Trauma exposure in adulthood and suicidal experiences in serving and ex-serving military personnel: A systematic review and meta-analysis.

IF 2.7 2区 心理学 Q2 PSYCHIATRY
Ioannis Angelakis, Josh Molina, Charis Winter, Kat Ford, Neil Kitchiner, Karen Hughes
{"title":"Trauma exposure in adulthood and suicidal experiences in serving and ex-serving military personnel: A systematic review and meta-analysis.","authors":"Ioannis Angelakis, Josh Molina, Charis Winter, Kat Ford, Neil Kitchiner, Karen Hughes","doi":"10.1037/tra0001775","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To quantify the strength of the relationship between trauma exposure in adulthood and suicidal experiences in military individuals.</p><p><strong>Method: </strong>We searched three databases, namely, Medline, APA PsycINFO, and Embase, until the end of April 2022; we updated our searches twice, in October 2022 and in April 2024. We performed a systematic review and meta-analysis. We also applied univariate metaregressions whenever applicable.</p><p><strong>Results: </strong>Overall, we found that military sexual trauma was associated with an up to twofold increased likelihood for engagement in suicidal thoughts and behaviors (<i>OR</i>s ranging between 1.91 and 2.57). Our metaregressions showed that such military sexual trauma increased the likelihood of suicide attempts (<i>b</i> = -0.74, <i>p</i> = .01) in females and active military personnel (<i>b</i> = -1.08, <i>p</i> = .02). Other traumatic events, especially those that occurred prior to joining the military forces, also were associated with an increased likelihood for suicidal ideation and attempts. Exposure to combat scenes was also associated with an increased likelihood for suicidal ideation and attempts.</p><p><strong>Conclusions: </strong>This is the first study of its kind to identify and quantify traumatic events encountered in adulthood as risk factors for suicidal acts within this vulnerable population. Our findings call for an immediate attention when recruiting military personnel and suggest that all these crucial factors are assessed. We also recommend frequent follow-up assessments and the use of qualitative and mix-method approaches to understand the mechanisms underlying these relationships. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":""},"PeriodicalIF":2.7000,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychological trauma : theory, research, practice and policy","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1037/tra0001775","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0

Abstract

Objective: To quantify the strength of the relationship between trauma exposure in adulthood and suicidal experiences in military individuals.

Method: We searched three databases, namely, Medline, APA PsycINFO, and Embase, until the end of April 2022; we updated our searches twice, in October 2022 and in April 2024. We performed a systematic review and meta-analysis. We also applied univariate metaregressions whenever applicable.

Results: Overall, we found that military sexual trauma was associated with an up to twofold increased likelihood for engagement in suicidal thoughts and behaviors (ORs ranging between 1.91 and 2.57). Our metaregressions showed that such military sexual trauma increased the likelihood of suicide attempts (b = -0.74, p = .01) in females and active military personnel (b = -1.08, p = .02). Other traumatic events, especially those that occurred prior to joining the military forces, also were associated with an increased likelihood for suicidal ideation and attempts. Exposure to combat scenes was also associated with an increased likelihood for suicidal ideation and attempts.

Conclusions: This is the first study of its kind to identify and quantify traumatic events encountered in adulthood as risk factors for suicidal acts within this vulnerable population. Our findings call for an immediate attention when recruiting military personnel and suggest that all these crucial factors are assessed. We also recommend frequent follow-up assessments and the use of qualitative and mix-method approaches to understand the mechanisms underlying these relationships. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

成年期创伤暴露与现役和退役军人自杀经历:系统回顾和荟萃分析。
目的:量化军人成年期创伤暴露与自杀经历之间的关系。方法:检索Medline、APA PsycINFO、Embase三个数据库,截止到2022年4月底;我们在2022年10月和2024年4月两次更新了搜索结果。我们进行了系统回顾和荟萃分析。只要适用,我们也应用单变量元回归。结果:总的来说,我们发现军中性创伤与自杀念头和行为的可能性增加了两倍(or范围在1.91到2.57之间)。我们的回归分析显示,这种军人性创伤增加了女性和现役军人自杀企图的可能性(b = -0.74, p = 0.01) (b = -1.08, p = 0.02)。其他创伤性事件,特别是那些在参军之前发生的,也与自杀意念和企图的可能性增加有关。接触战斗场景也与自杀意念和企图的可能性增加有关。结论:这是同类研究中首次确定和量化在成年期遇到的创伤性事件作为易受伤害人群自杀行为的风险因素。我们的研究结果要求在招募军事人员时立即予以注意,并建议对所有这些关键因素进行评估。我们还建议经常进行后续评估,并使用定性和混合方法来了解这些关系背后的机制。(PsycInfo Database Record (c) 2025 APA,版权所有)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
11.20
自引率
3.20%
发文量
427
期刊介绍: Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy. The journal publishes empirical research on a wide range of trauma-related topics, including: -Psychological treatments and effects -Promotion of education about effects of and treatment for trauma -Assessment and diagnosis of trauma -Pathophysiology of trauma reactions -Health services (delivery of services to trauma populations) -Epidemiological studies and risk factor studies -Neuroimaging studies -Trauma and cultural competence
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信