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

Autor:	Smith AR; Department of Psychological Sciences, Auburn University, Auburn, AL, USA., Forrest LN; Department of Psychiatry and Behavioral Health, The Pennsylvania State University, College of Medicine, Hershey, PA, USA., Kinkel-Ram SS; Department of Psychology, Miami University, Oxford, OH, USA., Grunewald W; Department of Psychological Sciences, Auburn University, Auburn, AL, USA., Tubman SD; USAF School of Aerospace Medicine, Wright-Patterson AFB, OH, USA., Esche A; Wright-Patterson Medical Center, Wright-Patterson Airforce Base, OH, USA., Levinson C; Department of Psychological and Brain Sciences, University of Louisville, Louisville, KY, USA.
Jazyk:	angličtina
Zdroj:	Psychological medicine [Psychol Med] 2024 Jul; Vol. 54 (10), pp. 2623-2633. Date of Electronic Publication: 2024 Apr 23.
DOI:	10.1017/S0033291724000734
Abstrakt:	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.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu