“…First, NSSP data are not nationally representative, and participation can vary by HHS region. Second, although the prevalence of HRI among U.S. military veterans has been increasing ( 9 ), this analysis does not include facilities operated by U.S. Department of Veterans Affairs. In addition, the HRI ED visit rate reported by ESSENCE might not be representative of the rate in the general population because ESSENCE is not a population-based system but rather reflects the number of HRI ED visits among all-cause ED visits.…”