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Opinion Editorials represent the opinions of the authors and JAMA EDITORIAL and not those of the American Medical Association. Time to Focus on Mental Health Service Delivery Charles C. Engel, MD, MPH Suicide in the US military has been the recent focus of contro- tary senior leaders as perhaps the most promising suicide versy and misunderstanding. The disappointing lack of valid prevention strategy. This strategy has been embraced and and generalizable epidemiologic research from which to con- implemented worldwide for nearly 3 million primary care vis- fidently ground clinical and policy decisions has only helped its across the US Army health system since 2007 using a team to fuel debates about the magnitude and causes of the prob- care approach to screening, care management, and enhanced 7,8 lem and how best to approach it. Military suicides are some- specialist involvement. Additionally, this strategy uses an times characterized as epidemic in proportion, and many ob- online decision support system offering worldwide and real- servers appear to assume that the incidence is escalating out time capacity to measure individual patient symptom status of control as a consequence of prolonged combat and associ- and create an illness registry to enhance, monitor, and
JAMA – American Medical Association
Published: Aug 7, 2013
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