Samantha A Chalker, Cara T Pozun, Christen L Shriver, Jiayi Lin, Neal Doran, Elizabeth W Twamley, Blaire C Ehret, Colin A Depp
{"title":"U.S. Veteran Interest in Peer Specialists' Help to Enhance Suicide Safety Plans: Understanding Veteran Perspectives on Safety Plan Engagement.","authors":"Samantha A Chalker, Cara T Pozun, Christen L Shriver, Jiayi Lin, Neal Doran, Elizabeth W Twamley, Blaire C Ehret, Colin A Depp","doi":"10.1080/21635781.2024.2368168","DOIUrl":"10.1080/21635781.2024.2368168","url":null,"abstract":"<p><p>Suicide safety planning is an intervention involving identifying personal warning signs and coping skills with a trained provider. Considering an individual's perspectives on engagement (i.e., remembering and reviewing) safety plans is necessary to further elucidate its helpfulness. Peer Specialists who provide support to those with mental illness may have a unique opportunity to enhance safety planning given their shared lived experience. In a U.S. Veteran sample (<i>N</i> = 122) with current or lifetime suicidal thoughts or behaviors, we aimed to a) examine the frequency of engagement of safety plans, b) gauge interest in connecting with a Peer Specialist to make safety plans more helpful, and c) determine if those constructs differed based on current suicidal ideation severity, thwarted belongingness, and perceived burdensomeness. A total of 44.2% of Veterans \"kind of\" or did not remember their safety plans. While 35.2% of Veterans had not reviewed their safety plans, 18.0% reviewed their plans but did not find reviewing it helpful. Overall, 81.1% of Veterans were interested in meeting with a Peer Specialist to make their safety plans more helpful. There were significant differences among levels of reviewing one's safety plan (did not review, reviewed and did not find it helpful, reviewed and found it helpful) and thwarted belongingness and perceived burdensomeness. There were no other significant differences. Although frequency of engagement with safety plans varied across Veterans, a program delivered by peers to enhance safety planning is of interest and may be helpful to Veterans regardless of demographics, diagnoses, or suicide related constructs.</p>","PeriodicalId":520397,"journal":{"name":"Journal of military social work and behavioral health services","volume":"12 2","pages":"178-187"},"PeriodicalIF":0.0,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13245629/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148214204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jessica A Kulak, Jennifer Fillo, D Lynn Homish, Gregory G Homish
{"title":"Deployment and combat experiences and their impact on partner substance use.","authors":"Jessica A Kulak, Jennifer Fillo, D Lynn Homish, Gregory G Homish","doi":"10.1080/28367472.2024.2399503","DOIUrl":"10.1080/28367472.2024.2399503","url":null,"abstract":"<p><p>Despite burgeoning evidence of the negative effects of service experiences on service members' spouses/partners, limited research has examined these effects in the context of substance use. Additionally, a strong literature demonstrates the protective role relationship satisfaction can play for health-related outcomes. The goal of the present research is to examine relations between service experiences (i.e., deployment, combat exposure) and partner substance use, as well as how relationship satisfaction may buffer these effects. Data from 275 civilian partners were drawn from Operation: SAFETY (Soldiers And Families Excelling Through the Years), a longitudinal study examining health among US Army Reserve/National Guard (USAR/NG) soldiers and partners. Analyses examined relations between soldier service history (baseline) and civilian partner alcohol/ drug use (two-year follow-up), as well as interactions with relationship satisfaction. Models controlled for civilian partner sex and age, and soldiers' self-reported PTSD symptoms and substance use. Results revealed interactions between service experiences and partner satisfaction for models predicting alcohol consumption and heavy drinking. Higher relationship satisfaction mitigated overall alcohol consumption and heavy drinking frequency among partners of soldiers with two or more deployments, and among partners of soldiers with higher combat exposure. Soldier service experiences were unrelated to civilian partner drug use. The effects of deployment and combat exposure extend beyond the service member to negatively influence civilian partner alcohol consumption and heavy drinking, with relationship satisfaction buffering these risks. Interventions that assist USAR/NG soldiers and spouses in strengthening their relationships may also help protect against spouse substance use related to soldier service experiences.</p>","PeriodicalId":520397,"journal":{"name":"Journal of military social work and behavioral health services","volume":"12 2","pages":"209-221"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11759257/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143049620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Malaiikha N McCormick-Cisse, D Lynn Homish, Bonnie M Vest, Rachel A Hoopsick, Mehreen Arif, Gregory G Homish
{"title":"Military combat exposure and risk domains: assessing associations in current and former U.S. Army Reserve and National Guard Soldiers.","authors":"Malaiikha N McCormick-Cisse, D Lynn Homish, Bonnie M Vest, Rachel A Hoopsick, Mehreen Arif, Gregory G Homish","doi":"10.1080/28367472.2025.2497531","DOIUrl":"10.1080/28367472.2025.2497531","url":null,"abstract":"<p><p>The association between combat exposure and mental health outcomes among military personnel is well established. However, less is understood about the relationship between combat exposure, military status, and various risk domains. The goal of this study is to examine the impact of combat exposure on various domains of risk and to identify if associations differ based on the military status (current vs. former) of U.S. Army Reserve and National Guard (USAR/NG) soldiers. Data for this analysis comes from Operation: SAFETY (Soldiers and Families Excelling Through the Years), a longitudinal study that seeks to examine the health and well-being of USAR/NG soldiers and their partners. For this report, we used a cross-sectional subset of the data to examine associations between combat exposure and the risk domains of previously deployed male USAR/NG soldiers (N = 192) with Cherpitel's risk behavior scale. Findings revealed a significant interaction between combat exposure and military status on risk perception (<i>p</i> < 0.05), suggesting that perceptions change as exposure increases and that this effect is stronger in current soldiers. The interaction between combat exposure and military status on sensation-seeking was also significant (<i>p</i> < 0.05), where greater combat exposure was associated with greater sensation-seeking among former, but not current soldiers. These findings highlight the importance of developing interventions that can address the role that combat experiences have on risk perception and sensation-seeking behaviors post-deployment.</p>","PeriodicalId":520397,"journal":{"name":"Journal of military social work and behavioral health services","volume":"12 4","pages":"330-339"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12162035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144288106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}