title: Suicidality and veterans with a history of traumatic brain injury: precipitants events, protective factors, and prevention strategies.
abstract: OBJECTIVE
  To increase understanding regarding precipitating and preventative factors of suicidal behavior and to highlight past experiences and recommendations regarding services aimed at suicide prevention among Veterans with a history of traumatic brain injury (TBI).
  
  
  METHODS
  Qualitative.
  
  
  METHODS
  Sample of 13 Veterans with a history of TBI, and a history of clinically significant suicidal ideation or behavior.
  
  
  METHODS
  In-person interviews were conducted and data were analyzed using a hermeneutic approach.
  
  
  RESULTS
  Shared precipitants noted included loss-of-self post-TBI, cognitive sequelae, and psychiatric and emotional disturbances. Common protective factors noted included social supports, a sense of purpose regarding the future, religion and spirituality, and mental health care. Means of improving care were also identified (e.g., increasing the availability of services and mental health professionals' knowledge regarding TBI, providing more structured treatment).
  
  
  CONCLUSIONS
  Findings highlight potential areas of importance in the assessment and treatment of suicidal Veterans with a history of TBI. Recommendations regarding means of improving care are also presented.
authors.affiliation: Veterans Integrated Service Network 19 Mental Illness Research, Education, and Clinical Center.
authors.forename: Lisa A
authors.initials: LA
authors.lastname: Brenner
authors.affiliation: Veterans Integrated Service Network 19 Mental Illness Research, Education, and Clinical Center.
authors.forename: Beeta Y
authors.initials: BY
authors.lastname: Homaifar
authors.affiliation: Veterans Integrated Service Network 19 Mental Illness Research, Education, and Clinical Center.
authors.forename: Lawrence E
authors.initials: LE
authors.lastname: Adler
authors.affiliation: Veterans Integrated Service Network 19 Mental Illness Research, Education, and Clinical Center.
authors.forename: Jessica H
authors.initials: JH
authors.lastname: Wolfman
authors.affiliation: Veterans Affairs Office of Mental Health Services.
authors.forename: Jan
authors.initials: J
authors.lastname: Kemp
mesh_terms: D000328:Adult; D000342:Affective Symptoms / Q000523:psychology / Q000534:rehabilitation; D001240:Aspirations, Psychological; D020208:Brain Injury, Chronic / Q000523:psychology* / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D033182:Intention; D007406:Interview, Psychological; D008297:Male; D008875:Middle Aged; D009042:Motivation; D020380:Needs Assessment; D010348:Patient Care Team; D012069:Religion and Psychology; D055500:Resilience, Psychological; D012307:Risk Factors; D012944:Social Support; D013405:Suicide / Q000523:psychology*; D013406:Suicide, Attempted / Q000517:prevention & control* / Q000523:psychology*; D014481:United States; D014728:Veterans / Q000523:psychology*; D000092864:Suicide Prevention