Suicidal Ideation in Iraq and Afghanistan Veterans With Mental Health Conditions at Risk for Homelessness
Suicidal Ideation in Iraq and Afghanistan Veterans With Mental Health Conditions at Risk for Homelessness
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DOI：
10.1037/ort0000590
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发表时间：
2021-12-16
影响因子：
3.3
通讯作者：
Twamley, Elizabeth W.
中科院分区：
文献类型：
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作者：
Keller, Amber V.;Clark, Jillian M. R.;Twamley, Elizabeth W.
预防退伍军人自杀是国家的首要任务。退伍军人中可能增加自杀风险的条件（如精神健康状况、经济压力、缺乏社会支持）和无家可归之间存在重叠。我们检查了58名接受住院心理健康治疗的伊拉克/阿富汗有无家可归风险的退伍军人自杀意念（SI）的方差预测因子。根据患者健康问卷-9 （PHQ-9）的回答，参与者被分为非SI支持者（n = 36）或SI支持者（n = 22）。采用独立t检验和卡方检验来检验基线人口统计学变量、神经心理学测量和情绪/身体健康症状测量的组间差异。与非支持者相比，SI支持者明显更年轻，报告的退伍军人事务（VA）残疾收入更少，月总收入更少，身体疼痛更少，总体生活质量和心理健康领域更低，社区重返社会满意度更低，焦虑更严重。各组在认知测量上没有显著差异。随后的逻辑回归显示，只有更年轻的年龄能唯一地预测SI认可的方差。在评估无家可归的退伍军人的自杀风险时，年轻可能是一个特别重要的因素。确定SI变异的预测因素可能有助于为有无家可归风险的退伍军人提供未来的治疗和自杀预防措施。未来对自杀预测因素的纵向研究是有必要的。退伍军人无家可归和退伍军人自杀是主要的公共卫生问题和退伍军人事务部的优先事项。面临无家可归风险的退伍军人可能特别容易增加自杀风险。我们研究了58名有无家可归风险并接受住院心理健康治疗的退伍军人，发现在多个预测变量存在的情况下，年龄较小预测自杀意念的差异。
Suicide prevention among Veterans is a national priority. Overlap exists between conditions that may increase risk for suicide (e.g., mental health conditions, financial stressors, lack of social support) and homelessness among Veterans. We examined predictors of variance in suicidal ideation (SI) among 58 Iraq/Afghanistan Veterans at risk for homelessness who were receiving residential mental health treatment. Participants were classified as SI nonendorsers (n = 36) or SI endorsers (n = 22), based on their Patient Health Questionnaire-9 (PHQ-9) responses. Independent t tests and chi-square tests were used to examine group differences on baseline demographic variables, neuropsychological measures, and emotional/physical health symptom measures. Compared to nonendorsers, SI endorsers were significantly younger and reported less Veterans Affairs (VA) disability income, less total monthly income, less physical pain, lower quality of life overall and in the psychological health domain, lower community reintegration satisfaction, and more severe anxiety. Groups did not significantly differ on cognitive measures. A subsequent logistic regression revealed that only younger age uniquely predicted variance in SI endorsement. Younger age may be a particularly important factor to consider when assessing suicide risk in Veterans at risk for homelessness. Identifying predictors of variance in SI may help inform future treatment and suicide prevention efforts for Veterans at risk for homelessness. Future longitudinal research examining predictors of suicidality is warranted.Public Policy Relevance Statement Veteran homelessness and Veteran suicide are major public health concerns and priorities of the Department of Veteran Affairs. Veterans at risk for homelessness may be particularly vulnerable for increased suicide risk. We studied 58 Veterans who were at risk for homelessness and receiving residential mental health treatment and found that in the presence of multiple predictor variables, younger age predicted variance in suicidal ideation.