在寻求自杀症状治疗的美国现役军人中,中断和流产自杀企图的横断面和纵向相关性

IF 4.8 2区 医学 Q1 PSYCHIATRY Clinical Psychological Science Pub Date : 2023-02-22 DOI:10.1177/21677026221150499
Carol Chu, Chelsey R. Wilks, T. Joiner, P. Gutierrez
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引用次数: 0

摘要

本研究调查了高危现役军人的自杀企图、自杀中断和自杀中止及其与自杀相关因素的横断面和纵向关联。接受自杀相关治疗的服役人员完成了基线测量(N = 1,044)和3个月的随访(N = 758)。采用多变量方差分析和回归模型来评估SA组(SA、中断和/或中止的SA、无SA)在基线自杀相关因素(自杀念头、受挫的归属感、焦虑敏感性、失眠症状、酒精使用、绝望和创伤后应激障碍[PTSD]症状)、自杀念头的严重程度和随访时SA的存在方面的差异。结果显示,与先前有SA的军人相比,中断和/或中断SA的军人(以及没有先前SA的军人)报告的基线PTSD高唤醒症状明显更严重,并且在随访时更有可能报告SA。研究结果强调,在评估高风险服役人员的自杀风险时,考虑中断和中止sa的重要性。
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Cross-Sectional and Longitudinal Correlates of Interrupted and Aborted Suicide Attempts Among U.S. Active Duty Service Members Seeking Treatment for Suicidal Symptoms
This study examined suicide attempts (SAs), interrupted SAs, and aborted SAs and their cross-sectional and longitudinal associations with suicide-related correlates among high-risk active duty service members. Service members receiving suicide-related treatment completed measures at baseline (N = 1,044) and a 3-month follow-up (n = 758). Multivariate analysis of variance and regression models were used to evaluate differences between SA groups (SAs, interrupted and/or aborted SAs, no SAs) in baseline suicide-related correlates (suicidal thoughts, thwarted belongingness, anxiety sensitivity, insomnia symptoms, alcohol use, hopelessness, and posttraumatic stress disorder [PTSD] symptoms) and severity of suicidal thoughts and presence of SAs at follow-up. Results revealed that service members with interrupted and/or aborted SAs (and no prior SAs) reported significantly more severe baseline PTSD hyperarousal symptoms and were more likely to report an SA at follow-up, compared with service members who had prior SAs. Study findings highlight the importance of considering interrupted and aborted SAs when evaluating suicide risk among high-risk service members.
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来源期刊
Clinical Psychological Science
Clinical Psychological Science Psychology-Clinical Psychology
CiteScore
9.70
自引率
2.10%
发文量
35
期刊介绍: The Association for Psychological Science’s journal, Clinical Psychological Science, emerges from this confluence to provide readers with the best, most innovative research in clinical psychological science, giving researchers of all stripes a home for their work and a place in which to communicate with a broad audience of both clinical and other scientists.
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