Adverse Childhood Experiences and Risk for Suicidal Behavior in Male Iraq and Afghanistan Veterans Seeking PTSD Treatment
Adverse Childhood Experiences and Risk for Suicidal Behavior in Male Iraq and Afghanistan Veterans Seeking PTSD Treatment
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DOI：
10.1037/tra0000250
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发表时间：
2017-09-01
影响因子：
6.3
通讯作者：
Drescher, Kent D.
中科院分区：
文献类型：
--
作者：
Carroll, Timothy D.;Currier, Joseph M.;Drescher, Kent D.
目的：不良童年经历（ACE）与自杀风险增加有关，并且在美国军队服役的男性中似乎发生率不成比例地高。然而，研究还没有检查一个全面的范围内的ACE在伊拉克/阿富汗退伍军人与战斗相关的创伤后应激障碍（PTSD）或是否这些premilitary应激源可能有助于自杀行为在这个高度脆弱的population.Method：一个样本的217名男子进入一个住宅计划的战斗相关的PTSD完成措施的ACE，战斗暴露，和终身自杀意念和企图。大多数患者在童年/青春期经历过多种类型的逆境或创伤。特别是，83.4%的患者认可至少1个ACE类别，41.5%的患者报告经历了4个或更多ACE。当考虑到部署相关压力的影响时，我们进一步发现ACE的积累与这些患者的自杀想法或企图有独特的联系。也就是说，每增加1点的ACE问卷，退伍军人的自杀意念和企图的风险增加了23%和24%，respectively.Conclusion：这份简短的报告提供了初步证据，退伍军人寻求治疗战斗相关的PTSD往往有广泛的历史军事前的压力，可能会增加自杀风险超出可能的部署相关的创伤。
Objective: Adverse childhood experiences (ACEs) are associated with increased risk for suicide and appear to occur in disproportionately high rates among men who served in the U.S. military. However, research has yet to examine a comprehensive range of ACEs among Iraq/Afghanistan veterans with combat-related posttraumatic stress disorder (PTSD) or whether these premilitary stressors may contribute to suicidal behavior in this highly vulnerable population.Method: A sample of 217 men entering a residential program for combat-related PTSD completed measures for ACEs, combat exposure, and lifetime suicidal ideation and attempts.Results: The majority of patients had experienced multiple types of adversity or traumas during childhood/adolescence. In particular, 83.4% endorsed at least 1 ACE category and 41.5% reported experiencing 4 or more ACEs. When accounting for effects of deployment-related stressors, we further found that accumulation of ACEs was uniquely linked with thoughts of suicide or attempts among these patients. Namely, for every 1-point increase on the ACE Questionnaire, veterans' risk of suicidal ideation and attempts increased by 23% and 24%, respectively.Conclusion: This brief report provides initial evidence that veterans seeking treatment for combat-related PTSD often have extensive histories of premilitary stressors that may increase suicide risk beyond probable deployment-related traumas.