Suicide risk in Iraq and Afghanistan veterans with mental health problems in VA care |
| |
| Affiliation: | 1. San Francisco VA Medical Center, 4150 Clement Street, San Francisco, CA 94121, USA;2. University of California, San Francisco, USA;3. Mental Illness Research, Education & Clinical Center, 4150 Clement Street, San Francisco, CA 94121, USA;1. Department of Epidemiology, Columbia University, New York, NY;2. Department of Epidemiology, Boston University, Boston, MA;3. Department of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, MD;4. Dean of School of Public Health, Boston University, Boston, MA;1. Portland Center to Improve Veteran Involvement in Care (CIVIC), Portland VA Medical Center, Portland, OR, United States;2. Department of Psychiatry, Oregon Health & Science University, Portland, OR, United States;3. War-Related Illness and Injury Study Center, VA New Jersey Health Care System, East Orange, NJ, United States;4. Department of Medicine and Dentistry, New Jersey Medical School, Newark, NJ, United States;5. Richard L. Roudebush Veteran Affairs Medical Center, Indianapolis, IN, United States;1. National Center for Telehealth and Technology (T2), Joint Base Lewis McChord, Tacoma, WA;2. Department of Psychiatry & Behavioral Sciences, University of Washington, Seattle;3. Department of Veterans Affairs, Institute for Clinical Research, Washington DC VA Medical Center, Washington, DC;4. Department of Veterans Affairs (VA), Office of Public Health, Post-Deployment Health Strategic Healthcare Group, Washington, DC;1. Durham Veterans Affairs Medical Center, 508 Fulton Street, Durham, NC 27705, USA;2. VA Mid-Atlantic Mental Illness Research, Education, and Clinical Center, Durham, NC, USA;3. Duke University Medical Center, Durham, NC, USA;4. VISN 17 Center of Excellence for Research on Returning War Veterans, Waco, TX, USA;5. Central Texas Veterans Health Care System, Temple, TX, USA;6. Texas A&M University Health Science Center, College Station, TX, USA;7. Warriors Research Institute, Baylor, Scott & White Healthcare System, Waco, TX, USA;8. The University of Texas at San Antonio, San Antonio, TX, USA |
| |
| Abstract: | Suicide rates among U.S. military personnel and veterans are a public health concern, and those with mental health conditions are at particular risk. We examined demographic, military, temporal, and diagnostic associations with suicidality in veterans. We conducted a population-based, retrospective cohort study of all Iraq and Afghanistan war veterans who screened positive for posttraumatic stress disorder (PTSD) and/or depression, received a suicide risk assessment, and endorsed hopelessness about the present or future after their last deployment and between January 1, 2010 and June 29, 2014 (N = 45,741). We used bivariate and multivariate logistic regression analyses to examine variables associated with having endorsed suicidal thoughts and a plan. Multiple factors were associated with suicidality outcomes, including longer time from last deployment to screening (proxy for time to seeking VA care), an alcohol use disorder diagnosis, further distance from VA (rurality), and being active duty during military service. Hispanic veterans were at decreased risk of having suicidal ideation and a plan, compared to their white counterparts. In high-risk veterans, some of the strongest associations with suicidality were with modifiable risk factors, including time to VA care and alcohol use disorder diagnoses. Promising avenues for suicide prevention efforts can include early engagement/intervention strategies with a focus on amelioration of high-risk drinking. |
| |
| Keywords: | Suicide Suicidal ideation Mental health Veteran Veterans health |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
