The Relationship between Suicidal Responses and Traumatic Brain Injury and Severe Insomnia in Active Duty, Veteran, and Civilian Populations

被引:5
|
作者
Soberay, Kelly A. [1 ,2 ]
Hanson, Jetta E. [1 ,2 ]
Dwyer, Megan [1 ,2 ]
Plant, E. Ashby [1 ,3 ]
Gutierrez, Peter M. [1 ,2 ,4 ]
机构
[1] Mil Suicide Res Consortium, 90 Madison St Suite 202, Denver, CO 80206 USA
[2] Rocky Mt Mental Illness Res Educ & Clin Ctr MIREC, Dept Vet Affairs, Denver, CO USA
[3] Florida State Univ, Tallahassee, FL 32306 USA
[4] Univ Colorado, Sch Med, Denver, CO USA
关键词
insomnia; military; suicide; traumatic brain injury; veteran; COGNITIVE-BEHAVIORAL THERAPY; POSTTRAUMATIC-STRESS-DISORDER; SLEEP DISTURBANCE; US ARMY; HEALTH; EPIDEMIOLOGY; PREVALENCE; DEPRESSION; IMPACT; RISK;
D O I
10.1080/13811118.2018.1479322
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
This study examined how a positive traumatic brain injury (TBI) screening and insomnia severity relate to suicidal outcomes across active duty, veteran, and civilian samples. Data were used from 3,993 participants from 19 studies. We conducted a series of analyses by group to identify which significantly differed on the variables of interest. TBI and insomnia each had independent relationships with outcomes over and above the impact of the other factor. Veterans presented as clinically worse across the outcomes. However, the relationship between insomnia and suicidal responses was stronger for active duty military compared to veterans. Continued research on TBIs and insomnia severity across groups will improve quality of care for those at risk of suicide.
引用
收藏
页码:391 / 410
页数:20
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