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Behavioral Health Care Use After Initiation of Emergency Dispatches During Veterans Crisis Line Contacts

Peter C Britton¹, Kipling M Bohnert¹, Lauren M Denneson¹

¹Veterans Integrated Service Network (VISN) 2 Center of Excellence for Suicide Prevention, U.S. Department of Veterans Affairs (VA) Finger Lakes Healthcare System, Canandaigua, New York, and Department of Psychiatry, University of Rochester Medical School, Rochester, New York (Britton); Department of Epidemiology and Biostatistics, Michigan State University, East Lansing (Bohnert); Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor (Bohnert, Ganoczy, Ilgen); Center to Improve Veteran Involvement in Care, VA Portland Health Care System, and Department of Psychiatry, Oregon Health & Science University School of Medicine, Portland (Denneson); Department of Psychiatry, University of Michigan Medical School, Ann Arbor (Ilgen).

Psychiatric Services (Washington, D.C.)

|February 21, 2025

Abstract

Objective:

The authors estimated associations between emergency dispatches initiated by Veterans Crisis Line (VCL) responders and use of U.S. Department of Veterans Affairs (VA) behavioral health care in the following month.

Methods:

The sample included 217,541 veterans with VCL contacts between 2017 and 2019 who could be linked with medical records. Models were weighted by a propensity score and stratified by VA behavioral health care use in the year preceding contact.

Results:

Of veterans with emergency dispatches, 85.9% (weighted) with and 62.2% without prior use of VA behavioral health care accessed care in the month after dispatch. Dispatch receipt was associated with higher odds of psychiatric hospitalization for veterans with and those without prior VA behavioral health care use and of in-person outpatient behavioral health care use for veterans with prior use.

Conclusions:

Efforts to link dispatch recipients who had not previously used VA behavioral health care to VA care are needed.

Keywords:

Veterans Crisis Line crisis intervention emergency dispatch suicide and self-destructive behavior suicide prevention treatment engagement

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