Skip Navigation
The Collection >
Systemic vulnerabilities to suicide among veterans from the Iraq and Afghanistan conflicts: review of case reports from a national Veterans Affairs database.
Mills PD, Huber SJ, Vince Watts B, Bagian JP. Suicide Life Threat Behav. 2011;41:21-32.

This study used root cause analysis to identify systematic problems that resulted in incorrect assessment of suicide risk among veterans.
PubMed citation icon indicating hyperlink to external website
Available at icon indicating hyperlink to external website
white box
Related Resources
STUDY
A checklist to identify inpatient suicide hazards in Veterans Affairs hospitals.
Mills PD, Watts BV, Miller S, et al. Jt Comm J Qual Patient Saf. 2010;36:87-93.
STUDY
Toward understanding errors in inpatient psychiatry: a qualitative inquiry.
Cullen SW, Nath SB, Marcus SC. Psychiatr Q. 2010;81:197-205.
STUDY
Psychiatry morbidity and mortality rounds: implementation and impact.
Goldman S, Demaso DR, Kemler B. Acad Psychiatry. 2009;33:383-388.
MULTI-USE WEBSITE
Patient Safety Toolkits & E-learning Packages.
National Patient Safety Agency.
View all related resources...
white box
Download: Adobe Reader   email icon Email
tan box
white box