Jakupcak Matthew, Hoerster Katherine D, Varra Alethea, Vannoy Steven, Felker Bradford, Hunt Stephen
VA Puget Sound Health Care System, VISN-20 Northwest Mental Illness Research, Education, and Clinical Center, Seattle, WA 98108, USA.
J Nerv Ment Dis. 2011 Apr;199(4):272-5. doi: 10.1097/NMD.0b013e3182124604.
We examined hopelessness and suicidal ideation in association with subthreshold and threshold posttraumatic stress disorder (PTSD) in a sample of Iraq and Afghanistan War Veterans (U.S., N = 275) assessed within a specialty VA postdeployment health clinic. Veterans completed paper-and-pencil questionnaires at intake. The military version of the PTSD Checklist was used to determine PTSD levels (No PTSD; subthreshold PTSD; PTSD), and endorsement of hopelessness or suicidal ideation were used as markers of elevated suicide risk. Veterans were also asked if they received mental health treatment in the prior 6 months. Veterans reporting subthreshold PTSD were 3 times more likely to endorse these markers of elevated suicide risk relative to the Veterans without PTSD. We found no significant differences in likelihood of endorsing hopelessness or suicidal ideation comparing subthreshold and threshold PTSD groups, although the subthreshold PTSD group was less likely to report prior mental health treatment. Clinicians should be attentive to suicide risk in returned Veterans reporting both subthreshold and threshold PTSD.
我们在一家退伍军人事务部（VA）部署后专科健康诊所，对275名伊拉克和阿富汗战争退伍军人（美国）样本进行了检查，以研究与亚阈值和阈值创伤后应激障碍（PTSD）相关的绝望感和自杀意念。退伍军人在就诊时完成纸笔问卷调查。使用PTSD检查表的军事版本来确定PTSD水平（无PTSD；亚阈值PTSD；PTSD），并将绝望或自杀意念的认可作为自杀风险升高的标志。还询问退伍军人在过去6个月内是否接受过心理健康治疗。报告亚阈值PTSD的退伍军人认可这些自杀风险升高标志的可能性是无PTSD退伍军人的3倍。我们发现，比较亚阈值和阈值PTSD组，在认可绝望或自杀意念的可能性上没有显著差异，尽管亚阈值PTSD组报告先前接受心理健康治疗的可能性较小。临床医生应关注报告有亚阈值和阈值PTSD的退伍军人的自杀风险。
