The Link between Deployment-Related Injuries and Suicidal Thinking in the Army National Guard: Examining the Role of Perceived Burdensomeness and Hopelessness.

IF 2.5 3区 医学 Q2 PSYCHIATRY
Archives of Suicide Research Pub Date : 2024-10-01 Epub Date: 2023-10-26 DOI:10.1080/13811118.2023.2270667
Sarah Pardue-Bourgeois, Simon B Goldberg, Mary F Wyman, Maleeha Abbas, Anthony W P Flynn, Sergio Domínguez, Raymond P Tucker
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引用次数: 0

Abstract

Objective: In 2020, Army National Guard members demonstrated greater risk of suicide than their military and civilian counterparts. Though literature on deployment-related experiences and suicidal ideation (SI) is mixed, investigations of specific deployment-related experiences (e.g., injuries) may further elucidate the relationship between deployment and suicide risk. Deployment-related injuries, including pain severity and functional impairment, have been linked to increased risk of SI, and correlates like perceived burdensomeness (PB) and hopelessness. The current study sought to examine the cross-sectional relationship between deployment-related injuries, including pain severity and functional impairment, and severity of SI through PB and hopelessness.

Method: Immediately post-deployment, Army National Guard members (N = 2,261) completed validated self-report measures on past-week SI, PB, hopelessness, and single items regarding injury sustained during deployment and associated functional impairment and pain severity.

Results: Indirect effect analyses revealed that experience of deployment-related injury was related to SI through PB and hopelessness (R2 = .1993), functional impairment was related to SI through PB, and pain severity was related to SI through PB. Contrary to hypotheses, hopelessness was not associated with SI when PB was simultaneously considered.

Conclusions: Army National Guard members who develop a sense of PB related to their injury and functional impairment of that injury may be at increased risk for suicidal ideation. Military suicide-prevention efforts may be potentiated through targeting distorted cognitions such as PB and hopelessness, especially in service members who have been injured.

陆军国民警卫队中与部署相关的伤害和自杀思维之间的联系:考察感知负担和绝望的作用。
目标:2020年,陆军国民警卫队成员的自杀风险高于军方和文职人员。尽管关于部署相关经历和自杀意念(SI)的文献喜忧参半,但对特定部署相关经历(如伤害)的调查可能会进一步阐明部署与自杀风险之间的关系。部署相关损伤,包括疼痛严重程度和功能损伤,与SI风险增加有关,并与感知到的负担(PB)和绝望等相关。目前的研究试图检验部署相关损伤(包括疼痛严重程度和功能损伤)与通过PB和绝望的SI严重程度之间的横断面关系。方法:部署后立即,陆军国民警卫队成员(N = 2261)完成了对过去一周SI、PB、绝望和关于部署期间受伤以及相关功能损伤和疼痛严重程度的单项的经验证的自我报告测量。结果:间接效应分析显示,部署相关损伤的经历通过PB和绝望与SI相关(R2=0.1993),功能损伤通过PB与SI相关,疼痛严重程度通过PB与SI相关。与假设相反,当同时考虑PB时,绝望与SI无关。结论:陆军国民警卫队成员如果因受伤和功能受损而产生PB感,可能会增加自杀意念的风险。针对PB和绝望等扭曲认知,特别是受伤的服役人员,可以加强军事自杀预防工作。
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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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