从创伤后应激症状到退伍军人的自杀倾向:建立在生命意义和感恩基础上的途径。

IF 2.4 3区 医学 Q2 PSYCHIATRY
Shaina A. Kumar, Emily Taverna, Shelby Borowski, Brian N. Smith, Dawne Vogt
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引用次数: 0

摘要

与非退伍军人群体相比,退伍军人的自杀意念发生率更高。重要的是,自杀意念往往先于并预示着致命和非致命的自杀企图,因此,更好地了解增加自杀意念风险的因素至关重要,以便为这一人群的自杀预防工作提供信息。预测自杀意念的一个关键因素是创伤经历及其后遗症,尤其是创伤后应激症状(PTSS)。然而,很少有研究探讨退伍军人的幸福感缺失是如何导致这种关联的。我们测试了幸福感的两个方面--生活意义和感恩--作为最近退伍的 7388 名男女退伍军人从创伤后应激障碍到自杀意念的潜在机制。平行中介分析显示,从更严重的创伤后应激障碍到更频繁的自杀意念之间存在着显著的路径,即通过生活意义的减弱(B = 0.005,SE = 0.001,95% CI [0.004,0.007])和感恩(B = 0.001,SE = 0.001,95% CI [< 0.001,0.002])。此外,还观察到了性别差异。尽管与生命意义相关的结果似乎在不同性别间重复,但涉及感恩的途径在男性和女性间存在差异。总之,我们的研究结果表明,帮助退伍军人在日常生活中建立意义和感激之情可能是预防自杀的一种积极而全面的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
From posttraumatic stress symptoms to suicidal ideation among military veterans: Pathways founded on meaning in life and gratitude

Military veterans experience higher rates of suicidal ideation compared to nonveteran populations. Importantly, suicidal ideation often precedes and predicts fatal and nonfatal suicide attempts, and thus it is critical to better understand factors that increase risk for suicidal ideation to inform suicide prevention efforts in this population. One key predictor of suicidal ideation is exposure to traumatic experiences and their sequelae, particularly posttraumatic stress symptoms (PTSS). However, little work has explored how deficits in well-being contribute to this association among veterans. We tested two aspects of well-being—meaning in life and gratitude—as potential mechanisms underlying the pathway from PTSS to suicidal ideation among 7,388 men and women veterans who recently separated from service. A parallel mediation analysis revealed significant paths from more severe PTSS to more frequent suicidal ideation through diminished meaning in life, B = 0.005, SE = 0.001, 95% CI [0.004, 0.007], and gratitude, B = 0.001, SE = 0.001, 95% CI [< 0.001, 0.002]. Gender differences were also observed. Although the results related to meaning in life appeared to replicate across gender, pathways involving gratitude differed among men and women. Overall, our findings suggest that helping veterans build meaning and appreciation in everyday life may be a proactive and holistic approach to suicide prevention.

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来源期刊
CiteScore
5.80
自引率
6.10%
发文量
125
期刊介绍: Journal of Traumatic Stress (JTS) is published for the International Society for Traumatic Stress Studies. Journal of Traumatic Stress , the official publication for the International Society for Traumatic Stress Studies, is an interdisciplinary forum for the publication of peer-reviewed original papers on biopsychosocial aspects of trauma. Papers focus on theoretical formulations, research, treatment, prevention education/training, and legal and policy concerns. Journal of Traumatic Stress serves as a primary reference for professionals who study and treat people exposed to highly stressful and traumatic events (directly or through their occupational roles), such as war, disaster, accident, violence or abuse (criminal or familial), hostage-taking, or life-threatening illness. The journal publishes original articles, brief reports, review papers, commentaries, and, from time to time, special issues devoted to a single topic.
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