Jakupcak Matthew, Cook Jessica, Imel Zac, Fontana Alan, Rosenheck Robert, McFall Miles
Mental Illness Research, Education, and Clinical Center (MIRECC), VA Puget Sound Health Care System, Seattle, WA 98108, USA.
J Trauma Stress. 2009 Aug;22(4):303-6. doi: 10.1002/jts.20423.
Posttraumatic stress disorder (PTSD) was examined as a risk factor for suicidal ideation in Iraq and Afghanistan War veterans (N = 407) referred to Veterans Affairs mental health care. The authors also examined if risk for suicidal ideation was increased by the presence of comorbid mental disorders in veterans with PTSD. Veterans who screened positive for PTSD were more than 4 times as likely to endorse suicidal ideation relative to non-PTSD veterans. Among veterans who screened positive for PTSD (n = 202), the risk for suicidal ideation was 5.7 times greater in veterans who screened positive for two or more comorbid disorders relative to veterans with PTSD only. Findings are relevant to identifying risk for suicide behaviors in Iraq and Afghanistan War veterans.
创伤后应激障碍（PTSD）作为伊拉克和阿富汗战争退伍军人（N = 407）自杀意念的风险因素进行了研究，这些退伍军人被转介到退伍军人事务部接受心理健康护理。作者还研究了PTSD退伍军人中并存精神障碍的存在是否会增加自杀意念的风险。PTSD筛查呈阳性的退伍军人认可自杀意念的可能性是非PTSD退伍军人的4倍多。在PTSD筛查呈阳性的退伍军人（n = 202）中，两种或更多并存障碍筛查呈阳性的退伍军人出现自杀意念的风险比仅患有PTSD的退伍军人高5.7倍。这些发现对于识别伊拉克和阿富汗战争退伍军人的自杀行为风险具有重要意义。
