The study analyzed suicide mortality outcomes related to the Caring Letters (CL) intervention among US veterans contacting the Veterans Crisis Line (VCL).
No significant difference in suicide mortality was observed between veterans who received CL and a historical control group not receiving CL.
No difference in suicide mortality was found between recipients of letters signed by VA clinicians versus peer veterans.
Findings suggest that CL may not reduce suicide death in this population, but increased healthcare utilization remains a potential benefit to investigate.