Negative Beliefs About Suicide Disclosure: Implications for US Veterans.

IF 1.6 4区医学 Q3 CLINICAL NEUROLOGY Journal of Nervous and Mental Disease Pub Date : 2023-11-01 DOI:10.1097/NMD.0000000000001701

Kerri-Anne Bell, Caitlin M O'Loughlin, Marilyn L Piccirillo, Brooke A Ammerman

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Abstract

Abstract: This study examined the differences in negative beliefs about disclosing suicidal thoughts and behaviors (STBs) between US Veterans and non-Veterans, and between Veterans who are and are not enrolled in Veterans Health Administration (VHA) care. Participants included 495 adults with a history of suicide ideation who completed an online self-report questionnaire inquiring about history of STBs, STB disclosure, and beliefs about STB disclosures. Group differences in STB disclosure beliefs were analyzed. Results showed that Veterans (vs. non-Veterans) more strongly believed that STB disclosure would result in firearm confiscation. VHA-enrolled (vs. non-VHA enrolled) Veterans reported stronger beliefs that STB disclosures result in involuntary hospitalization. Among VHA-enrolled Veterans, stronger beliefs regarding providers' interest regarding true STB experiences and others' comfort with STB disclosures were associated with lower STB disclosure likelihood. Findings highlight that educating Veterans on the benefits of STB disclosure and limiting misinformation regarding its consequences is paramount, specifically through improved suicide-related communication within the VHA and stigma reduction campaigns.

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自杀披露的负面信念：对美国退伍军人的启示。

摘要：本研究调查了美国退伍军人和非退伍军人之间，以及参加和未参加退伍军人健康管理局（VHA）护理的退伍军人之间关于披露自杀想法和行为（STB）的负面信念的差异。参与者包括495名有自杀意念史的成年人，他们完成了一份在线自我报告问卷，询问STB的历史、STB披露和对STB披露的信念。分析STB披露信念的群体差异。结果显示，退伍军人（与非退伍军人相比）更坚信STB的披露会导致枪支没收。VHA注册（与非VHA注册相比）退伍军人报告称，他们更相信STB披露会导致非自愿住院。在VHA注册的退伍军人中，对提供者对真实STB体验的兴趣和其他人对STB披露的舒适度的更强信念与较低的STB披露可能性相关。调查结果强调，教育退伍军人了解STB披露的好处并限制有关其后果的错误信息至关重要，特别是通过改善VHA内与自杀相关的沟通和减少污名化运动。

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来源期刊

Journal of Nervous and Mental Disease 医学-精神病学

CiteScore

2.90

自引率

5.30%

发文量

233

审稿时长

3-8 weeks

期刊介绍： The Journal of Nervous and Mental Disease publishes peer-reviewed articles containing new data or ways of reorganizing established knowledge relevant to understanding and modifying human behavior, especially that defined as impaired or diseased, and the context, applications and effects of that knowledge. Our policy is summarized by the slogan, "Behavioral science for clinical practice." We consider articles that include at least one behavioral variable, clear definition of study populations, and replicable research designs. Authors should use the active voice and first person whenever possible.