Suicidal Thoughts, Behaviors, and Mental Health Treatment Use in US Military Veterans - Scorecard - MDSpire

Mental Health Treatment Utilization and Incidence of Suicidal Thoughts and Actions in Veterans of the US Military

  • By

  • Ian C. Fischer

  • Brandon Nichter

  • Peter J. Na

  • Melanie L. Hill

  • John H. Krystal

  • Robert H. Pietrzak

  • July 20, 2026

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Clinical Scorecard: Mental Health Treatment Utilization and Incidence of Suicidal Thoughts and Actions in Veterans of the US Military

At a Glance

CategoryDetail
ConditionSuicidal thoughts and behaviors in US military veterans
Key MechanismsMajor depressive disorder, posttraumatic stress disorder, adverse childhood experiences, alcohol use disorder
Target PopulationUS military veterans
Care SettingVeterans Affairs health care services

Key Highlights

  • 9.0% of US veterans reported past 2-week suicidal ideation
  • 7.3% reported lifetime suicide planning
  • 3.9% reported a lifetime suicide attempt
  • Only 35.5% of veterans with suicidal ideation engaged in mental health treatment
  • Female veterans have a 103.1% higher suicide rate compared to female nonveterans

Guideline-Based Recommendations

Diagnosis

  • Assess for suicidal thoughts and behaviors in veterans, particularly those with MDD and PTSD

Management

  • Encourage engagement in mental health treatment, especially among those with suicidal ideation

Monitoring & Follow-up

  • Regularly monitor veterans for changes in suicidal thoughts and behaviors

Risks

  • Identify sociodemographic and psychiatric factors that increase suicide risk

Patient & Prescribing Data

US military veterans with suicidal thoughts and behaviors

Veterans using VA health care are more likely to receive mental health treatment

Clinical Best Practices

  • Utilize population-based data to inform treatment strategies
  • Implement targeted interventions for high-risk groups, including younger veterans and those with MDD or PTSD
  • Promote awareness of mental health resources within the veteran community

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