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41, CI 1.11-1.79), but it is not substantially associated with suicide among White (0.97, CI 0.94-1.0 and Black (1.03, CI 0.86-1.23) VHA users. White VHA users have considerably higher suicide rates than Black and Hispanic VHA users, though the suicide rate among Hispanic VHA users, particularly those in rural settings, increased markedly over the period of observation. Race significantly modifies the relationship between rural residence and suicide risk. Studies seeking to assess suicide disparity between rural and urban VHA user pop
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