Trajectories of suicidal ideation following separation from military service: Overall trends and group differences.
Suicide Life Threat Behav
; 52(3): 413-426, 2022 06.
Article
en En
| MEDLINE
| ID: mdl-35067967
ABSTRACT
BACKGROUND:
Although the transition out of military service is a high-risk time for suicidal ideation (SI), a paucity of research examines the development of SI during this transition process and veteran subgroups at risk for SI as they readjust to civilian life.METHODS:
A population-based, longitudinal post-9/11 veteran cohort reported SI frequency at 3, 9, 15, 21, and 27 months post-separation using the Patient Health Questionnaire-9. We identified distinct trajectories of SI over time (i.e., classes) using latent class growth analysis and examined demographic and military service predictors of class membership overall and by gender using multinomial logistic regression.RESULTS:
Four SI trajectories that were similar across genders were identified resilient (90.1%), delayed onset (5.0%), remitting (2.7%), and chronic (2.2%). Younger age, minority race/ethnicity, medical and other (vs. honorable) separation types, and Veterans Health Administration service utilization were associated with increased odds of assignment to a higher-risk trajectory (delayed onset, remitting, and/or chronic vs. resilient), whereas continued service in the National Guard/Reserves and officer rank was associated with lower odds of assignment to a higher-risk trajectory.CONCLUSIONS:
Findings regarding veterans at greatest risk for SI following military separation can inform targeted assessment and early intervention efforts.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Veteranos
/
Personal Militar
Tipo de estudio:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Female
/
Humans
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Male
Idioma:
En
Revista:
Suicide Life Threat Behav
Año:
2022
Tipo del documento:
Article
País de afiliación:
Estados Unidos