Edwards Emily R, Dichiara Ariana, Gromatsky Molly, Tsai Jack, Goodman Marianne, Pietrzak Robert
VISN 2 MIRECC, James J Peters VAMC, Bronx, New York, USA.
Department of Veterans Affairs, National Center on Homelessness among Veterans, Washington, DC, USA.
Mil Psychol. 2021 Dec 27;34(2):175-186. doi: 10.1080/08995605.2021.1982632. eCollection 2022.
Accumulating research suggests unique patterns of suicide risk, homelessness, and criminal-justice involvement in younger (age < 40) relative to older (aged 40+) cohorts of Veterans. However, potential explanations for these differences remain unclear. To address this gap, we analyzed data from a nationally representative sample of more than 4,000 US military Veterans to compare risk and protective correlations of prior suicidal behavior, homelessness, and justice-involvement in younger versus older Veterans. Results revealed that younger Veterans were significantly more likely than older Veterans to have a history of suicide attempt(s) (13.9% vs. 2.7%) and homelessness (22.5% vs. 8.7%). They also scored higher on measures of risk factors and lower on measures of protective factors. However, some factors - specifically, resilience, grit, impulsiveness, perceptions of the effect of the military on one's life and social support - were less strongly associated with a history of adverse events in younger versus older Veterans. Findings highlight the need for preventative homelessness and mental health services for younger Veterans that are tailored to the unique characteristics and needs of this age cohort.
越来越多的研究表明,与年龄较大(40岁以上)的退伍军人相比,年龄较小(40岁以下)的退伍军人在自杀风险、无家可归和刑事司法参与方面呈现出独特的模式。然而,这些差异的潜在原因仍不明确。为了填补这一空白,我们分析了来自4000多名美国退伍军人的全国代表性样本数据,以比较年轻退伍军人与年长退伍军人先前自杀行为、无家可归和司法参与的风险及保护相关性。结果显示,年轻退伍军人有自杀未遂史(13.9%对2.7%)和无家可归经历(22.5%对8.7%)的可能性显著高于年长退伍军人。他们在风险因素测量上得分更高,在保护因素测量上得分更低。然而,一些因素——具体而言,复原力、毅力、冲动性、对军队对个人生活影响的认知以及社会支持——在年轻退伍军人与年长退伍军人中与不良事件史的关联程度较弱。研究结果凸显了为年轻退伍军人提供针对该年龄组独特特征和需求的预防性无家可归和心理健康服务的必要性。