Contribution of veterans' initial post-separation vocational, financial, and social experiences to their suicidal ideation trajectories following military service.
Contribution of veterans' initial post-separation vocational, financial, and social experiences to their suicidal ideation trajectories following military service.
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DOI：
10.1111/sltb.12955
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发表时间：
2023-06
影响因子：
3.2
通讯作者：
Vogt, Dawne
中科院分区：
文献类型：
--
作者：
Hoffmire, Claire A.;Borowski, Shelby;Vogt, Dawne
退伍军人成功地克服了退役的挑战，可能会增加他们自杀的风险。福祉概念可帮助对重返社会挑战的成功导航进行概念化和评估，并可作为以公共卫生为导向的自杀预防的最佳目标。美国退伍军人的心理社会幸福感与军队分离后前3年的自杀意念(SI)经历之间的关系被用多项Logistic回归来评估，该回归预测了9/11事件后基于人群的纵向退伍军人队列中随着时间推移自杀意念的轨迹。在离职后3个月，退伍军人报告了他们的社会物质状况、功能以及对职业、经济和社会领域的满意度。在分离后的3个月、9个月、15个月、21个月和27个月，使用患者健康问卷-9评估SI频率。退伍军人的职业、经济和社会幸福感与他们的SI轨迹有关，即使在考虑心理健康之后也是如此。社会物质条件、功能和满意度都是SI轨迹的重要预测因子，尽管结果在不同领域有所不同。对社会福利的影响最大。预防自杀的努力可能受益于一种全面的方法，该方法考虑退伍军人对其职业、经济和社会福祉的支持需求，包括他们在每个领域的社会物质条件、功能和满意度。
Veterans’ success with navigating the challenges of transition from military service may contribute to their risk for suicidal outcomes. The concept of well-being can help to conceptualize and assess successful navigation of reintegration challenges and may serve as an optimal target for public health-oriented suicide prevention. The relationship between US veterans’ psychosocial well-being and experiences of suicidal ideation (SI) during the first 3 years following military separation was evaluated using multinomial logistic regression predicting SI trajectories over time in a population-based, longitudinal, post-9/11 veteran cohort. At 3-months post-separation, veterans reported on their socio-material conditions, functioning, and satisfaction with respect to vocational, financial, and social domains. SI frequency was assessed at 3-, 9-, 15-, 21-, and 27-months post-separation using the Patient Health Questionnaire-9. Veterans’ vocational, financial, and social well-being were associated with their SI trajectories, even after accounting for mental health. Socio-material conditions, functioning, and satisfaction all emerged as important predictors of SI trajectories, although results varied across domains. Effects were largest for social well-being. Suicide prevention efforts may benefit from a holistic approach that considers veterans’ needs for support across their vocational, financial, and social well-being, inclusive of their socio-material conditions, functioning, and satisfaction within each domain.
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影响因子：
5.5
作者：
Borowski, Shelby;Rosellini, Anthony J.;Vogt, Dawne
通讯作者：
Vogt, Dawne
影响因子：
6.6
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影响因子：
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影响因子：
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影响因子：
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作者：
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