Risk and protective factors associated with suicidal ideation in veterans of Operations Enduring Freedom and Iraqi Freedom

2010 ◽  
Author(s):  
R. H. Pietrzak ◽  
M. B. Goldstein ◽  
J. C. Malley ◽  
A. J. Rivers ◽  
D. C. Johnson ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Protective Factors ◽  
Risk And Protective Factors ◽  
Factors Associated ◽  
Iraqi Freedom

Risk and protective factors associated with suicidal ideation in veterans of Operations Enduring Freedom and Iraqi Freedom

2010 ◽  
Vol 123 (1-3) ◽  
pp. 102-107 ◽  
Author(s):  
Robert H. Pietrzak ◽  
Marc B. Goldstein ◽  
James C. Malley ◽  
Alison J. Rivers ◽  
Douglas C. Johnson ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Protective Factors ◽  
Risk And Protective Factors ◽  
Factors Associated ◽  
Iraqi Freedom

scholarly journals Purpose in Life and Conscientiousness Protect Against the Development of Suicidal Ideation in U.S. Military Veterans With PTSD and MDD: Results From the National Health and Resilience in Veterans Study

2019 ◽  
Vol 3 ◽  
pp. 247054701987217 ◽  
Author(s):  
Elizabeth Straus ◽  
Sonya B. Norman ◽  
Jessica C. Tripp ◽  
Michelle Pitts ◽  
Robert H. Pietrzak
Keyword(s):  
Suicidal Ideation ◽  
High Risk ◽  
Protective Factors ◽  
National Health ◽  
Purpose In Life ◽  
Risk And Protective Factors ◽  
Self Report ◽  
High Risk Population ◽  
Factors Associated

Background Although several studies have examined risk factors for suicidal ideation among veterans, little is known about risk and protective factors for suicidal ideation in high-risk veteran samples. Thus, this study examined a broad range of risk and protective factors associated with the development of suicidal ideation in a high-risk sample of U.S. veterans who screened positive for current posttraumatic stress disorder (PTSD) and/or major depressive disorder (MDD) . Methods Data were analyzed from the National Health and Resilience in Veterans Study, a nationally representative, prospective cohort study of U.S. veterans. Veterans completed self-report measures to screen for PTSD and MDD and to assess for risk and protective factors. The sample included 222 veterans with PTSD and/or MDD who did not endorse suicidal ideation at baseline and completed at least one assessment over a seven-year follow-up period. A multivariable binary logistic regression analysis was conducted to examine baseline factors associated with incident suicidal ideation. Results Nearly one in three (27.1%) of veterans with PTSD and/or MDD developed suicidal ideation over the seven-year follow-up period. Non-Caucasian race and lower scores on measures of purpose in life, conscientiousness, and frequency of religious service attendance were independently associated with incident suicidal ideation. Lower purpose in life (52.3%) and conscientiousness (33.2%) explained the vast majority of variance in incident suicidal ideation. Conclusion Nearly 30% of veterans with PTSD and/or MDD who did not endorse suicidal ideation at baseline developed suicidal ideation over a seven-year period. Prevention and treatment efforts designed to bolster purpose in life and conscientiousness may help mitigate risk for suicidal ideation in this high-risk population.

Longitudinal courses of suicidal ideation in U.S. military veterans: a 7-year population-based, prospective cohort study

2021 ◽  
pp. 1-10
Author(s):  
Sarah Herzog ◽  
Jack Tsai ◽  
Brandon Nichter ◽  
Lorig Kachadourian ◽  
Ilan Harpaz-Rotem ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Protective Factors ◽  
Physical Health ◽  
Social Connectedness ◽  
Risk And Protective Factors ◽  
Population Based ◽  
Baseline Risk ◽  
Relative Risk Ratio ◽  
National Probability Sample ◽  
New Onset

Abstract Background Varied longitudinal courses of suicidal ideation (SI) may be linked to unique sets of risk and protective factors. Method A national probability sample of 2291 U.S. veterans was followed over four assessments spanning 7 years to examine how a broad range of baseline risk and protective factors predict varying courses of SI. Results Most veterans (82.6%) denied SI at baseline and all follow-ups, while 8.7% had new onset SI, 5.4% chronic SI, and 3.3% remitted SI. Compared to the no-SI group, chronic SI was associated with childhood trauma, baseline major depressive and/or posttraumatic stress disorder (MDD/PTSD), physical health difficulties, and recent traumatic stressors. Remitted veterans had the highest risk of a prior suicide attempt (SA) compared to no-SI [relative risk ratio (RRR) = 3.31] and chronic SI groups (RRR = 4.65); and high rates of MDD/PTSD (RRR = 7.62). New onset SI was associated with recent stressors and physical health difficulties. All symptomatic SI groups reported decrements in protective factors, specifically, social connectedness, trait curiosity/exploration, and purpose in life. Conclusion Nearly one-in-five veterans reported SI over a 7-year period, most of whom evidenced new onset or remitted SI courses. Chronic and remitted SI may represent particularly high-risk SI courses; the former was associated with higher rates of prospective SA, and psychiatric and physical distress, and the latter with increased likelihood of prior SA, and isolation from social and mental health supports. Physical disability, MDD/PTSD, and recent stressors may be important precipitating or maintaining factors of SI, while social connectedness may be a key target for suicide prevention efforts.

scholarly journals Mental health and suicidal ideation in US military veterans with histories of COVID-19 infection

2021 ◽  
pp. bmjmilitary-2021-001846
Author(s):  
Peter Na ◽  
J Tsai ◽  
I Harpaz-Rotem ◽  
R Pietrzak
Keyword(s):  
Suicidal Ideation ◽  
Protective Factors ◽  
Community Integration ◽  
Military Veterans ◽  
Risk And Protective Factors ◽  
Stress Disorders ◽  
Us Military ◽  
Increased Risk ◽  
Psychiatric Conditions ◽  
Internalising Disorders

IntroductionThere have been reports of increased prevalence in psychiatric conditions in non-veteran survivors of COVID-19. To date, however, no known study has examined the prevalence, risk and protective factors of psychiatric conditions among US military veterans who survived COVID-19.MethodsData were analysed from the 2019 to 2020 National Health and Resilience in Veterans Study, which surveyed a nationally representative, prospective cohort of 3078 US veterans. Prepandemic and 1-year peripandemic risk and protective factors associated with positive screens for peripandemic internalising (major depressive, generalised anxiety and/or posttraumatic stress disorders) and externalising psychiatric disorders (alcohol and/or drug use disorders) and suicidal ideation were examined using bivariate and multivariate logistic regression analyses.ResultsA total of 233 veterans (8.6%) reported having been infected with COVID-19. Relative to veterans who were not infected, veterans who were infected were more likely to screen positive for internalising disorders (20.5% vs 13.9%, p=0.005), externalising disorders (23.2% vs 14.8%, p=0.001) and current suicidal ideation (12.0% vs 7.6%, p=0.015) at peripandemic. Multivariable analyses revealed that greater prepandemic psychiatric symptom severity and COVID-related stressors were the strongest independent predictors of peripandemic internalising disorders, while prepandemic trauma burden was protective. Prepandemic suicidal ideation, greater loneliness and lower household income were the strongest independent predictors of peripandemic suicidal ideation, whereas prepandemic community integration was protective.ConclusionPsychiatric symptoms and suicidal ideation are prevalent in veterans who have survived COVID-19. Veterans with greater prepandemic psychiatric and substance use problems, COVID-related stressors and fewer psychosocial resources may be at increased risk of these outcomes.

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