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Suicide Prevention RCT Pilot: Rural Veterans Receiving Mental Health Community Care.

Lauren Kenneally1, Natalie Riblet1,2,3, Susan Stevens1,3

  • 1White River Junction VA Medical Center, Vermont.

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Summary
This summary is machine-generated.

A pilot study found the VA Brief Intervention and Contact Program (VA BIC) feasible for rural veterans receiving community mental health care. The program showed potential benefits for suicide prevention and treatment engagement post-discharge.

Keywords:
brief intervention and contactcommunity carefeasibilitysuicide preventionveterans

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Area of Science:

  • Mental Health Services Research
  • Veterans Health
  • Suicide Prevention

Background:

  • Suicide is a significant concern for rural veterans, especially after acute mental health care.
  • Barriers to accessing mental health treatment persist for rural veterans.
  • The MISSION Act's Community Care provision raises questions about suicide prevention consistency between VA and non-VA providers.

Purpose of the Study:

  • To pilot the VA Brief Intervention and Contact Program (VA BIC) for rural veterans using acute mental health Community Care.
  • To assess the feasibility of implementing VA BIC in this population.
  • To collect preliminary data on mental health outcomes.

Main Methods:

  • A pilot study was conducted with rural veterans receiving acute mental health Community Care in Northern New England.
  • The VA Brief Intervention and Contact Program (VA BIC) was implemented post-discharge.
  • Feasibility, recruitment, retention, adherence, and mental health outcomes were assessed.

Main Results:

  • 45.5% of eligible veterans consented to participate.
  • High retention (95%) and adherence (90-100% of visits) were observed among VA BIC participants.
  • Trends towards improvement were noted in suicidal ideation, hopelessness, social connectedness, and coping skills.

Conclusions:

  • It is feasible to study the VA BIC program for veterans discharged from acute mental health Community Care.
  • The VA BIC intervention shows potential benefits for veterans in non-VA settings.
  • Further research is needed to confirm VA BIC's efficacy in reducing suicide risk.