Rocky Mountain Mental Illness Research, Education and Clinical Center for Suicide Prevention, Rocky Mountain Regional Veterans Affairs Medical Center, 1700N. Wheeling St., Aurora, CO 80045, USA; Department of Psychiatry, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Rocky Mountain Mental Illness Research, Education and Clinical Center for Suicide Prevention, Rocky Mountain Regional Veterans Affairs Medical Center, 1700N. Wheeling St., Aurora, CO 80045, USA; Department of Physical Medicine and Rehabilitation, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Psychiatry Res. 2018 Dec;270:673-681. doi: 10.1016/j.psychres.2018.10.055. Epub 2018 Oct 24.
Deployment sexual trauma is associated with post-deployment suicidal ideation. No studies have examined the role of social support in this association. The present study examined if perceived unit support and post-deployment support influenced the association between deployment sexual trauma and suicidal ideation. 824 post-9/11 veterans (480 men, 344 women) from the Survey of Experiences of Returning Veterans completed the Deployment Risk and Resilience Inventory-2 and Columbia-Suicide Severity Rating Scale. Age, possible depression, posttraumatic stress disorder symptoms, and lifetime suicide attempt were covaried. Among men, post-deployment support moderated the association between deployment sexual trauma and suicidal ideation; deployment sexual trauma predicted suicidal ideation only for men reporting low post-deployment support. Among women, post-deployment support mediated the association between deployment sexual trauma and suicidal ideation. Unit support neither moderated nor mediated the association between deployment sexual trauma and suicidal ideation. Among men who experience deployment sexual trauma, those with low perceived post-deployment support may be at particularly elevated risk for suicidal ideation and may benefit from more intensive monitoring and interventions that bolster social support. Increasing perceived post-deployment support for women who experience deployment sexual trauma is also warranted. Determining optimal ways to strengthen post-deployment support for sexual trauma survivors is essential.
部署性创伤与部署后自杀意念有关。目前还没有研究检查社会支持在这种关联中的作用。本研究探讨了感知的单位支持和部署后的支持是否会影响部署性创伤与自杀意念之间的关联。824 名 9/11 后退伍军人（480 名男性，344 名女性）参加了《归国退伍军人经验调查》，完成了《部署风险和恢复力清单-2》和《哥伦比亚自杀严重程度评定量表》。对年龄、可能的抑郁、创伤后应激障碍症状和终生自杀企图进行了协方差分析。在男性中，部署后的支持调节了部署性创伤与自杀意念之间的关联；只有报告低部署后支持的男性，部署性创伤才会预测自杀意念。在女性中，部署后的支持介导了部署性创伤与自杀意念之间的关联。单位支持既没有调节也没有介导部署性创伤与自杀意念之间的关联。对于经历过部署性创伤的男性来说，那些感知到低部署后支持的人可能特别容易产生自杀意念，需要更密集的监测和干预来增强社会支持。增加经历过部署性创伤的女性的感知到的部署后支持也是必要的。确定加强性创伤幸存者的部署后支持的最佳方法至关重要。
