Killing in combat, mental health symptoms, and suicidal ideation in Iraq war veterans

被引：127

作者：

Maguen, Shira ^{[1
,2
]}

Luxton, David D. ^{[3
,5
]}

Skopp, Nancy A. ^{[3
,5
]}

Gahm, Gregory A. ^{[3
,5
]}

Reger, Mark A. ^{[3
,5
]}

Metzler, Thomas J.

Marmar, Charles R. ^{[4
]}

机构：

[1] San Francisco VA Med Ctr, PTSD Program 116 P, San Francisco, CA 94121 USA

[2] Univ Calif San Francisco, Dept Psychiat, San Francisco, CA 94143 USA

[3] Natl Ctr Telehlth & Technol, Def Ctr Excellence Psychol Hlth, OMAMC, Joint Base Lewis McChord, Tacoma, WA 98431 USA

[4] NYU, Langone Med Ctr, Dept Psychiat, New York, NY 10016 USA

[5] Natl Ctr Telehlth & Technol, Def Ctr Traumat Brain Injury, OMAMC, Joint Base Lewis McChord, Tacoma, WA 98431 USA

来源：

JOURNAL OF ANXIETY DISORDERS | 2011年 / 25卷 / 04期

关键词：

Posttraumatic stress disorder; Suicide; OEF/OIF; Military; POSTTRAUMATIC-STRESS-DISORDER; RISK; MEDIATION; MILITARY; PTSD;

D O I：

10.1016/j.janxdis.2011.01.003

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

This study examined combat and mental health as risk factors of suicidal ideation among 2854 U.S. soldiers returning from deployment in support of Operation Iraqi Freedom. Data were collected as part of a postdeployment screening program at a large Army medical facility. Overall, 2.8% of soldiers reported suicidal ideation. Postdeployment depression symptoms were associated with suicidal thoughts, while postdeployment PTSD symptoms were associated with current desire for self harm. Postdeployment depression and PTSD symptoms mediated the association between killing in combat and suicidal thinking, while postdeployment PTSD symptoms mediated the association between killing in combat and desire for self harm. These results provide preliminary evidence that suicidal thinking and the desire for self-harm are associated with different mental health predictors, and that the impact of killing on suicidal ideation may be important to consider in the evaluation and care of our newly returning veterans. Published by Elsevier Ltd.

引用

页码：563 / 567

页数：5

共 25 条

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