{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T23:54:32Z","timestamp":1785196472990,"version":"3.55.0"},"reference-count":41,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,7,28]],"date-time":"2020-07-28T00:00:00Z","timestamp":1595894400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000027","name":"National Institute on Alcohol Abuse and Alcoholism","doi-asserted-by":"publisher","award":["1R21AA02894\u201001A1"],"award-info":[{"award-number":["1R21AA02894\u201001A1"]}],"id":[{"id":"10.13039\/100000027","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Suicide &amp; Life Threat Behav"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>To improve the identification and intervention of suicide risk, the Veterans Health Administration implemented the use of electronic patient record flags (PRF) to indicate when a veteran is identified as high risk for suicide and to increase the clinical contacts made with the veteran. The current study utilized an intersectional approach to assess potential disparities in the likelihood of receiving a PRF and the likelihood of receiving post\u2010PRF follow\u2010up care among veterans with substance use disorders (SUDs). Among 458,092 veterans who received a SUD diagnosis in 2012, Black veterans were less likely to receive a PRF, although Black\u2010disabled veterans and Black\u2010female veterans were more likely to receive a PRF. Homelessness was related to greater likelihood of receiving a PRF and post\u2010PRF care. Hispanic\/Latinx veterans who experienced homelessness were more likely to receive post\u2010PRF care, while disabled veterans who experienced homelessness were less likely. Hispanic\/Latinx, female veterans, and Black\u2010disabled veterans were significantly less likely to receive post\u2010PRF care. Overall, few marginalized or intersecting identities were associated with decreased PRF or decreased follow\u2010up care. There are opportunities for specific strategies that promote engagement in VA follow\u2010up services for veterans identifying as Hispanic\/Latinx women, disabled Black veterans, and disabled homeless veterans.<\/jats:p>","DOI":"10.1111\/sltb.12673","type":"journal-article","created":{"date-parts":[[2020,7,28]],"date-time":"2020-07-28T12:14:16Z","timestamp":1595938456000},"page":"1127-1139","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Examination of potential disparities in suicide risk identification and follow\u2010up care within the Veterans Health Administration"],"prefix":"10.1111","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4598-7091","authenticated-orcid":false,"given":"Sarah P.","family":"Carter","sequence":"first","affiliation":[{"name":"Seattle\u2010Denver Center of Innovation for Veteran\u2010Centered Value\u2010Driven Care VA Puget Sound Health Care System Seattle WA USA"},{"name":"Department of Health Services University of Washington Seattle WA USA"},{"name":"Uniformed Services University of the Health Sciences Bethesda MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carol A.","family":"Malte","sequence":"additional","affiliation":[{"name":"Seattle\u2010Denver Center of Innovation for Veteran\u2010Centered Value\u2010Driven Care VA Puget Sound Health Care System Seattle WA USA"},{"name":"Center of Excellence in Substance Addiction and Treatment (CESATE) VA Puget Sound Health Care System Seattle WA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sasha M.","family":"Rojas","sequence":"additional","affiliation":[{"name":"VA Puget Sound Health Care System Seattle WA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric J.","family":"Hawkins","sequence":"additional","affiliation":[{"name":"Seattle\u2010Denver Center of Innovation for Veteran\u2010Centered Value\u2010Driven Care VA Puget Sound Health Care System Seattle WA USA"},{"name":"Center of Excellence in Substance Addiction and Treatment (CESATE) VA Puget Sound Health Care System Seattle WA USA"},{"name":"Department of Psychiatry &amp; Behavioral Sciences University of Washington Seattle WA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark A.","family":"Reger","sequence":"additional","affiliation":[{"name":"VA Puget Sound Health Care System Seattle WA USA"},{"name":"Department of Psychiatry &amp; Behavioral Sciences University of Washington Seattle WA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,7,28]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40615-017-0363-z"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201700545"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.59.4.414"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocy022"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.13774"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9681(87)90171-8"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/sltb.12126"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2016.0098"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.2307\/1229039"},{"key":"e_1_2_7_11_1","volume-title":"Suicide rates for females and males by race and ethnicity: United States, 1999 and 2017","author":"Curtin S.","year":"2019"},{"key":"e_1_2_7_12_1","volume-title":"VHA directive 2008\u2010036\u2013Use of patient record flags to identify patients at high risk for suicide","author":"Department of Veterans Affairs","year":"2008"},{"key":"e_1_2_7_13_1","volume-title":"National veteran health equity report\u2014FY2013","author":"Department of Veterans Affairs","year":"2016"},{"key":"e_1_2_7_14_1","volume-title":"National strategy for preventing veteran suicide 2018\u20132028","author":"Department of Veterans Affairs","year":"2018"},{"key":"e_1_2_7_15_1","volume-title":"VA national suicide data report: 2005\u20132015","author":"Department of Veterans Affairs","year":"2018"},{"key":"e_1_2_7_16_1","volume-title":"2019 national veteran suicide prevention annual report","author":"Department of Veterans Affairs","year":"2019"},{"key":"e_1_2_7_17_1","volume-title":"How to file a VA disability claim","author":"Department of Veterans Affairs","year":"2019"},{"key":"e_1_2_7_18_1","volume-title":"Your health care costs","author":"Department of Veterans Affairs","year":"2019"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/phn.12385"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2015.1083945"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1521\/suli.2007.37.1.22"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.v69n0711"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.58.9.1165"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/sltb.12369"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2010.129"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2011.300392"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1080\/03630242.2010.482007"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech.2006.054346"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.285.2.200"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.56.12.1517"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10880-017-9510-2"},{"key":"e_1_2_7_32_1","volume-title":"Veteran suicide by race\/ethnicity: Assessments among all veterans and Veterans Receiving VHA Health Services, 2001\u20132014","author":"McCarthy J. 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