The Link between Deployment-Related Injuries and Suicidal Thinking in the Army National Guard: Examining the Role of Perceived Burdensomeness and Hopelessness.
The Link between Deployment-Related Injuries and Suicidal Thinking in the Army National Guard: Examining the Role of Perceived Burdensomeness and Hopelessness.
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陆军国民警卫队部署相关伤害与自杀想法之间的联系：检查感知负担和绝望的作用。
DOI：
10.1080/13811118.2023.2270667
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Tucker,RaymondP
中科院分区：
文献类型：
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作者：
Pardue-Bourgeois,Sarah;Goldberg,SimonB;Wyman,MaryF;Abbas,Maleeha;Flynn,AnthonyWP;Domínguez,Sergio;Tucker,RaymondP
目标 2020 年，陆军国民警卫队成员比军事和文职人员表现出更大的自杀风险。尽管有关部署相关经历和自杀意念（SI）的文献混杂，但对特定部署相关经历（例如伤害）的调查可能会进一步阐明部署与自杀风险之间的关系。与部署相关的伤害，包括疼痛严重程度和功能障碍，与 SI 风险增加有关，并与感知负担 (PB) 和绝望等相关。本研究旨在探讨与部署相关的伤害之间的横断面关系，包括疼痛严重程度和功能障碍，以及通过 PB 和绝望造成的 SI 严重程度。方法 部署后立即，陆军国民警卫队成员 (N= 2,261) 完成了对过去一周的 SI、PB、绝望和有关部署期间受伤以及相关功能障碍和疼痛严重程度的单项的经过验证的自我报告测量。结果间接效应分析显示，部署相关伤害的经历与 SI 相关通过 PB 和绝望（R2= .1993），功能障碍通过 PB 与 SI 相关，疼痛严重程度通过 PB 与 SI 相关。与假设相反，当同时考虑 PB 时，绝望与 SI 无关。 结论 产生与其受伤和损伤功能障碍相关的 PB 感的陆军国民警卫队成员可能面临更高的自杀意念风险。军队预防自杀的努力可以通过针对扭曲的认知（例如PB和绝望）来加强，特别是在受伤的军人中。
ObjectiveIn 2020, Army National Guard members demonstrated greater risk of suicide than their military and civilian counterparts. Though literature on deployment-related experiences and suicidal ideation (SI) is mixed, investigations of specific deployment-related experiences (e.g., injuries) may further elucidate the relationship between deployment and suicide risk. Deployment-related injuries, including pain severity and functional impairment, have been linked to increased risk of SI, and correlates like perceived burdensomeness (PB) and hopelessness. The current study sought to examine the cross-sectional relationship between deployment-related injuries, including pain severity and functional impairment, and severity of SI through PB and hopelessness.MethodImmediately post-deployment, Army National Guard members (N= 2,261) completed validated self-report measures on past-week SI, PB, hopelessness, and single items regarding injury sustained during deployment and associated functional impairment and pain severity.ResultsIndirect effect analyses revealed that experience of deployment-related injury was related to SI through PB and hopelessness (R2= .1993), functional impairment was related to SI through PB, and pain severity was related to SI through PB. Contrary to hypotheses, hopelessness was not associated with SI when PB was simultaneously considered.ConclusionsArmy National Guard members who develop a sense of PB related to their injury and functional impairment of that injury may be at increased risk for suicidal ideation. Military suicide-prevention efforts may be potentiated through targeting distorted cognitions such as PB and hopelessness, especially in service members who have been injured.