a Military Suicide Research Consortium , Denver , CO , USA.
b Department of Veterans Affairs , Rocky Mountain Mental Illness Research Education and Clinical Center (MIRECC) , Denver , CO 80206 , USA.
Arch Suicide Res. 2019 Jul-Sep;23(3):391-410. doi: 10.1080/13811118.2018.1479322. Epub 2018 Nov 17.
This study examined how a positive traumatic brain injury (TBI) screening and insomnia severity relate to suicidal outcomes across active duty, veteran, and civilian samples. Data were used from 3,993 participants from 19 studies. We conducted a series of analyses by group to identify which significantly differed on the variables of interest. TBI and insomnia each had independent relationships with outcomes over and above the impact of the other factor. Veterans presented as clinically worse across the outcomes. However, the relationship between insomnia and suicidal responses was stronger for active duty military compared to veterans. Continued research on TBIs and insomnia severity across groups will improve quality of care for those at risk of suicide.
本研究考察了积极的创伤性脑损伤 (TBI) 筛查和失眠严重程度如何与现役军人、退伍军人和平民样本的自杀结果相关。数据来自 19 项研究的 3993 名参与者。我们按组进行了一系列分析，以确定哪些变量在感兴趣的变量上有显著差异。TBI 和失眠都与其他因素的影响无关，与结果有独立的关系。退伍军人在所有结果中表现出更严重的临床症状。然而，与退伍军人相比，现役军人的失眠与自杀反应之间的关系更强。在不同群体中对 TBI 和失眠严重程度的持续研究将提高对自杀风险人群的护理质量。
