{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T12:41:25Z","timestamp":1785328885694,"version":"3.55.0"},"reference-count":17,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,4,8]],"date-time":"2024-04-08T00:00:00Z","timestamp":1712534400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Services Research"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate universal suicide risk screening and evaluation processes among newly homeless Veterans.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Setting<\/jats:title><jats:p>Not applicable.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Examination of Veterans Health Administration (VHA) using newly homeless patients' health record data in Calendar Year 2021.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Collection<\/jats:title><jats:p>Not applicable.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Source<\/jats:title><jats:p>Health record data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Principal Findings<\/jats:title><jats:p>Most patients received suicide risk screening and\/or evaluation in the year prior to and\/or following homeless identification (<jats:italic>n<\/jats:italic>\u2009=\u200949,505; 87.4%). Smaller percentages of patients were screened and\/or evaluated in close proximity to identification (<jats:italic>n<\/jats:italic>\u2009=\u20097358; 16.0%), 1\u201330\u2009days prior to identification (<jats:italic>n<\/jats:italic>\u2009=\u200912,840; 39.6%), or 1\u201330\u2009days following identification (<jats:italic>n<\/jats:italic>\u2009=\u200914,263; 34.3%). Common settings for screening included primary care, emergency and urgent care, and mental health services. Of positive screens (i.e., potentially elevated risk for suicide), 72.6% had a Comprehensive Suicide Risk Evaluation (CSRE) completed in a timely manner (i.e., same day or within 24\u2009h). Age, race, and sex were largely unrelated to screening and\/or evaluation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Although many newly identified homeless patients were screened and\/or evaluated for suicide risk, approximately 13% were not screened; and 27% of positive screens did not receive a timely CSRE. Continued efforts are warranted to facilitate suicide risk identification to ensure homeless patients have access to evidence\u2010based interventions.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1475-6773.14301","type":"journal-article","created":{"date-parts":[[2024,4,9]],"date-time":"2024-04-09T04:18:33Z","timestamp":1712636313000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Suicide risk screening and evaluation among patients accessing VHA services and identified as being newly homeless"],"prefix":"10.1111","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9896-1904","authenticated-orcid":false,"given":"Ryan","family":"Holliday","sequence":"first","affiliation":[{"name":"Rocky Mountain Mental Illness Research, Education and Clinical Center for Suicide Prevention  Aurora Colorado USA"},{"name":"Department of Psychiatry University of Colorado Anschutz Medical Campus  Aurora Colorado USA"},{"name":"Department of Physical Medicine &amp; Rehabilitation University of Colorado Anschutz Medical Campus  Aurora Colorado USA"},{"name":"Veterans Affairs National Center on Homelessness Among Veterans  Tampa Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trisha","family":"Hostetter","sequence":"additional","affiliation":[{"name":"Rocky Mountain Mental Illness Research, Education and Clinical Center for Suicide Prevention  Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa A.","family":"Brenner","sequence":"additional","affiliation":[{"name":"Rocky Mountain Mental Illness Research, Education and Clinical Center for Suicide Prevention  Aurora Colorado USA"},{"name":"Department of Psychiatry University of Colorado Anschutz Medical Campus  Aurora Colorado USA"},{"name":"Department of Physical Medicine &amp; Rehabilitation University of Colorado Anschutz Medical Campus  Aurora Colorado 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":"Rocky Mountain Mental Illness Research, Education and Clinical Center for Suicide Prevention  Aurora Colorado USA"},{"name":"Department of Psychiatry University of Colorado Anschutz Medical Campus  Aurora Colorado USA"},{"name":"Department of Physical Medicine &amp; Rehabilitation University of Colorado Anschutz Medical Campus  Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jack","family":"Tsai","sequence":"additional","affiliation":[{"name":"Veterans Affairs National Center on Homelessness Among Veterans  Tampa Florida USA"},{"name":"School of Public Health University of Texas Health Science Center at Houston  Houston Texas USA"},{"name":"Department of Psychiatry Yale University School of Medicine  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,4,8]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech-2018-211065"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/sltb.12369"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2021.11.007"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201800415"},{"key":"e_1_2_9_6_1","volume-title":"Memorandum re: Suicide Risk Screening and Assessment Requirements","author":"Department of Veterans Affairs","year":"2018"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.22531"},{"issue":"1","key":"e_1_2_9_8_1","first-page":"8","article-title":"Understanding the intersection of homelessness and justice involvement: enhancing veteran suicide prevention through VA programming","volume":"39","author":"Holliday R","year":"2022","journal-title":"Fed Pract"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2011.10111704"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.pra.0000442940.46328.63"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0283633"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000000112"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40501-022-00275-1"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/2150131911417878"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2015.06.018"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/phn.12338"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-015-3193-x"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0279973"}],"container-title":["Health Services Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1475-6773.14301","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,2]],"date-time":"2024-09-02T08:22:16Z","timestamp":1725265336000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1475-6773.14301"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,8]]},"references-count":17,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2024,10]]}},"alternative-id":["10.1111\/1475-6773.14301"],"URL":"https:\/\/doi.org\/10.1111\/1475-6773.14301","archive":["Portico"],"relation":{},"ISSN":["0017-9124","1475-6773"],"issn-type":[{"value":"0017-9124","type":"print"},{"value":"1475-6773","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,8]]},"assertion":[{"value":"2024-04-08","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e14301"}}