Table 1.
Alignment of SPAN event types and medical record diagnoses for suicide attempts among Veterans Health Administration health care service users: 2011-2014
| Medical Record: ICD-9 Codes11 | SPAN, 2011-2012: Event Typea | SPAN, 2013-2014: SDVCSb |
|---|---|---|
| NA | Suicide attempt | Suicide attempt without injury |
| NA | Suicide attempt | Suicide attempt without injury, interrupted |
| E950: Suicide and self-inflicted poisoning by solid or liquid substances | Suicide attempt | Suicide attempt with injury and suicide attempt with injury, interrupted |
| E951: Suicide and self-inflicted poisoning by gases in domestic use | Suicide attempt | Suicide attempt with injury and suicide attempt with injury, interrupted |
| E952: Suicide and self-inflicted poisoning by other gases and vapors | Suicide attempt | Suicide attempt with injury and suicide attempt with injury, interrupted |
| E953: Suicide and self-inflicted injury by hanging, strangulation, and suffocation | Suicide attempt | Suicide attempt with injury and suicide attempt with injury, interrupted |
| E954: Suicide and self-inflicted injury by submersion (drowning) | Suicide attempt | Suicide attempt with injury and suicide attempt with injury, interrupted |
| E955: Suicide and self-inflicted injury by firearms, air guns, and explosives | Suicide attempt | Suicide attempt with injury and suicide attempt with injury, interrupted |
| E956: Suicide and self-inflicted injury by cutting and piercing instrument | Suicide attempt | Suicide attempt with injury and suicide attempt with injury, interrupted |
| E957: Suicide and self-inflicted injury by jumping from high place | Suicide attempt | Suicide attempt with injury and suicide attempt with injury, interrupted |
| E958: Suicide and self-inflicted injury by other and unspecified means | Suicide attempt | Suicide attempt with injury and suicide attempt with injury, interrupted |
| E959: Late effects of self-inflicted injury | NA | NA |
Abbreviations: ICD-9, International Classification of Diseases, Ninth Revision; NA, not applicable; SDVCS, Self-Directed Violence Classification System; SPAN, Suicide Prevention Applications Network.
aSPAN is the US Department of Veterans Affairs’ internal suicide event tracking system for all Veterans Health Administration health care service users.
bSDVCS is a standardized, validated instrument that objectively determines the type of self-harm event.