Assessing suicide risk in veterans: The role of the nurse practitioner

Background: Statistics have shown that veteran men and women are at greater risk for suicide than the general population. In order to decrease the incidence of suicide in veterans, nurse practitioners (NPs) and other health care professionals must not only become more aware of the risk factors for veteran suicides but also develop strong psychiatric interviewing skills. Purpose: To discuss the risk factors associated with veteran suicide, the assessment tools to ensure a comprehensive suicide assessment and the application of these tools by an NP or other health care professional to a case study. Methods: Review of published literature on the topic. Conclusion: This paper will provide valuable information for NPs and other health care professionals when assessing for suicide risk in veterans.

[1]  M. Sim,et al.  Anxiety, post-traumatic stress disorder and depression in Korean War veterans 50 years after the war , 2007, British Journal of Psychiatry.

[2]  G. Ferszt,et al.  Suicide Assessment by Psychiatric Nurses: A Phenomenographic Study , 2010, Issues in mental health nursing.

[3]  S. Robinson,et al.  Suicide risk assessment: 6 steps to a better instrument. , 2009, Journal of psychosocial nursing and mental health services.

[4]  Joseph M. Derosier,et al.  A checklist to identify inpatient suicide hazards in veterans affairs hospitals. , 2010, Joint Commission journal on quality and patient safety.

[5]  M. Valenstein,et al.  Psychiatric diagnoses and risk of suicide in veterans. , 2010, Archives of general psychiatry.

[6]  D. Wiebe,et al.  Military veteran mortality following a survived suicide attempt , 2011, BMC public health.

[7]  E. Proctor,et al.  Is veteran status and suicide risk assessed in community long-term care? A review of the states' assessment instruments. , 2010, Suicide and Life-Threatening Behaviour.

[8]  Sebrina Posey Msw Lcsw Veterans and Suicide: A Review of Potential Increased Risk , 2009 .

[9]  Winfried Rief,et al.  Validity of the Brief Patient Health Questionnaire Mood Scale (PHQ-9) in the general population. , 2006, General hospital psychiatry.

[10]  Ovsanna Leyfer,et al.  Examination of the utility of the Beck Anxiety Inventory and its factors as a screener for anxiety disorders. , 2006, Journal of anxiety disorders.

[11]  M. Valenstein,et al.  Suicide mortality among patients receiving care in the veterans health administration health system. , 2009, American journal of epidemiology.

[12]  K. Leder,et al.  Physical, psychological, and functional comorbidities of multisymptom illness in Australian male veterans of the 1991 Gulf War. , 2009, American journal of epidemiology.

[13]  E. Yano,et al.  Variations in nurse practitioner use in Veterans Affairs primary care practices. , 2004, Health services research.

[14]  M. Valenstein,et al.  Suicide mortality among individuals receiving treatment for depression in the Veterans Affairs health system: associations with patient and treatment setting characteristics. , 2007, American journal of public health.