Suicidal ideation, suicide attempt, and non -suicidal self -injury among female veterans: Prevalence, timing, and onset
Suicidal ideation, suicide attempt, and non -suicidal self -injury among female veterans: Prevalence, timing, and onset
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DOI：
10.1016/j.jad.2020.04.017
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发表时间：
2020-08-01
影响因子：
6.6
通讯作者：
Forster, Jeri E.
中科院分区：
文献类型：
--
作者：
Monteith, Lindsey L.;Holliday, Ryan;Forster, Jeri E.
背景女性退伍军人的自杀率持续上升，尤其是那些不使用退伍军人健康管理局 (VHA) 护理的女性退伍军人。尽管如此，自杀研究很少关注女性退伍军人，尤其是非 VHA 使用者。本研究调查了女性退伍军人中与服兵役有关的自杀意念（SI）、自杀企图（SA）和非自杀性自伤（NSSI）的患病率和发作情况。此外，还比较了当前、过去和从未使用 VHA 的 SI、SA 和 NSSI 患病率。方法女性退伍军人 (n= 439) 参与了一项全国性横断面调查。结果 SI (47.9%)、SA (17.7%) 和 NSSI (13.2%) 的终生患病率很高。与之前（SI、SA）或服兵役期间（仅 SI）相比，在控制风险时间的情况下，参与者在分居后更有可能经历 SI 和 SA。然而，对于 SI、SA 和 NSSI，与离职后相比，发病更有可能发生在服兵役之前。在年龄调整分析中，与从未使用过 VHA 护理的人相比，当前和过去使用 VHA 护理的人更有可能报告经历终生 SI。然而，在根据服役时代进行调整时，过去和从未使用过 VHA 的用户并没有显着差异。 横截面设计、回顾性回忆和便利样本的局限性。 结论 对于女性退伍军人来说，SI、SA 和 NSSI 的发作似乎最常发生在服兵役之前。然而，分居后 SI 和 SA 的患病率最高，表明需要一段时间进行额外的支持和干预。结果强调，需要对女性退伍军人，特别是目前的 VHA 用户进行持续的自杀监测、预防和干预工作。
BackgroundSuicide rates among female veterans have continued to increase, particularly among those not using Veterans Health Administration (VHA) care. Nonetheless, suicide research has rarely focused on female veterans, particularly non-VHA users. The present study examined the prevalence and onset of suicidal ideation (SI), suicide attempt (SA), and non-suicidal self-injury (NSSI) in relation to military service among female veterans. Additionally, current, past, and never VHA users were compared in regard to SI, SA, and NSSI prevalence.MethodsFemale veterans (n= 439) participated in a national, cross-sectional survey.ResultsLifetime prevalence of SI (47.9%), SA (17.7%), and NSSI (13.2%) were high. Participants were more likely to report experiencing SI and SA following separation, compared to preceding (SI, SA) or during (SI only) military service, controlling for time at risk. However, onset was more likely to occur prior to military service, compared to after separation, for SI, SA, and NSSI. In age-adjusted analyses, current and past users of VHA care were more likely to report experiencing lifetime SI, compared to those who never used VHA care. However, when adjusting for service era, past and never VHA users did not significantly differ.LimitationsCross-sectional design, retrospective recall, and convenience sample.ConclusionsFor female veterans, onset of SI, SA, and NSSI appears to most commonly occur before military service. However, SI and SA prevalence are highest following separation, suggesting a period warranting additional support and intervention. Results underscore the need for continued suicide surveillance, prevention, and intervention efforts for female veterans, especially current VHA users.