Love Is Not All You Need: Understanding the Association Between Relationship Status and Relationship Dysfunction With Self-Directed Violence in Veterans.

IF 2.5 3区 医学 Q2 PSYCHIATRY Archives of Suicide Research Pub Date : 2024-07-01 Epub Date: 2023-08-07 DOI:10.1080/13811118.2023.2237097
Danielle M Weber, Tate F Halverson, Samantha E Daruwala, Mary Jo Pugh, Patrick S Calhoun, Jean C Beckham, Nathan A Kimbrel
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Abstract

Introduction: Research indicates that being married is associated with reduced risk of suicide and self-directed violence (SDV) relative to being divorced. Simultaneously, difficulties within relationships predict poorer health outcomes. However, research on relationship status rarely examines relationship functioning, obfuscating the joint contribution of these variables for SDV risk.

Method: Veterans (N = 1,049) completed a survey that included assessment of relationship status, relationship functioning, and SDV history. Logistic regression models tested how (a) relationship status, (b) relationship dysfunction, and (c) being divorced compared to being in a low- or high-dysfunction relationship were associated with SDV, controlling for several intrapersonal risk factors.

Results: Veterans in a relationship did not differ in SDV history compared to divorced/separated veterans. However, more dysfunction within relationships was associated with greater odds of a history of SDV and suicidal cognitions. Finally, SDV histories were more likely among veterans endorsing high-dysfunction relationships compared with (a) low-dysfunction relationships and (b) divorced veterans.

Conclusion: It may be insufficient to only consider relationship status when evaluating interpersonal risk factors for SDV. A single item assessing relationship dysfunction was associated with enacted SDV and suicidal cognitions over and above intrapersonal risk factors. Integrating such single-item measures into clinical practice could improve identification and subsequent tailored intervention for veterans at greater risk for SDV.

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爱不是你所需要的全部:了解退伍军人的关系状况和关系失调与自导自演的暴力行为之间的关系。
简介研究表明,与离婚相比,已婚会降低自杀和自我导向暴力(SDV)的风险。同时,人际关系中的困难也预示着较差的健康结果。然而,有关人际关系状况的研究很少对人际关系的功能进行研究,从而混淆了这些变量对 SDV 风险的共同影响:退伍军人(N = 1,049)完成了一项调查,其中包括对关系状态、关系功能和 SDV 历史的评估。逻辑回归模型检验了(a)关系状态、(b)关系功能障碍和(c)离婚与处于低功能障碍或高功能障碍关系相比与SDV的相关性,同时控制了几个个人内部风险因素:结果:与离婚/分居的退伍军人相比,处于恋爱关系中的退伍军人在SDV病史方面没有差异。然而,关系中更多的功能障碍与更高的 SDV 史和自杀认知相关。最后,与(a)低功能关系和(b)离婚的退伍军人相比,认可高功能关系的退伍军人更有可能有SDV史:结论:在评估SDV的人际风险因素时,仅考虑人际关系状况可能是不够的。评估人际关系功能障碍的单个项目与SDV和自杀认知的相关性超过了人际风险因素。将此类单项测量纳入临床实践,可以提高对SDV风险较大的退伍军人的识别能力,并在随后进行有针对性的干预。
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来源期刊
CiteScore
6.10
自引率
7.10%
发文量
69
期刊介绍: Archives of Suicide Research, the official journal of the International Academy of Suicide Research (IASR), is the international journal in the field of suicidology. The journal features original, refereed contributions on the study of suicide, suicidal behavior, its causes and effects, and techniques for prevention. The journal incorporates research-based and theoretical articles contributed by a diverse range of authors interested in investigating the biological, pharmacological, psychiatric, psychological, and sociological aspects of suicide.
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