Transitioning Servicemember/Veteran and Suicide Prevention Center (TASC), United States; VISN 2 Mental Illness Research, Education and Clinical Center, James J. Peters VA Medical Center, United States; Icahn School of Medicine at Mt. Sinai Hospital, United States.
Transitioning Servicemember/Veteran and Suicide Prevention Center (TASC), United States; VISN 2 Mental Illness Research, Education and Clinical Center, James J. Peters VA Medical Center, United States; Icahn School of Medicine at Mt. Sinai Hospital, United States.
Psychiatry Res. 2021 Jun;300:113875. doi: 10.1016/j.psychres.2021.113875. Epub 2021 Mar 16.
In the period following separation from the military, service members face the challenge of transitioning to a post-military civilian life. Some evidence suggests these transitioning Veterans are at higher risk for suicide compared with both the broader Veteran population and the United States public, yet they often do not receive adequate support and resources. In this review, we use the Three-Step Theory of suicide to outline characteristics of transitioning Veterans and the transition process that may affect suicide risk. We then highlight relevant services available to this specific subgroup of Veterans and make recommendations that address barriers to care. Cumulatively, this literature suggests transitioning Veterans fall within a "deadly gap" between the end of their military service and transition into civilian life. This "deadly gap" consists of limited psychiatric services and increased suicide risk factors which together may explain the increase in suicide during this transition period.
在与军队分离后的时期,退伍军人面临着向退伍后平民生活过渡的挑战。有证据表明,与更广泛的退伍军人群体和美国公众相比,这些过渡中的退伍军人自杀的风险更高,但他们往往得不到足够的支持和资源。在这篇综述中,我们使用自杀的三步理论来描述退伍军人的过渡特点和可能影响自杀风险的过渡过程。然后,我们重点介绍了为这一特定退伍军人群体提供的相关服务,并提出了解决护理障碍的建议。总的来说,这一文献表明,退伍军人在他们的军事服务结束和过渡到平民生活之间存在一个“致命的差距”。这个“致命的差距”包括有限的精神科服务和增加的自杀风险因素,这些因素加在一起可能解释了在这个过渡期间自杀率的上升。