A longitudinal network analysis of suicide risk factors among service members and veterans sampled for suicidal ideation or attempt

被引:6
作者
Smith, April R. [1 ]
Forrest, Lauren N. [2 ]
Kinkel-Ram, Shruti S. [3 ]
Grunewald, William [1 ]
Tubman, Lt Col S. David [4 ]
Esche, Maj Aaron [5 ]
Levinson, Cheri [6 ]
机构
[1] Auburn Univ, Dept Psychol Sci, Auburn, AL 36849 USA
[2] Penn State Univ, Coll Med, Dept Psychiat & Behav Hlth, Hershey, PA USA
[3] Miami Univ, Dept Psychol, Oxford, OH USA
[4] USAF Sch Aerosp Med, Wright Patterson Afb, OH USA
[5] Wright Patterson Med Ctr, Wright Patterson AFB, OH USA
[6] Univ Louisville, Dept Psychol & Brain Sci, Louisville, KY USA
关键词
hopelessness; interpersonal theory of suicide; network analysis; overarousal; service members; suicidal ideation; suicidality; veterans; THWARTED BELONGINGNESS; INTERPERSONAL THEORY; SYMPTOMS; AGITATION; VALIDATION; INSOMNIA; METAANALYSIS; ASSOCIATION; BEHAVIORS; DYNAMICS;
D O I
10.1017/S0033291724000734
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
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.
引用
收藏
页码:2623 / 2633
页数:11
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