Risk factors for concurrent suicidal ideation and violent impulses in military veterans.
Risk factors for concurrent suicidal ideation and violent impulses in military veterans.
复制标题
退伍军人并发自杀意念和暴力冲动的危险因素。
DOI：
10.1037/pas0000490
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发表时间：
2018
影响因子：
3.6
通讯作者：
VAMid-AtlanticMIRECCWorkgroup
中科院分区：
文献类型：
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作者：
Elbogen,EricB;Wagner,HRyan;Kimbrel,NathanA;Brancu,Mira;Naylor,Jennifer;Graziano,Robert;Crawford,Eric;VAMid-AtlanticMIRECCWorkgroup
自杀和暴力是伊拉克/阿富汗时代退伍军人中的一个重要问题。这项研究调查了退伍军人的创伤后应激障碍(PTSD)和复原力与自杀意念和暴力冲动之间的关系，同时控制了这两种不良后果的已知协变量。对N=2543名伊拉克/阿富汗时期的美国退伍军人进行了结构化的临床访谈。与否认自杀意念或暴力冲动的退伍军人(n=1,927)相比，支持两者的退伍军人(n=171)更有可能满足创伤后应激障碍的诊断标准，报告童年虐待、战斗暴露、身体疼痛症状和药物滥用，而不太可能支持自我指导/生活目标。与只报告自杀意念的退伍军人相比，同时有自杀意念和暴力冲动的退伍军人滥用药物和报告疼痛症状的几率更高(n=186)，与只报告暴力冲动的退伍军人相比，支持自我指导/生活目标的几率更低(n=259)。这些发现强调了在旨在优化退伍军人自杀和暴力风险管理的临床评估和实证研究的背景下，检查药物滥用、身体疼痛症状、自我指导/生活目标以及创伤后应激障碍和创伤病史的重要性。
Suicide and violence are significant problems in a subset of Iraq/Afghanistan-era veterans. This study investigates how posttraumatic stress disorder (PTSD) and resilience in veterans are associated with suicidal ideation and violent impulses while controlling for known covariates of both adverse outcomes. Structured clinical interviews were conducted of N= 2,543 Iraq/Afghanistan-era US veterans. Compared with veterans denying suicidal ideation or violent impulses (n= 1,927), veterans endorsing both (n= 171) were more likely to meet diagnostic criteria for PTSD, report childhood abuse, combat exposure, physical pain symptoms, and drug misuse, and less likely to endorse self-direction/life purpose. Veterans reporting concurrent suicidal ideation and violent impulses had higher odds of misusing drugs and reporting pain symptoms relative to veterans reporting suicidal ideation only (n= 186) and had lower odds of endorsing self-direction/life purpose compared with veterans reporting violent impulses only (n= 259). The findings underscore the importance of examining drug abuse, physical pain symptoms, and self-direction/life purpose, as well as PTSD and history of trauma, in the context of clinical assessment and empirical research aimed at optimizing risk management of suicide and violence in military veterans.(PsycInfo Database Record (c) 2020 APA, all rights reserved)