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PSNet: Patient Safety Network
Journal Article

Actions and implementation strategies to reduce suicidal events in the Veterans Health Administration.

Mills PD, Neily J, Luan D, et al. The Joint Commission Journal on Quality and Patient Safety. 2016;32.

The investigators examined root cause analyses regarding suicide and parasuicidal behaviors. They found that underreporting of parasuicidal events complicates efforts to prevent suicides or improve outcomes.