How does discharge status impact suicide risk in military veterans?
How does discharge status impact suicide risk in military veterans?
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DOI：
10.1080/15332985.2018.1503214
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发表时间：
2019-01-01
影响因子：
1.1
通讯作者：
Castro, Carl
中科院分区：
文献类型：
--
作者：
Barr, Nicholas;Kintzle, Sara;Castro, Carl
自 2001 年以来，有超过 125,000 名退伍军人被非光荣退伍，但人们对这些退伍军人知之甚少，尽管这些退伍军人在获得服务方面面临巨大障碍，并且很可能面临包括自杀在内的负面心理和行为健康后果的高风险。居住在旧金山湾区的 722 名退伍军人参与了这项研究。样本包括光荣退役军人 (n = 508) 和非光荣退役退伍军人 (n = 214)。 T 检验用于比较自杀风险预测因素的平均值，包括创伤后应激障碍 (PTSD)、抑郁、饮酒、躯体症状和身体残疾。一系列回归模型测试了预测因素、出院状态和自杀风险之间的关系。在所有预测指标上，非光荣退役的退伍军人的平均得分高于光荣退役的退伍军人。在回归模型中，躯体症状（β = 0.22，p < 0.001）、身体残疾（β = 0.16，p < 0.05）和出院状态（β = 0.33，p < 0.001）与自杀风险相关。最终模型显示出院状态对躯体症状和自杀风险之间关系的交互作用（β = 0.16，p < 0.05）。与光荣退役的退伍军人相比，非光荣退役的退伍军人表现出更高的精神和身体健康问题以及自杀风险。在非光荣退役的退伍军人中，躯体症状与自杀风险之间的关系显着更大。
Little is known about over 125,000 veterans who received non-honorable military discharges since 2001, even though these veterans face substantial barriers to obtaining services and are likely to be at high risk for negative mental and behavioral health outcomes including suicide. Seven-hundred twenty-two veterans living the in the San Francisco Bay Area participated in the study. The sample comprised honorably discharged (n = 508) and non-honorably discharged veterans (n = 214). T-tests were used to compare means on predictors of suicide risk including Posttraumatic Stress Disorder (PTSD), depression, alcohol use, somatic symptoms, and physical disability. A series of regression models tested relationships between predictors, discharge status, and suicide risk. Non-honorably discharged veterans demonstrated higher mean scores than honorably discharged veterans on all predictors. In regression models, somatic symptoms (beta = 0.22, p < 0.001), physical disability (beta = 0.16, p < 0.05), and discharge status (beta = 0.33, p < 0.001) were associated with suicide risk. The final model showed an interaction effect for discharge status on the relationship between somatic symptoms and suicide risk (beta = 0.16, p < 0.05). Non-honorably discharged veterans showed higher rates of mental and physical health problems and suicide risk compared to honorably discharged veterans. The magnitude of the relationship between somatic symptoms and suicide risk was significantly greater in non-honorably discharged veterans.