Submitted for Publication: July 24, 2014; final revision received November 12, 2014; accepted December 16, 2014.
Published Online: April 1, 2015. doi:10.1001/jamapsychiatry.2014.3195.
Study concept and design: Reger, Smolenski, Skopp, Metzger-Abamukang, Kang, Bullman, Gahm.
Acquisition, analysis, or interpretation of data: Reger, Smolenski, Skopp, Perdue.
Drafting of the manuscript: Reger, Smolenski, Skopp, Metzger-Abamukang, Perdue.
Critical revision of the manuscript for important intellectual content: Reger, Smolenski, Kang, Bullman, Perdue, Gahm.
Statistical analysis: Smolenski, Kang, Bullman, Perdue.
Obtained funding: Reger, Skopp, Kang, Gahm.
Administrative, technical, or material support: Skopp, Metzger-Abamukang, Gahm.
Study supervision: Reger, Skopp, Gahm.
Conflict of Interest Disclosures: None reported.
Funding/Support: This research was supported by grant W81XWH-08-MOMRP-SPCR from the US Army Medical Research and Materiel Command Military Operational Medicine Research Program–Suicide Prevention and Counseling Research.
Role of the Funder/Sponsor: The funding source had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.
Disclaimer: The views expressed are those of the authors and do not reflect the official policy or position of the Department of Defense or the US Government.
Additional Contributions: Tim Lineberry, MD (Telemedicine and Advanced Technology Research Center), Paul Amoroso, MD, MPH (MultiCare Institute for Research & Innovation), and Greg Reger, PhD (VA Puget Sound Health Care System) critically reviewed the preliminary results. Elissa Thomas, LPN, CCRC, assisted in managing this project, Daniel Schwesinger aggregated and managed enterprise data sources, and David Luxton, PhD, and Nigel Bush, PhD, assisted in conceptualizing the project (all affiliated with the National Center for Telehealth and Technology). The Armed Forces Medical Examiner System provided data for enterprise death verification. Ms Thomas and Mr Schwesinger received compensation for their contributions.