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PSNet: Patient Safety Network
Journal Article
Study

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, Watts BV, et al. Suicide & life-threatening behavior. 2011;41:21-32.

This study used root cause analysis to identify systematic problems that resulted in incorrect assessment of suicide risk among veterans.