The current study aim was to examine mental health characteristics in a sample of returning OEF/OIF/OND veterans initially enrolling in Department of Veterans Affairs (VA) health care (N = 1,307), with a particular focus on a subgroup considered at risk for suicide (N = 445). Methods included examination of mental health screening measures and clinical interview data from a VA postdeployment clinic. Half of the sample met criteria for a mental health disorder, whereas 10% reported current suicidal or death ideation (e.g., thoughts of being better off dead or hurting oneself in some way) and 6% reported a history of suicide attempt. Sixty-eight percent of the at-risk subgroup accepted a referral for mental health treatment and a promising majority (78%) of those individuals attended their initial specialty mental health visit. At-risk veterans who accepted mental health referral were more likely to report current suicidal/death ideation; they were also more likely to have a diagnosis of a depressive disorder, anxiety disorder, or posttraumatic stress disorder. Factors associated with mental health appointment attendance included older age, being enrolled in college, and more years of military service. Results highlight the importance of early screening and referral to appropriate mental health follow-up. Implications for clinical practice and increasing engagement in VA mental health services among veterans at risk for suicide are discussed. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

中文翻译：

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有自杀风险的退伍军人的心理健康利用：来自部署后诊所的数据。

当前的研究目的是从最初进入退伍军人事务部（VA）的医疗服务（N = 1,307）的返回的OEF / OIF / OND退伍军人样本中检查心理健康特征，尤其关注被认为有以下风险的亚组：自杀（N = 445）。方法包括检查心理健康筛查措施和来自VA部署后诊所的临床访谈数据。一半的样本符合精神健康疾病的标准，而10％的样本报告了目前的自杀或死亡念头（例如，认为可以更好地使自己死亡或以某种方式伤害自己的想法），而6％的样本则报告有自杀未遂的历史。高危亚组中有68％接受了心理健康治疗的转诊，其中有希望的大多数人（78％）参加了他们最初的专业心理健康访问。接受心理健康转诊的高危退伍军人更有可能报告当前的自杀/死亡念头；他们也更有可能被诊断出患有抑郁症，焦虑症或创伤后应激障碍。与参加心理健康任命相关的因素包括年龄较大，正在就读大学和服役多年。结果强调了早期筛查和转诊至适当的心理健康随访的重要性。讨论了临床实践和增加自杀风险的退伍军人对VA精神卫生服务的参与度。（PsycINFO数据库记录（c）2018 APA，保留所有权利）。焦虑症或创伤后应激障碍。与参加心理健康任命相关的因素包括年龄较大，正在就读大学和服役多年。结果强调了早期筛查和转诊至适当的心理健康随访的重要性。讨论了临床实践和增加自杀风险的退伍军人对VA精神卫生服务的参与度。（PsycINFO数据库记录（c）2018 APA，保留所有权利）。焦虑症或创伤后应激障碍。与参加心理健康任命有关的因素包括年龄较大，正在就读大学和服役多年。结果强调了早期筛查和转诊至适当的心理健康随访的重要性。讨论了临床实践和增加自杀风险的退伍军人对VA精神卫生服务的参与度。（PsycINFO数据库记录（c）2018 APA，保留所有权利）。讨论了临床实践和增加自杀风险的退伍军人对VA精神卫生服务的参与度。（PsycINFO数据库记录（c）2018 APA，保留所有权利）。讨论了临床实践和增加自杀风险的退伍军人对VA心理健康服务的参与度的含义。（PsycINFO数据库记录（c）2018 APA，保留所有权利）。