Suicidality among older male veterans in the United States: Results from the National Health and Resilience in Veterans Study
Suicidality among older male veterans in the United States: Results from the National Health and Resilience in Veterans Study
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DOI：
10.1016/j.jpsychires.2013.07.015
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发表时间：
2013-11-01
影响因子：
4.8
通讯作者：
Pietrzak, Robert H.
中科院分区：
文献类型：
--
作者：
Fanning, Jennifer R.;Pietrzak, Robert H.
老年男性的自杀率高于一般人群，但对老年男性退伍军人自杀倾向的患病率和相关性知之甚少。在这项研究中，我们评估了流行率，风险和保护因素与当前的自杀意念（SI）和过去的自杀企图（SA）在当代，全国代表性样本的老年男性退伍军人。我们分析了2011年10月至12月期间参加国家健康和复原力退伍军人调查（NHRVS）的1962名60岁或以上男性退伍军人的数据。双变量分析和多元逻辑回归被用来评估风险和保护因素与当前SI和过去SA在全样本中，并分别在战斗和非战斗退伍军人。6%的样本报告过去2周的SI，战斗退伍军人更有可能考虑自杀（9.2%）比非战斗（4.0%）退伍军人。2.6%的受访者报告了终身SA。严重抑郁症和身体健康困难是战斗退伍军人中SI的最强危险因素，而广泛性焦虑症（GAD）是非战斗退伍军人中SI的最强危险因素。创伤后应激障碍（PTSD）与两组退伍军人中的SI独立相关，社会联系与两组中的SI呈负相关。这些结果表明，在美国有相当比例的老年男性退伍军人考虑自杀，战斗中的SI率高于非战斗退伍军人。旨在减轻心理困扰和身体困难，促进社会联系的干预措施可能有助于减轻这一人群的自杀风险。爱思唯尔有限公司出版
Older men have a higher rate of suicide than the general population, but little is known about the prevalence and correlates of suicidality among older male veterans. In this study, we evaluated the prevalence, and risk and protective factors associated with current suicidal ideation (SI) and past suicide attempt (SA) in a contemporary, nationally representative sample of older male veterans. We analyzed data from 1962 male veterans aged 60 or older who participated in the National Health and Resilience Veterans Survey (NHRVS) between October and December 2011. Bivariate analyses and multivariate logistic regression were used to evaluate risk and protective factors associated with current SI and past SA in the full sample, and separately among combat and non-combat veterans. Six percent of the sample reported past 2-week SI, and combat veterans were more likely to contemplate suicide (9.2%) than non-combat (4.0%) veterans. Lifetime SA was reported by 2.6% of respondents. Major depression and physical health difficulties were the strongest risk factors for SI in combat veterans, while generalized anxiety disorder (GAD) was the strongest risk factor for SI in non-combat veterans. Posttraumatic stress disorder (PTSD) was independently associated with SI in both groups of veterans, and social connectedness was negatively related to SI in both groups. These results suggest that a significant proportion of older male veterans in the United States contemplates suicide, with higher rates of SI among combat than noncombat veterans. Interventions designed to mitigate psychological distress and physical difficulties, and to promote social connectedness may help mitigate suicidality risk in this population. Published by Elsevier Ltd.