Department of Psychology, Utah State University, Logan, UT, USA.
Denver Veterans Affairs Medical Center, Rocky Mountain Mental Illness Research, Education, and Clinical Center (MIRECC) for Suicide Prevention, Denver, CO, USA.
Suicide Life Threat Behav. 2019 Jun;49(3):643-652. doi: 10.1111/sltb.12464. Epub 2018 Apr 20.
Female veterans who have experienced military sexual trauma (MST) are at elevated suicide risk, yet knowledge is limited regarding correlates of suicide ideation (SI) in this population. MST is associated with a higher risk of posttraumatic stress disorder (PTSD) relative to other trauma types; however, no studies have examined whether experiencing SI differs based on the source of PTSD symptoms (MST-related, non-MST-related). Female service members/veterans (SM/Vs; n = 311) who screened positive for MST and reported exposure to a Criterion A event completed an online survey assessing self-reported demographics, PTSD, depression, the source of their PTSD symptoms, and SI. Ninety-one (29.3%) reported experiencing current SI, and 223 (71.7%) identified MST as the source of their current PTSD symptoms. Participants who identified MST as the source of their PTSD symptoms were over two times more likely to report SI, compared to those who described non-MST-related events as the source of their PTSD symptoms. Compared to those who reported the source of their PTSD symptoms as combat-/deployment-related, those who identified MST as the source were at least three times as likely to report current SI. Results underscore the importance of efforts to address MST-related PTSD symptoms when working with female SM/Vs.
经历过军事性创伤(MST)的女性退伍军人自杀风险较高,但对于该人群中自杀意念(SI)的相关因素知之甚少。与其他类型的创伤相比,MST 与创伤后应激障碍(PTSD)的风险增加有关;然而,尚无研究探讨是否根据 PTSD 症状的来源(与 MST 相关、非 MST 相关),经历 SI 会有所不同。筛选出 MST 阳性且报告接触过 A 类事件的女性军人/退伍军人(SM/V;n=311)完成了一项在线调查,评估了自我报告的人口统计学、PTSD、抑郁、其 PTSD 症状的来源以及 SI。91 人(29.3%)报告目前有 SI,223 人(71.7%)将 MST 确定为当前 PTSD 症状的来源。与将非 MST 相关事件描述为 PTSD 症状来源的参与者相比,将 MST 确定为 PTSD 症状来源的参与者报告 SI 的可能性高出两倍以上。与报告 PTSD 症状来源为战斗/部署相关的参与者相比,将 MST 确定为 PTSD 症状来源的参与者报告目前存在 SI 的可能性至少高出三倍。研究结果强调了在与女性 SM/V 合作时,努力解决与 MST 相关的 PTSD 症状的重要性。