Suicide-Specific Cognitions and Suicidal Behavior in U.S. Military Veterans.

IF 2.7 4区 医学 Q2 PSYCHIATRY Psychiatry-Interpersonal and Biological Processes Pub Date : 2024-01-01 Epub Date: 2024-06-04 DOI:10.1080/00332747.2024.2352883
Ian C Fischer, Brandon Nichter, Benjamin Trachik, Craig J Bryan, Robert H Pietrzak
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Abstract

Background: U.S. military veterans may be reluctant to disclose suicidal thoughts and behaviors. Suicide-specific cognitions, which generally avoid direct mention of suicide, may be reliable indicators of risk among those reluctant to disclose such thoughts and behaviors.

Methods: Data from a population-based, cross-sectional study of 2,430 U.S. military veterans were analyzed to examine the associations between the Brief Suicide Cognitions Scale (B-SCS), suicidal ideation, and suicide planning.

Results: After adjusting for age, sex, number of adverse childhood experiences, cumulative trauma burden, depressive symptom severity, and lifetime history of suicide attempt, total scores on the B-SCS (excluding the item mentioning suicide) were uniquely associated with suicidal ideation (odds ratio [OR] = 1.23, 95% confidence interval [CI] = 1.15-1.32) and suicide planning (OR = 1.27, 95%CI = 1.18-1.37). Exploratory post-hoc analyses revealed that difficulties with solving and coping with one's problems were uniquely linked to these outcomes.

Conclusions: Assessment of suicide-specific cognitions may help to enhance suicide detection and prevention in veterans, especially in those who may not directly disclose thoughts of suicide. Intervention efforts to bolster perceived deficits in coping and problem-solving may help mitigate suicide risk in this population.

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美国退伍军人的自杀特定认知与自杀行为。
背景:美国退伍军人可能不愿意透露自杀的想法和行为。对于那些不愿透露自杀想法和行为的人来说,通常避免直接提及自杀的特定自杀认知可能是可靠的风险指标:我们分析了对 2430 名美国退伍军人进行的一项基于人群的横断面研究的数据,以研究简明自杀认知量表(B-SCS)、自杀意念和自杀计划之间的关联:结果:在对年龄、性别、童年不良经历次数、累积创伤负担、抑郁症状严重程度和终生自杀未遂史进行调整后,B-SCS 的总分(不包括提及自杀的项目)与自杀意念(几率比 [OR] = 1.23,95% 置信区间 [CI] = 1.15-1.32)和自杀计划(OR = 1.27,95%CI = 1.18-1.37)具有独特的相关性。探索性事后分析显示,解决和应对自身问题的困难与这些结果有着独特的联系:结论:对自杀特异性认知的评估可能有助于加强对退伍军人自杀的检测和预防,尤其是那些可能不会直接透露自杀想法的退伍军人。加强应对和解决问题方面的认知缺陷的干预措施可能有助于降低这类人群的自杀风险。
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来源期刊
CiteScore
2.70
自引率
0.00%
发文量
48
审稿时长
>12 weeks
期刊介绍: Internationally recognized, Psychiatry has responded to rapid research advances in psychiatry, psychology, neuroscience, trauma, and psychopathology. Increasingly, studies in these areas are being placed in the context of human development across the lifespan, and the multiple systems that influence individual functioning. This journal provides broadly applicable and effective strategies for dealing with the major unsolved problems in the field.
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