VA HSR&D researchers conduct an extensive number of investigations designed to improve clinical decision-making and care, inform patients, evaluate changes in the healthcare system, and inform VA policymaking. In Progress is a quarterly publication that highlights ongoing HSR&D research on various topics.
In This Issue: Improving Care of Mental Health Conditions
A series of three reports published in JAMA Psychiatry (2014) found that many soldiers suffer from some form of mental illness, with rates much higher than among civilians. For example, nearly 25% of almost 5,500 active-duty, non-deployed Army soldiers tested positive for a mental disorder (i.e., major depressive disorder, PTSD, bipolar disorder), and 11% within that subgroup had more than one mental illness.1 The lifetime prevalence of PTSD among adults living in the U.S. is 10% for women and 4% for men, but among male combat Veterans, lifetime PTSD rates are as high as 39%. Moreover, 28% of OEF/OIF/OND Veterans have a PTSD diagnosis in their VA medical record.2
PTSD is also a risk factor for suicide, as are depression and other forms of serious mental illness (i.e., bipolar disorder). Recently, VA conducted the most comprehensive analyses of suicide rates among Veterans in the United States, examining more than 55 million records from 1979 to 2014 from all 50 states, Puerto Rico, and the District of Columbia. Results showed that an average of 20 Veterans died by suicide each day. After adjusting for differences in age and sex, the risk of suicide was 22% higher among Veterans compared to U.S. civilian adults.3 Since these results were published, VA has aggressively undertaken new measures to prevent suicide, including:
In addition, VA HSR&D researchers conduct an extensive number of investigations designed to improve mental health for Veterans. These include studies of enhanced clinical decision-making and outreach, examinations of Veteran perspectives and social supports, and rigorous evaluations of novel, data-driven clinical practices to inform VA policymaking. This issue of In Progress features several articles regarding these efforts:
Individual Research Studies on VA Mental Healthcare
An estimated 28% of more than 230 active HSR&D projects address some aspect of the care of mental health conditions. Below we highlight some important new and recent projects that have informed the care for mental health conditions in Veterans.