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有自杀风险的退伍军人的被捕记录和精神病理学。

Arrest history and psychopathology among veterans at risk for suicide.

机构信息

VISN 2 MIRECC, James J. Peters VA Medical Center.

Department of Psychology, John Jay College of Criminal Justice.

出版信息

Psychol Serv. 2022 Feb;19(1):146-156. doi: 10.1037/ser0000454. Epub 2020 Oct 29.

Abstract

While preliminary evidence suggests an association between legal involvement and suicide risk among veterans, no research to date has explored the prevalence and/or correlates of legal involvement among veterans at high risk for suicide. The current study examined the relation of suicide attempt, suicidal ideation, and psychopathology to history of criminal arrest in a sample of 286 veterans at risk for suicide. Results indicated approximately half (47%) of at-risk veterans had a history of arrest. Inconsistent with hypotheses, arrest history was not associated with history of suicide attempt, current suicidal ideation, or severity of psychopathological symptoms. Arrest history was, however, associated with diagnoses of substance use disorder and antisocial personality disorder in this high-suicide risk sample. Further, likelihood of an antisocial personality disorder diagnosis was associated with higher frequency of past arrests. Taken together, results indicate that many veterans at risk for suicide have a history of arrest, and at-risk veterans with such history likely have a specific pattern of psychopathology, including antisocial personality traits and substance use. As such, legal status and history of justice involvement may be important considerations when assessing suicide risk and management of this high-risk population. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

摘要

虽然初步证据表明法律涉入与退伍军人自杀风险之间存在关联,但迄今为止,尚无研究探讨高自杀风险退伍军人的法律涉入的流行率和/或相关因素。本研究在 286 名有自杀风险的退伍军人样本中,考察了自杀未遂、自杀意念和精神病理学与被捕历史之间的关系。结果表明,约有一半(47%)有自杀风险的退伍军人有被捕史。与假设不一致的是,被捕史与自杀未遂史、当前自杀意念或精神病理学症状严重程度无关。然而,在这个高自杀风险样本中,被捕史与物质使用障碍和反社会人格障碍的诊断有关。此外,反社会人格障碍的诊断可能性与过去被捕次数的增加有关。总之,结果表明,许多有自杀风险的退伍军人有被捕史,而有这种历史的高危退伍军人可能有特定的精神病理学模式,包括反社会人格特征和物质使用。因此,在评估自杀风险和管理这一高危人群时,法律地位和司法涉入历史可能是重要的考虑因素。

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