Suicide Ideation and Social Support Trajectories in National Guard and Reserve Servicemembers.
Suicide Ideation and Social Support Trajectories in National Guard and Reserve Servicemembers.
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DOI：
10.1080/00332747.2021.2004785
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发表时间：
2022
影响因子：
2.4
通讯作者：
Fullerton, Carol S.
中科院分区：
文献类型：
--
作者：
Wang, Jing;Ursano, Robert J.;Gifford, Robert K.;Dinh, Hieu;Weinberg, Alysse;Cohen, Gregory H.;Sampson, Laura;Galea, Sandro;Fullerton, Carol S.
自2004年以来，美国武装部队的自杀率一直在上升。我们研究了四年内预备役部队（RC）军人（国民警卫队和预备役）的社会支持（SS）轨迹与自杀想法（SI）的关联。我们还检查了基线心理健康指标，作为确定轨迹的预测因子。结构化访谈进行了全国代表性的样本1,582 RC servemememember在基线和三个后续波。潜在生长混合模型确定SS轨迹和后续SI的关联。使用人口统计学和心理健康的基线测量，使用多项逻辑回归分析来预测SS轨迹。我们确定了SS的四种轨迹及其相关的随访SI患病率：低（n = 60，3.8%; SI = 30.5%）、中（n = 229，14.5%; SI = 14.1%）、高-低（n = 66，4.2%; SI = 13.6%）和高-高（n = 1,227，77.5%; SI = 4.2%）。除了中SS和高低SS轨迹之间，每对SS轨迹之间的随访SI患病率存在显著差异。基线SI、创伤后应激障碍（PTSD）、抑郁、酗酒和心理健康诊断与低SS或中SS轨迹的可能性增加相关。基线PTSD区分高-高-SS和高-低-SS轨迹。结果支持四个轨迹的社会支持和SS低或下降的个人可能有更大的后续SI。基线心理健康评估可以识别这些风险轨迹。
Since 2004 increased rates of suicide have been noted in the US Armed Forces. We examined the association of social support (SS) trajectories and suicide ideation (SI) over a four-year period in Reserve Component (RC) servicemembers (National Guard and Reserve). We also examined baseline mental health measures, as predictors of the identified trajectories. Structured interviews were conducted with a nationally representative sample of 1,582 RC servicemembers at baseline and three follow-up waves. Latent growth mixture modeling identified SS trajectories and the association with follow-up SI. Multinomial logistic regression analyses were used to predict SS trajectories using baseline measures of demographics and mental health. We identified four trajectories of SS and their associated prevalence of follow-up SI: low (n = 60, 3.8%; SI = 30.5%), medium (n = 229, 14.5%; SI = 14.1%), high-low (n = 66, 4.2%; SI = 13.6%), and high-high (n = 1,227, 77.5%; SI = 4.2%). There were significant differences in follow-up SI prevalence between each pair of SS trajectories except between the medium-SS and high-low-SS trajectories. Baseline SI, post-traumatic stress disorder (PTSD), depression, binge drinking, and mental health diagnosis were associated with increased likelihood of being on a low-SS or medium-SS trajectory. Baseline PTSD discriminated being on the high-high-SS and high-low-SS trajectories. Results support four trajectories of social support and that individuals with low or decreasing SS are likely to have greater follow-up SI. Baseline mental health assessments can identify these risk trajectories.
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影响因子：
5.3
作者：
Andersen, Soren Bo;Karstoft, Karen-Inge;Madsen, Trine
通讯作者：
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Ciarleglio, Maria M.;Aslan, Mihaela;Vasterling, Jennifer J.
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Vasterling, Jennifer J.
DOI：
10.1097/00000374-200006000-00020
发表时间：
2000-06-01
影响因子：
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通讯作者：
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通讯作者：
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影响因子：
3.3
作者：
Kaniasty, Krzysztof;Norris, Fran H.
通讯作者：
Norris, Fran H.