Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, 27705, USA.
Mid-Atlantic Mental Illness Research Education Clinical Center (MIRECC), Durham VA Health Care System, Durham, NC, USA.
Community Ment Health J. 2024 Nov;60(8):1617-1626. doi: 10.1007/s10597-024-01316-0. Epub 2024 Aug 7.
Studies in veterans have yet to examine interconnections between homelessness, financial debt, and suicidal ideation. We analyzed data from a nationally-representative study conducted in 2021 of low-income U.S. veterans (N = 1,004). Analyses revealed veterans who were younger, male, had a history of criminal arrests, met criteria for posttraumatic stress disorder (PTSD), reported greater loneliness, or had both a history of homelessness and higher debt were more likely to endorse suicidal ideation. We found an interaction between a history of homelessness and current debt: 40% of veterans with both past homelessness and higher debt reported suicidal ideation, whereas only 10% of veterans with either past homelessness or higher debt reported suicidal ideation. As past homelessness and current debt interacted to increase the odds of suicidal ideation in a national sample of veterans, these results inform policy and clinical decision-making for suicide prevention and in programs serving veterans experiencing homelessness.
退伍军人研究尚未研究无家可归、财务债务和自杀意念之间的相互联系。我们分析了 2021 年在美国进行的一项针对低收入退伍军人的全国代表性研究的数据(N=1004)。分析显示,年龄较小、男性、有犯罪记录、符合创伤后应激障碍 (PTSD) 标准、报告孤独感较强或既有无家可归史又有较高债务的退伍军人更有可能认同自杀意念。我们发现无家可归史和当前债务之间存在相互作用:有过去无家可归和较高债务史的退伍军人中有 40%报告有自杀意念,而只有过去有或没有无家可归或较高债务史的退伍军人中有 10%报告有自杀意念。由于过去的无家可归和当前的债务相互作用,增加了全国退伍军人样本中自杀意念的几率,这些结果为预防自杀和为经历无家可归的退伍军人服务的项目中的政策和临床决策提供了信息。