A network analysis of risk factors for suicide in Iraq/Afghanistan-era veterans.
A network analysis of risk factors for suicide in Iraq/Afghanistan-era veterans.
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DOI：
10.1016/j.jpsychires.2021.03.065
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发表时间：
2021-06
影响因子：
4.8
通讯作者：
Dillon KH
中科院分区：
文献类型：
--
作者：
Graziano RC;Aunon FM;LoSavio ST;Elbogen EB;Beckham JC;VA Mid-Atlantic MIRECC Workgroup;Dillon KH
自杀意念（SI）是退伍军人群体中普遍存在的问题。许多因素已被确定为退伍军人自杀意念（SI）的危险因素，包括自杀企图，抑郁症，创伤后应激障碍（PTSD）和药物使用。然而，临床医生预测自杀的能力很差，特别是考虑到各种因素之间的相互作用，如以前的自杀企图。因此，我们对哪些因素最显著地预测自杀风险以及哪些因素应该成为旨在降低SI的干预措施的目标的认识存在差距。网络分析，一种允许检查变量如何在网络因素的背景下相关的方法，可以通过同时评估退伍军人自杀风险因素之间的相互关系来弥合这一差距。目前的研究使用了网络分析和来自2,268名伊拉克/阿富汗时期退伍军人的数据，以检查自杀意念与自杀风险相关的几个因素之间的关系，例如过去的自杀企图，PTSD症状，抑郁症，药物使用，创伤暴露。偏相关网络结果显示，自杀意念与抑郁症密切相关，与过去的自杀企图和愤怒的联系较小。此外，过去的自杀企图与童年创伤史密切相关，与有问题的药物使用和PTSD症状弱相关。这些结果为预测自杀风险和区分降低退伍军人自杀风险的干预目标提供了有价值的信息。
Suicidal ideation (SI) is a prevalent issue in the veteran population. A number of factors have been identified as risk factors for suicidal ideation (SI) in veterans, including suicide attempts, depression, posttraumatic stress disorder (PTSD), and drug use. However, clinicians’ ability to predict suicide is poor, particularly given the interplay between various factors such as previous suicide attempts. As such, there is a gap in our knowledge of which factors most saliently predict suicide risk and which should be targets for interventions designed to lower SI. Network analysis, a method allowing for an examination of how variables relate within the context of a network of factors, may bridge this gap by simultaneously evaluating the interrelationships between risk factors for suicide in veterans. current study used network analysis and data from 2,268 Iraq/Afghanistan-era military veterans to examine the relationships between suicidal ideation and several factors related to suicide risk, such as past suicide attempts, PTSD symptoms, depression, drug use, trauma exposure. Partial correlation network results showed suicidal ideation to be strongly related to depression, with smaller connections to past suicide attempts and anger. Additionally, past suicide attempts was strongly related to history of childhood trauma and weakly related to problematic drug use and PTSD symptoms. These results offer valuable information for both predicting suicide risk and differentiating targets for interventions lowering suicide risk in veterans.
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影响因子：
4.7
作者：
Carpenter, JS;Andrykowski, MA
通讯作者：
Andrykowski, MA
DOI：
10.1146/annurev-clinpsy-050212-185608
发表时间：
2013-01-01
期刊：
ANNUAL REVIEW OF CLINICAL PSYCHOLOGY, VOL 9
影响因子：
--
作者：
Borsboom, Denny;Cramer, Angelique O. J.
通讯作者：
Cramer, Angelique O. J.
剥夺后的心理健康（PDMH）研究和存储库：美国阿富汗和伊拉克时代退伍军人的多站点研究。
影响因子：
3.1
作者：
Brancu M;Wagner HR;Morey RA;Beckham JC;Calhoun PS;Tupler LA;Marx CE;Taber KH;Hurley RA;Rowland J;McDonald SD;Hoerle JM;Moore SD;Kudler HS;Weiner RD;VA Mid-Atlantic MIRECC Workgroup;Fairbank JA
通讯作者：
Fairbank JA
影响因子：
29.3
作者：
Cramer, Angelique O. J.;Waldorp, Lourens J.;Borsboom, Denny
通讯作者：
Borsboom, Denny
影响因子：
22.4
作者：
Franklin, Joseph C.;Ribeiro, Jessica D.;Nock, Matthew K.
通讯作者：
Nock, Matthew K.