Non-suicidal self-injury in US military veterans: Results from the National Health and Resilience in Veterans Study

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy Pub Date : 2021-10-01 DOI:10.1002/cpp.2673

Lorig K. Kachadourian, Brandon Nichter, Sarah Herzog, Sonya B. Norman, Tami Sullivan, Robert H. Pietrzak

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引用次数: 7

Abstract

Background

To evaluate the prevalence of lifetime non-suicidal self-injury (NSSI) among US military veterans and identify sociodemographic, military, psychiatric and clinical correlates associated with NSSI.

Methods

Data were analysed from the 2019–2020 National Health and Resilience in Veterans Study, a contemporary, nationally representative survey of 4069 US veterans. Outcomes measured included lifetime history of NSSI, trauma history, lifetime and current DSM-V mental disorders and lifetime and recent suicidal behaviours.

Results

The overall prevalence of lifetime NSSI was 4.2% (95% confidence interval [3.6%, 4.9%]). Multivariable analyses revealed that veterans who endorsed lifetime NSSI were more likely to be younger, female, non-Caucasian, unmarried or unpartnered, and to have a lower annual household income. Veterans who endorsed lifetime NSSI reported more adverse childhood experiences and lifetime traumas and were more likely to have experienced military sexual trauma. They also were more likely to screen positive for lifetime posttraumatic stress disorder, major depressive disorder (MDD) and substance use disorders and to have attempted suicide. Finally, lifetime NSSI was associated with current MDD, generalized anxiety disorder, and substance use disorders, as well as past-year suicidal ideation.

Conclusion

Results of this study provide the first-known data on the epidemiology of NSSI in US military veterans. They suggest that certain correlates can help identify veterans who may be at greater risk for engaging in NSSI, as well as the potential prognostic utility of lifetime NSSI in predicting current psychiatric problems and suicide risk in this population.

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美国退伍军人的非自杀性自伤:来自退伍军人国家健康和恢复力研究的结果

目的:评估美国退伍军人终生非自杀性自伤(NSSI)的患病率，并确定与自伤相关的社会人口学、军事、精神病学和临床因素。方法分析2019-2020年全国退伍军人健康和恢复力研究的数据，这是一项对4069名美国退伍军人进行的当代全国代表性调查。测量的结果包括终生自伤史、创伤史、终生和当前的DSM-V精神障碍以及终生和最近的自杀行为。结果终生自伤的总体患病率为4.2%(95%可信区间[3.6%，4.9%])。多变量分析显示，支持终身自伤的退伍军人更有可能是年轻、女性、非白种人、未婚或无伴侣，而且家庭年收入较低。支持终身自伤的退伍军人报告了更多的不良童年经历和终身创伤，更有可能经历过军事性创伤。他们也更有可能筛查出终身创伤后应激障碍、重度抑郁症(MDD)和物质使用障碍，并试图自杀。最后，终生自伤与当前重度抑郁症、广泛性焦虑症、物质使用障碍以及过去一年的自杀意念有关。结论本研究结果提供了美国退伍军人自伤流行病学的第一手资料。他们认为，某些相关因素可以帮助识别可能有更大自伤风险的退伍军人，以及终生自伤在预测这一人群当前精神问题和自杀风险方面的潜在预后效用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.