National Center for Veterans Studies, Salt Lake City, UT, USA.
Department of Psychology, The University of Utah, Salt Lake City, UT, USA.
Crisis. 2019 Nov;40(6):437-445. doi: 10.1027/0227-5910/a000592. Epub 2019 Apr 29.
Although financial strain is an identified risk factor for suicide among US military personnel, research is limited regarding the specific dimensions of financial strain that confer the greatest risk. The present study examined the associations among multiple indicators of financial strain, suicide ideation, and suicide attempts in a sample of US National Guard personnel, a high-risk subgroup of the US military. National Guard personnel from Utah and Idaho ( = 997) completed an anonymous online self-report survey. Weighted univariate and multivariate logistic regression was used to test hypothesized associations. Lifetime history of suicide ideation was significantly more common among participants reporting recent income decrease, credit problems, and difficulty making ends meet, even when adjusting for other covariates. Lifetime history of suicide attempt was significantly associated with recent foreclosure or loan default, credit problems, and difficulty making ends meet, but only in univariate analyses. Recent credit problems were the only financial strain indicator that significantly predicted a history of suicide attempt among participants with a history of suicide ideation. The present study includes self-report methodology and cross-sectional design. Although multiple indicators of financial strain are associated with increased risk for suicidal thinking among National Guard military personnel, credit problems had the strongest association with suicide attempts.
尽管经济压力是美国军人自杀的一个公认的风险因素，但关于哪些具体的经济压力维度带来最大风险的研究有限。本研究在一组美国国民警卫队人员（美国军队的一个高风险亚组）中，调查了多种经济压力指标与自杀意念和自杀企图之间的关联。来自犹他州和爱达荷州的国民警卫队人员（=997）完成了一项匿名在线自我报告调查。使用加权单变量和多变量逻辑回归来检验假设的关联。报告最近收入减少、信用问题和收支平衡困难的参与者中，有自杀意念的终生史明显更为常见，即使在调整了其他协变量后也是如此。有自杀企图的终生史与最近的止赎或贷款违约、信用问题和收支平衡困难显著相关，但仅在单变量分析中。最近的信用问题是唯一与有自杀意念的参与者的自杀企图史显著相关的经济压力指标。本研究包括自我报告方法和横断面设计。尽管多种经济压力指标与国民警卫队军人自杀意念风险增加相关，但信用问题与自杀企图的关联最强。
