Differences in suicide and death ideation among veterans and nonveterans with serious mental illness.
Differences in suicide and death ideation among veterans and nonveterans with serious mental illness.
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DOI：
10.1037/ser0000127
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发表时间：
2018-03
影响因子：
2.3
通讯作者：
Lucksted A
中科院分区：
文献类型：
--
作者：
Jahn DR;Muralidharan A;Drapalski AL;Brown CH;Fang LJ;Lucksted A
患有严重精神疾病的人和退伍军人是自杀风险较高的两个人群；然而，研究尚未检验患有严重精神疾病的退伍军人是否比患有严重精神疾病的非退伍军人有更高的自杀风险。此外，这些人群中自杀的重叠危险因素可能是这些人群之间自杀相关结果存在差异的原因。因此，本研究的目的是确定患有严重精神疾病的退伍军人和非退伍军人之间死亡意念和自杀意念的差异。我们还旨在在调整潜在的共同风险因素后探讨这些影响。我们发现，患有严重精神疾病的退伍军人报告的死亡意念和自杀意念的频率是患有严重精神疾病的非退伍军人的两倍多。在调整人口、精神和理论驱动的风险因素后，退伍军人身份对死亡意念的影响仍然显着，尽管对自杀意念的影响不再显着。抑郁和精神病症状是死亡意念的重要预测因素；抑郁症状和敌意是自杀意念的重要预测因素。临床医生应特别监测患有严重精神疾病的退伍军人的死亡意念和自杀意念，以及相关的临床危险因素，如抑郁、精神病症状和敌意。
Individuals with serious mental illness and veterans are two populations at elevated risk for suicide; however, research has not examined whether veterans with serious mental illness may be at higher suicide risk than non-veterans with serious mental illness. Additionally, overlapping risk factors for suicide in these populations may account for differences in suicide-related outcomes between these groups. Therefore, the aim of this study was to identify differences in death ideation and suicide ideation among veterans and non-veterans with serious mental illness. We also aimed to explore these effects after adjusting for potentially shared risk factors. We found that veterans with serious mental illness reported death ideation and suicide ideation more than twice as often as non-veterans with serious mental illness. After adjusting for demographic, psychiatric, and theory-driven risk factors, the effect of veteran status on death ideation remained significant, though the effect on suicide ideation was no longer significant. Depressive and psychotic symptoms were significant predictors of death ideation; depressive symptoms and hostility were significant predictors of suicide ideation. Clinicians should particularly monitor death ideation and suicide ideation in veterans with serious mental illness, as well as associated clinical risk factors such as depression, psychotic symptoms, and hostility.
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影响因子：
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