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Almost all contextual factors we examined were significantly associated with suicide among rural and urban VA users, even after adjusting for individual compositional factors. However, no contextual variables were strong protective or risk factors (0.5
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2., and prediction models leveraging these contextual factors had poor accuracy among both rural (0.51, 95% CI 0.48-0.54) and urban (0.53, 95% CI 0.51-0.55) VA users. A wide variety of contextual factors is significantly associated with suicide among rural and urban VA users. Howe
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