_name":"psychiatric comorbidity","score":0.6600000262260437}],"concepts":[{"id":"https://openalex.org/C2781017439","wikidata":"https://www.wikidata.org/wiki/Q1995526","display_name":"Traumatic brain injury","level":2,"score":0.7446169853210449},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7283984422683716},{"id":"https://openalex.org/C2778426673","wikidata":"https://www.wikidata.org/wiki/Q326921","display_name":"Concussion","level":4,"score":0.5803313851356506},{"id":"https://openalex.org/C3017944768","wikidata":"https://www.wikidata.org/wiki/Q1450463","display_name":"Poison control","level":2,"score":0.4876643419265747},{"id":"https://openalex.org/C190385971","wikidata":"https://www.wikidata.org/wiki/Q373494","display_name":"Injury prevention","level":3,"score":0.48062390089035034},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.4689979553222656},{"id":"https://openalex.org/C526869908","wikidata":"https://www.wikidata.org/wiki/Q3298118","display_name":"Suicide prevention","level":3,"score":0.44460976123809814},{"id":"https://openalex.org/C2780842732","wikidata":"https://www.wikidata.org/wiki/Q3518184","display_name":"Suicide attempt","level":4,"score":0.43100643157958984},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.4303322732448578},{"id":"https://openalex.org/C50382708","wikidata":"https://www.wikidata.org/wiki/Q223218","display_name":"Proportional hazards model","level":2,"score":0.422166109085083},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.32884591817855835},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.2916370928287506}],"mesh":[{"descriptor_ui":"D001930","descriptor_name":"Brain Injuries","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D001930","descriptor_name":"Brain Injuries","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D002423","descriptor_name":"Cause of Death","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013405","descriptor_name":"Suicide","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D013405","descriptor_name":"Suicide","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D014493","descriptor_name":"United States Department of Veterans Affairs","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D014728","descriptor_name":"Veterans","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D014728","descriptor_name":"Veterans","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D015994","descriptor_name":"Incidence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015999","descriptor_name":"Multivariate Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016001","descriptor_name":"Confidence Intervals","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016016","descriptor_name":"Proportional Hazards Models","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016019","descriptor_name":"Survival Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018570","descriptor_name":"Risk Assessment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1097/htr.0b013e31821fdb6e","doi":"https://doi.org/10.1097/htr.0b013e31821fdb6e","is_oa":false,"landing_page_url":"https://doi.org/10.1097/htr.0b013e31821fdb6e","pdf_url":null,"source":{"id":"https://openalex.org/S48790426","display_name":"Journal of Head Trauma Rehabilitation","issn_l":"0885-9701","issn":["0885-9701","1550-509X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Head Trauma Rehabilitation","raw_type":"journal-article"},{"id":"pmid:21734509","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/21734509","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of head trauma rehabilitation","raw_type":"Comparative Study"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[{"display_name":"Good health and well-being","score":0.8600000143051147,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":20,"referenced_works":["https://openalex.org/W1547708675","https://openalex.org/W1965155730","https://openalex.org/W1979851080","https://openalex.org/W1998096660","https://openalex.org/W2034389478","https://openalex.org/W2036348717","https://openalex.org/W2042184134","https://openalex.org/W2042329481","https://openalex.org/W2054459347","https://openalex.org/W2065650645","https://openalex.org/W2068710494","https://openalex.org/W2108532810","https://openalex.org/W2115221614","https://openalex.org/W2115779644","https://openalex.org/W2134342251","https://openalex.org/W2135380777","https://openalex.org/W2157574219","https://openalex.org/W2169828275","https://openalex.org/W2791068972","https://openalex.org/W2984648219"],"related_works":["https://openalex.org/W2966020028","https://openalex.org/W2976060307","https://openalex.org/W4412600952","https://openalex.org/W4416262088","https://openalex.org/W4412891849","https://openalex.org/W2766616983","https://openalex.org/W2071504729","https://openalex.org/W1608099130","https://openalex.org/W4387166742","https://openalex.org/W18023818"],"abstract_inverted_index":{"OBJECTIVE:":[0],"To":[1],"examine":[2],"associations":[3],"between":[4,31],"history":[5,81,103,122,143],"of":[6,66,82,92,104,123,144,209,223,244],"traumatic":[7],"brain":[8],"injury":[9,163],"(TBI)":[10],"diagnosis":[11,222],"and":[12,115,153,182,246,252],"death":[13],"by":[14,108,137,147,180,198,206],"suicide":[15,138,181,230],"among":[16],"individuals":[17],"receiving":[18],"care":[19,30],"within":[20,72],"the":[21,63,67,207],"Veterans":[22,119],"Health":[23],"Administration":[24],"(VHA).":[25],"METHOD:":[26],"Individuals":[27],"who":[28],"received":[29],"fiscal":[32],"years":[33],"2001":[34],"to":[35,48,60,135,159,178,196,240],"2006":[36],"were":[37,53,58,111,125,150,170,188,225],"included":[38,76],"in":[39,157],"analyses.":[40],"Cox":[41],"proportional":[42],"hazards":[43],"survival":[44],"models":[45],"for":[46,62,113,229,248],"time":[47],"suicide,":[49],"with":[50,69,79,101,120,166,220,250],"time-dependent":[51],"covariates,":[52],"utilized.":[54],"Covariance":[55],"sandwich":[56],"estimators":[57],"used":[59],"adjust":[61],"clustered":[64],"nature":[65],"data,":[68],"patients":[70,78,93],"nested":[71],"VHA":[73,217],"facilities.":[74],"Analyses":[75,146],"all":[77],"a":[80,88,102,121,142,221],"TBI":[83,95,124,148,224,251],"(n":[84,96],"=":[85,97],"49626)":[86],"plus":[87],"5%":[89],"random":[90],"sample":[91],"without":[94,141,161,233],"389053).":[98],"Of":[99],"those":[100,140,160,165,219,232,249],"TBI,":[105],"105":[106],"died":[107],"suicide.":[109,199],"Models":[110],"adjusted":[112],"demographic":[114,213],"psychiatric":[116,210],"covariates.":[117],"RESULTS:":[118],"1.55":[126],"(95%":[127,175,193],"confidence":[128],"interval":[129],"[CI],":[130],"1.24-1.92)":[131],"times":[132,172,190],"more":[133,173,191],"likely":[134,174,192],"die":[136,179,197],"than":[139,231],"TBI.":[145],"severity":[149],"also":[151],"conducted,":[152],"they":[154],"suggested":[155],"that":[156],"comparison":[158],"an":[162],"history,":[164],"(1)":[167],"concussion/cranial":[168],"fracture":[169],"1.98":[171],"CI,":[176,194],"1.39-2.82)":[177],"(2)":[183],"cerebral":[184],"contusion/traumatic":[185],"intracranial":[186],"hemorrhage":[187],"1.34":[189],"1.09-1.64)":[195],"This":[200],"increased":[201],"risk":[202,228],"was":[203],"not":[204],"explained":[205],"presence":[208],"disorders":[211],"or":[212],"factors.":[214],"CONCLUSIONS:":[215],"Among":[216],"users,":[218],"at":[226],"greater":[227],"this":[234],"diagnosis.":[235],"Further":[236],"research":[237],"is":[238],"indicated":[239],"identify":[241],"evidence-based":[242],"means":[243],"assessment":[245],"treatment":[247],"suicidal":[253],"behavior.":[254]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":10},{"year":2024,"cited_by_count":20},{"year":2023,"cited_by_count":5},{"year":2022,"cited_by_count":10},{"year":2021,"cited_by_count":7},{"year":2020,"cited_by_count":15},{"year":2019,"cited_by_count":15},{"year":2018,"cited_by_count":15},{"year":2017,"cited_by_count":14},{"year":2016,"cited_by_count":13},{"year":2015,"cited_by_count":11},{"year":2014,"cited_by_count":15},{"year":2013,"cited_by_count":19},{"year":2012,"cited_by_count":14}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}