PTSD symptoms, suicidality and non-suicidal risk to life behavior in a mixed sample of pre- and post-9/11 veterans

Nicholas Upton Barr, Kathrine S. Sullivan, Sara Kintzle, Carl Andrew Castro

    Research output: Contribution to journalArticle

    Abstract

    This study investigated relationships between symptom clusters of posttraumatic stress disorder (PTSD), suicidal ideation, suicide plan, and non-suicidal risk to life behavior (NSRB) behavior in a sample of 1,356 pre- and post-9/11-era military veterans. After controlling for a positive PTSD screen, results indicated that suicidal ideation was significantly associated with re-experiencing symptoms (OR = 1.12), White race (OR = 1.82) and use of pain medication (COR = 1.62). Suicide plan was associated with avoidance symptoms (OR = 1.08), and NSRB with hyperarousal symptoms (OR = 1.11) and severe alcohol use (OR = 2.10). Standardized coefficients indicated that re-experiencing symptoms (b = .38) were a stronger predictor of suicidal ideation than White race (b = .16) or pain medication (b = .12) and that hyperarousal symptoms (b = .36) were a stronger predictor of NSRB than severe alcohol use (b = .15). The interpersonal–psychological theory of suicide was used to frame a discussion of military specific suicide risk as well as the risk of premature death among veterans who endorse NSRB but not suicidality. We suggest that this subset of veterans may be overlooked by traditional screening methods while nonetheless presenting with great risk for premature death.

    Original languageEnglish (US)
    Pages (from-to)465-473
    Number of pages9
    JournalSocial Work in Mental Health
    Volume14
    Issue number5
    DOIs
    StatePublished - Sep 2 2016

    Fingerprint

    posttraumatic stress disorder
    Veterans
    Post-Traumatic Stress Disorders
    Suicidal Ideation
    Suicide
    suicide
    Premature Mortality
    pain
    medication
    alcohol
    Alcohols
    Military
    death
    Pain

    Keywords

    • Mental health
    • prevention
    • PTSD
    • PTSD symptoms
    • risk behavior
    • social work
    • suicidality
    • veterans

    ASJC Scopus subject areas

    • Social Sciences (miscellaneous)
    • Public Health, Environmental and Occupational Health

    Cite this

    PTSD symptoms, suicidality and non-suicidal risk to life behavior in a mixed sample of pre- and post-9/11 veterans. / Barr, Nicholas Upton; Sullivan, Kathrine S.; Kintzle, Sara; Castro, Carl Andrew.

    In: Social Work in Mental Health, Vol. 14, No. 5, 02.09.2016, p. 465-473.

    Research output: Contribution to journalArticle

    Barr, Nicholas Upton ; Sullivan, Kathrine S. ; Kintzle, Sara ; Castro, Carl Andrew. / PTSD symptoms, suicidality and non-suicidal risk to life behavior in a mixed sample of pre- and post-9/11 veterans. In: Social Work in Mental Health. 2016 ; Vol. 14, No. 5. pp. 465-473.
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