{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T18:59:56Z","timestamp":1790362796363,"version":"4.1.0"},"reference-count":23,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T00:00:00Z","timestamp":1790294400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T00:00:00Z","timestamp":1790294400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100007217","name":"Health Services Research and Development","doi-asserted-by":"publisher","award":["IIR\u201019\u2010215"],"award-info":[{"award-number":["IIR\u201019\u2010215"]}],"id":[{"id":"10.13039\/100007217","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clin Psychol"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Veterans generally accept the rationale for suicide risk screening; however, the screening process can be affected by barriers to disclosure. The objective of this analysis was to describe veteran and staff perspectives on fears of involuntary hospitalization related to screening and how staff can help alleviate these concerns to facilitate disclosure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We used semi\u2010structured interviews to collect qualitative data and applied thematic analysis to transcripts using a conventional\/directed hybrid approach. The sample comprised 90 veterans recently screened for suicidal ideation and 53 Veterans Health Administration (VHA) clinical staff members in primary care, mental health, and emergency department settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Veterans consistently reported fear of involuntary hospitalization as a barrier to disclosing suicidal thoughts and behaviors, and staff reported experiences with veterans who expressed fear of hospitalization as a concern during suicide risk screening. Training to adequately assess suicide risk, building a trusting relationship between patients and staff, and transparent communication were considered paramount in addressing fears of hospitalization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Veteran and staff participants reported that fear of hospitalization was present for veterans during screening and evaluation for suicidal thoughts. Veterans and staff recognize that fear of hospitalization impacts how veterans engage with the suicide risk screening and can be affected by the staff's level of training and experience. These findings support a patient\u2010centered approach to screening, which includes facilitating an honest conversation and involving veterans in decision\u2010making.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jclp.70225","type":"journal-article","created":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T18:11:23Z","timestamp":1790359883000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Fear of Involuntary Hospitalization Impacts Veteran Responses to Suicide Screening: Veteran and Staff Perspectives"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-9952-8814","authenticated-orcid":false,"given":"Annabelle","family":"Rynerson","sequence":"first","affiliation":[{"name":"VA HSR Center to Improve Veteran Involvement in Care, VA Portland Health Care System Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Summer","family":"Newell","sequence":"additional","affiliation":[{"name":"VA HSR Center to Improve Veteran Involvement in Care, VA Portland Health Care System Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Praful","family":"Gade","sequence":"additional","affiliation":[{"name":"VA HSR Center to Improve Veteran Involvement in Care, VA Portland Health Care System Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8504-3901","authenticated-orcid":false,"given":"Nazanin","family":"Bahraini","sequence":"additional","affiliation":[{"name":"VA Rocky Mountain Mental Illness Research, Education, and Clinical Center (MIRECC), Rocky Mountain Regional VA Medical Center Aurora Colorado USA"},{"name":"Department of Physical Medicine and Rehabilitation Anschutz School of Medicine, University of Colorado Aurora Colorado USA"},{"name":"Department of Psychiatry University of Colorado, Anschutz School of Medicine Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3972-6098","authenticated-orcid":false,"given":"Lauren M.","family":"Denneson","sequence":"additional","affiliation":[{"name":"VA HSR Center to Improve Veteran Involvement in Care, VA Portland Health Care System Portland Oregon USA"},{"name":"Department of Psychiatry Oregon Health &amp; Science University Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven K.","family":"Dobscha","sequence":"additional","affiliation":[{"name":"VA HSR Center to Improve Veteran Involvement in Care, VA Portland Health Care System Portland Oregon USA"},{"name":"Department of Psychiatry Oregon Health &amp; Science University Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,25]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-014-2767-3"},{"issue":"10","key":"e_1_2_9_3_1","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2020.22531","article-title":"Assessment of Rates of Suicide Risk Screening and Prevalence of Positive Screening Results Among US Veterans After Implementation of the Veterans Affairs Suicide Risk Identification Strategy","volume":"3","author":"Bahraini N.","year":"2020","journal-title":"JAMA Network Open"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/NMD.0000000000001701"},{"issue":"1","key":"e_1_2_9_5_1","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1080\/10503307.2018.1543977","article-title":"\u2018It is Never Okay to Talk About Suicide\u2019: Patients' Reasons for Concealing Suicidal Ideation in Psychotherapy","volume":"30","author":"Blanchard M.","year":"2020","journal-title":"Psychotherapy Research"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-018-2949-5"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/13811118.2012.667321"},{"issue":"3","key":"e_1_2_9_8_1","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1111\/sltb.12226","article-title":"Suicide Risk Documented During Veterans' Last Veterans Affairs Health Care Contacts Prior to Suicide","volume":"46","author":"Denneson L. M.","year":"2016","journal-title":"Suicide and Life\u2010Threatening Behavior"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-023-08148-w"},{"key":"e_1_2_9_10_1","unstructured":"Department of Veterans Affairs and Department of Defense.2019. \u201cVA\/DoD Clinical Practice Guideline for the Assessment and Management of Patients at Risk for Suicide.\u201d Washingon D.C.: U.S. Department of Veterans Affairs.https:\/\/www.healthquality.va.gov\/guidelines\/MH\/srb\/."},{"issue":"3","key":"e_1_2_9_11_1","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1176\/appi.ps.20220087","article-title":"Primary Care and Mental Health Staff Perspectives on Universal Suicide Risk Screening and Care Coordination","volume":"74","author":"Dobscha S. K.","year":"2023","journal-title":"Psychiatric Services"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-025-09822-x"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2020.1586"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-013-2412-6"},{"issue":"10","key":"e_1_2_9_15_1","doi-asserted-by":"crossref","first-page":"1382","DOI":"10.1002\/jclp.22440","article-title":"\u2018Are You Having Thoughts of Suicide?\u2019 Examining Experiences With Disclosing and Denying Suicidal Ideation","volume":"73","author":"Hom M. A.","year":"2017","journal-title":"Journal of Clinical Psychology"},{"issue":"9","key":"e_1_2_9_16_1","doi-asserted-by":"crossref","first-page":"1277","DOI":"10.1177\/1049732305276687","article-title":"Three Approaches to Qualitative Content Analysis","volume":"15","author":"Hsieh H. F.","year":"2005","journal-title":"Qualitative Health Research"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/sltb.12560"},{"issue":"6","key":"e_1_2_9_18_1","doi-asserted-by":"crossref","first-page":"909","DOI":"10.1176\/appi.ajp.159.6.909","article-title":"Contact With Mental Health and Primary Care Providers before Suicide: A Review of the Evidence","volume":"159","author":"Luoma J. B.","year":"2002","journal-title":"American Journal of Psychiatry"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1027\/0227-5910\/a000647"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/1077558712465774"},{"key":"e_1_2_9_21_1","first-page":"146","volume-title":"Qualitative Research Practice: A Guide for Social Science Students and Researchers","author":"Ritchie J.","year":"2013"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20321"},{"key":"e_1_2_9_23_1","unstructured":"VHA Office of Mental Health and Suicide Prevention. (2023). 2023 National Veteran Suicide Prevention Annual Report.https:\/\/www.mentalhealth.va.gov\/docs\/data-sheets\/2023\/2023-National-Veteran-Suicide-Prevention-Annual-Report-FINAL-508.pdf."},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.pra.0000432603.99211.e8"}],"container-title":["Journal of Clinical Psychology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jclp.70225","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jclp.70225","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jclp.70225","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T18:11:26Z","timestamp":1790359886000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jclp.70225"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,25]]},"references-count":23,"alternative-id":["10.1002\/jclp.70225"],"URL":"https:\/\/doi.org\/10.1002\/jclp.70225","archive":["Portico"],"relation":{},"ISSN":["0021-9762","1097-4679"],"issn-type":[{"value":"0021-9762","type":"print"},{"value":"1097-4679","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,25]]},"assertion":[{"value":"2026-01-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-04","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-25","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"jclp.70225"}}