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Comment & Response
June 26, 2019

Positive Predictive Values and Potential Success of Suicide Prediction Models

Author Affiliations
  • 1Department of Veterans Affairs Rocky Mountain Mental Illness Research, Education and Clinical Center, Aurora, Colorado
  • 2Department of Veterans Affairs Puget Sound Healthcare System, Seattle, Washington
JAMA Psychiatry. 2019;76(8):869-870. doi:10.1001/jamapsychiatry.2019.1519

To the Editor Belsher et al1 reviewed the diagnostic accuracy of suicide predictive models (PMs) and also simulated the impact of implementing a PM. As members of the implementation team for the Veterans Health Administration’s Recovery Engagement and Coordination for Health–Veterans Enhanced Treatment (REACH VET) program, we are responding to several concerns noted in the Discussion section including risks associated with implementing PM-based programs and the scarcity of evidence-based treatments (EBTs) for high-risk patients.

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