Combined PTSD and depressive symptoms interact with post-deployment social support to predict suicidal ideation in Operation Enduring Freedom and Operation Iraqi Freedom veterans

被引:85
作者
DeBeer, Bryann B. [1 ,2 ]
Kimbrel, Nathan A. [3 ,4 ]
Meyer, Eric C. [1 ,2 ]
Gulliver, Suzy B. [2 ,5 ]
Morissette, Sandra B. [1 ,2 ]
机构
[1] VISN 17 Ctr Excellence Res Returning War Vet, Dept Vet Affairs, Waco, TX USA
[2] Texas A&M Hlth Sci Ctr, College Stn, TX USA
[3] Durham Vet Affairs Med Ctr, Durham, NC USA
[4] VA Midatlantic Mental Illness Res Educ & Clin Ctr, Durham, NC USA
[5] Scott & White Healthcare Syst, Waco, TX USA
关键词
Suicidal Ideation; Veterans; Post-traumatic stress disorder; Social support; Major; Depressive disorder; POSTTRAUMATIC-STRESS-DISORDER; PSYCHOMETRIC PROPERTIES; MAJOR DEPRESSION; MOOD DISORDERS; US VETERANS; DSM-IV; RISK; AFGHANISTAN; INVENTORY; SCHIZOPHRENIA;
D O I
10.1016/j.psychres.2014.02.010
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Rates of suicide are alarmingly high in military and veteran samples. Suicide rates are particularly elevated among those with post-traumatic stress disorder (PTSD) and depression, which share overlapping symptoms and frequently co-occur. Identifying and confirming factors that reduce, suicide risk among veterans with PTSD and depression is imperative. The proposed study evaluated, whether post-deployment social support moderated the influence of PTSD-depression symptoms on, suicidal ideation among Veterans returning from Iraq and Afghanistan using state of the art clinical, diagnostic interviews and self-report measures. Operations Enduring and Iraqi Freedom (OEF/OIF) Veterans (n=145) were invited to, participate in a study evaluating returning Veterans' experiences. As predicted, PTSD-depression, symptoms had almost no effect on suicidal ideation (SI) when post-deployment social support was high; however, when, post-deployment social support was low, PTSD-depression symptoms were positively associated with, SI. Thus, social support may be an important factor for clinicians to assess in the context of PTSD and, depressive symptoms. Future research is needed to prospectively examine the inter-relationship, between PTSD/depression and social support on suicidal risk, as well as whether interventions to, improve social support result in decreased suicidality. Published by Elsevier Ireland Ltd.
引用
收藏
页码:357 / 362
页数:6
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