April R Smith, Lauren N. Forrest, Shruti S. Kinkel-Ram, William Grunewald, S. D. Tubman, Aaron M. Esche, Cheri Levinson
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In particular, interpersonal risk factors, hopelessness, and overarousal have been robustly connected to suicidal ideation and intent.\n\n\nMETHODS\nTo identify the suicidal ideation risk factors that are most relevant, we employed network analysis to examine between-subjects (cross-sectional), contemporaneous (within seconds), and temporal (across four hours) group-level networks of suicidal ideation and related risk factors in a sample of ADSM and veterans (participant n = 92, observations n = 10 650). Participants completed ecological momentary assessment (EMA) surveys four times a day for 30 days, where they answered questions related to suicidal ideation, interpersonal risk factors, hopelessness, and overarousal.\n\n\nRESULTS\nThe between-subjects and contemporaneous networks identified agitation, not feeling close to others, and ineffectiveness as the most central symptoms. The temporal network revealed that feeling ineffective was most likely to influence other symptoms in the network over time.\n\n\nCONCLUSION\nOur findings suggest that ineffectiveness, low belongingness, and agitation are important drivers of moment-to-moment and longitudinal relations between risk factors for suicidal ideation in ADSM and veterans. Targeting these symptoms may disrupt suicidal ideation.","PeriodicalId":20891,"journal":{"name":"Psychological Medicine","volume":null,"pages":null},"PeriodicalIF":5.9000,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A longitudinal network analysis of suicide risk factors among service members and veterans sampled for suicidal ideation or attempt.\",\"authors\":\"April R Smith, Lauren N. Forrest, Shruti S. Kinkel-Ram, William Grunewald, S. D. Tubman, Aaron M. 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引用次数: 0
摘要
背景与普通人群相比,现役军人(ADSM)和退伍军人的自杀想法和行为较高。因此,当务之急是研究现役军人和退伍军人自杀想法背后的维持因素,以制定有效的、有针对性的干预措施。为了确定最相关的自杀意念风险因素,我们采用了网络分析方法,在 ADSM 和退伍军人样本(参与者 n = 92,观察者 n = 10 650)中研究了自杀意念和相关风险因素的主体间(横截面)、同期(几秒钟内)和时间(跨越四个小时)群体级网络。参与者在 30 天内每天完成四次生态瞬间评估(EMA)调查,回答与自杀意念、人际关系风险因素、绝望和过度焦虑有关的问题。结果主体间网络和同期网络发现,躁动、与他人不亲近感和无效感是最主要的症状。我们的研究结果表明,无效感、归属感低和烦躁不安是 ADSM 和退伍军人自杀意念风险因素之间瞬间和纵向关系的重要驱动因素。针对这些症状进行治疗可能会扰乱自杀意念。
A longitudinal network analysis of suicide risk factors among service members and veterans sampled for suicidal ideation or attempt.
BACKGROUND
Suicidal thoughts and behaviors are elevated among active-duty service members (ADSM) and veterans compared to the general population. Hence, it is a priority to examine maintenance factors underlying suicidal ideation among ADSM and veterans to develop effective, targeted interventions. In particular, interpersonal risk factors, hopelessness, and overarousal have been robustly connected to suicidal ideation and intent.
METHODS
To identify the suicidal ideation risk factors that are most relevant, we employed network analysis to examine between-subjects (cross-sectional), contemporaneous (within seconds), and temporal (across four hours) group-level networks of suicidal ideation and related risk factors in a sample of ADSM and veterans (participant n = 92, observations n = 10 650). Participants completed ecological momentary assessment (EMA) surveys four times a day for 30 days, where they answered questions related to suicidal ideation, interpersonal risk factors, hopelessness, and overarousal.
RESULTS
The between-subjects and contemporaneous networks identified agitation, not feeling close to others, and ineffectiveness as the most central symptoms. The temporal network revealed that feeling ineffective was most likely to influence other symptoms in the network over time.
CONCLUSION
Our findings suggest that ineffectiveness, low belongingness, and agitation are important drivers of moment-to-moment and longitudinal relations between risk factors for suicidal ideation in ADSM and veterans. Targeting these symptoms may disrupt suicidal ideation.
期刊介绍:
Now in its fifth decade of publication, Psychological Medicine is a leading international journal in the fields of psychiatry, related aspects of psychology and basic sciences. From 2014, there are 16 issues a year, each featuring original articles reporting key research being undertaken worldwide, together with shorter editorials by distinguished scholars and an important book review section. The journal''s success is clearly demonstrated by a consistently high impact factor.