College of Health Solutions, Arizona State University, Phoenix, AZ, United States.
College of Integrative Sciences and Arts, Arizona State University, Phoenix, AZ, United States.
J Community Health. 2024 Oct;49(5):935-941. doi: 10.1007/s10900-024-01359-0. Epub 2024 Apr 21.
Evaluate the social determinants of health (SDOH) associated with suicidality among female Service Members and Veterans (SMV) in Arizona.
Used data from a statewide Arizona Veteran Survey (n = 1,134) to analyze SDOH associated with suicidality (any self-report of suicidal ideation, suicide attempt, or calling a crisis line). Response data were cross-tabulated and analyzed for statistical significance using a chi-square test with a p-value of p < 0.05.
Depression, disability, barriers to treatment, housing instability, feelings of loneliness, and more were associated with increased suicidality among respondents. Substance use within the last 30 days, social support, and Veteran social support were not found to be significantly associated with suicidality.
Female SMV populations experiencing social, economic, and health disparities appear to be at higher risk for suicide. These findings suggest that future suicide prevention efforts may be more effective if tailored towards populations in need of additional support and social services.
评估与亚利桑那州女性军人和退伍军人（SMV）自杀相关的健康社会决定因素（SDOH）。
使用来自全州范围的亚利桑那州退伍军人调查（n=1134）的数据，分析与自杀相关的 SDOH（任何自杀意念、自杀企图或拨打危机热线的自我报告）。使用卡方检验对响应数据进行交叉制表和分析，并使用 p 值<0.05 进行统计学意义检验。
抑郁、残疾、治疗障碍、住房不稳定、孤独感等与受访者自杀率的增加相关。在过去 30 天内使用物质、社会支持和退伍军人社会支持与自杀无关。
经历社会、经济和健康差距的女性 SMV 人群似乎面临更高的自杀风险。这些发现表明，如果针对需要额外支持和社会服务的人群量身定制，未来的自杀预防工作可能会更有效。
