Follow-Up of Vietnam Veterans at Risk for Suicide

对有自杀风险的越南退伍军人的后续行动

• 批准号: 6583184
• 负责人: RUMI KATO PRICE
• 金额: $ 5.49万
• 依托单位: WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-09-28 至 2006-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6583184
• 关键词: behavior prediction; behavioral /social science research tag; clinical research; coping; depression; disease /disorder proneness /risk; human subject; human therapy evaluation; interview; longitudinal human study; mental health epidemiology; posttraumatic stress disorder; psychotherapy; religion; social support network; southeast Asia; substance abuse related disorder; suicide; veterans

DESCRIPTION (provided by applicant): This amended application (RO I MH/DA6096 1-01 A2) requests support for four and a half years (July 200 Ito December2005) to conduct a follow-up of Vietnam veterans whose risk levels for current suicidal behaviors have been projected from the results from the Washington University Vietnam Era Study - Phase III (VES-HI), carried out in 1996-97. The VES cohort originates from a study initiated by the White House in 1971 to address substance abuse and adjustment problems to civilian life among returning servicemen deployed to Vietnam. Two waves of in-person interviews were conducted by Washington University in 1972 and 1974 with two national probability samples of male Vietnam War veterans and a comparison sample of nonveterans (total target N=l,227). The 25-year follow-up (VES-Ill) implemented life crisis intervention protocols after a suicide occurred during fieldwork. Analyses of VES-Ill and two large general-population studies, the National Mortality Followback Survey, 1993, and the National Longitudinal Alcohol Epidemiologic Survey, 1992, together confirmed a significant excess risk of both suicide and suicide attempts among Vietnam veterans, within men of the age group of 40-60, controlling for demographic risk and protective factors. Alcoholism, drug use, depression, and trauma/PTSD appear to largely explain Vietnam veterans' excess risk. This application (VES-IV) will attend closely to protective factors mitigating suicidal risk to improve the precision of suicidal behavior prediction. Based on self-reports and a suicide behavior predictive scale, higher-risk (n=168) and lower-risk (n=250) target samples have been selected from VES-III to balance the considerations for scientific yields and challenges expected in the field. The scientific aims are to examine: 1) the mechanisms of coping and other protective factors using mixed qualitative and quantitative measures, including analyses of a) qualitative measures of appraisal, coping, religiosity, optimism, substance use, social networks, and barriers to care based on suicide episodes or negative events, b) quantitative measures of qualitative codes used in a), c) quantitative measures of episode/event-based and general coping, and d) quantitative measures of time-dependent protective factors; and 2) the interactions of risk and protective factors in predicting suicidal behaviors, using the measures including a) quantitative episode/event -based or time-dependent risk and protective factors obtained from VES-IV, and b) previous risk and protective factors obtained from VES-III and earlier waves. A human subject protection aim is added to: 3) provide follow-up treatment triage and access to an on-call suicide intervention for those with current suicidal risk. The study will provide a better understanding of the inner working of protective factors, and their interaction with risk factors, which were identified as a gap in knowledge in the literature. We hope the study's results will help guide intervention for those with known risks for suicidal behavior.

描述（由申请人提供）：此修订申请（RO I MH/DA6096 1-01 A2）要求支持四年半（2005年7月200日ITO） 进行越南退伍军人的随访，其当前风险水平 华盛顿的结果已经投影了自杀行为 越南时代的大学研究 - 第三阶段（VES-HI），于1996 - 97年进行。这 VES队列起源于1971年白宫发起的一项研究 解决药物滥用和调整问题，以解决平民生活 部署到越南的返回军人。两次面对面访谈 由华盛顿大学于1972年和1974年与两个国家进行 男性越南战争退伍军人的概率样本和一个比较样本 非退伍军人（总目标n = L，227）。实施了25年的随访（VES-IL） 自杀后的生命危机干预方案在野外工作期间发生。 对VES-IL的分析和两项大型总人群研究，国家 死亡率后卫调查，1993年和国家纵向酒精 流行病学调查，1992年，共同证实 越南退伍军人之间的自杀和自杀未遂 40-60组，控制人口统计风险和保护因素。 酒精中毒，吸毒，抑郁和创伤/PTSD似乎在很大程度上解释了 越南退伍军人的多余风险。此应用程序（VES-IV）将紧密参加 保护自杀风险以提高精度的保护因素 自杀行为预测。基于自我报告和自杀行为 预测量表，高风险（n = 168）和低风险（n = 250）目标样本 已从VES-III中选择以平衡科学的考虑因素 该领域预期的产量和挑战。科学目的是 检查：1）使用混合的应对和其他保护因素的机制 定性和定量措施，包括对a）定性的分析 评估，应对，宗教信仰，乐观，物质使用，社会的衡量标准 网络，以及基于自杀事件或负面事件的护理障碍，b） a），c）定量措施的定性代码的定量度量 基于事件/事件的一般应对，d）定量度量 时间依赖的保护因素； 2）风险的相互作用和 使用这些措施来预测自杀行为的保护因素 包括a）基于定量的情节/事件的风险或 从VES-IV获得的保护因素，b）以前的风险和保护性 从VES-III和较早的波浪获得的因素。人类主题保护目标 被添加到：3）提供后续治疗分类和通话访问 当前有自杀风险的人的自杀干预。研究将 更好地了解保护因素的内部工作，以及 它们与风险因素的相互作用，被确定为差距 文献中的知识。我们希望该研究的结果将有助于指导 干预有自杀行为风险的人。