Lipsky Rachele K, Helmer Drew A, Beckham Jean C, Calhoun Patrick S, Pugh Mary Jo, Kimbrel Nathan A
VA South Central Mental Illness Research, Education and Clinical Center, Michael E. DeBakey VA Medical Center, Houston, TX, USA; Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, TX, USA; Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, USA.
Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, TX, USA; Department of Medicine, Baylor College of Medicine, Houston, TX, USA.
J Psychiatr Res. 2025 Mar;183:302-307. doi: 10.1016/j.jpsychires.2025.02.039. Epub 2025 Feb 21.
The rate of death by suicide is elevated among Veterans of all eras. Chronic symptoms of pain, depression, and sleep disturbances are also common among Veterans, and these symptoms are associated with suicidal thoughts and behaviors. About 25% of the 697,000 Gulf War Era Veterans deployed to the Persian Gulf theater in 1990-1991 remain afflicted with chronic, unexplained symptoms known as Gulf War Illness (GWI). This study used data from a national sample of Gulf War Veterans (N = 1142) who completed a survey of demographic, military, and health information. Multivariable logistic regression models, controlling for confounding variables, tested for associations between deployment, a tri-level categorical variable of GWI (no GWI; moderate GWI; and severe GWI) and suicidal thoughts and behaviors. Deployment was not associated with any suicide related outcome. Moderate and severe GWI remained significantly associated with past year suicidal ideation (moderate GWI: aOR 3.94; 95% CI: 1.55-10.03; severe GWI: aOR 3.66; 95% CI: 1.31-10.20), but they were not associated with suicide attempts. Our findings suggest that the burden and negative impact of the chronic symptoms of GWI may play a role in the occurrence of suicidal ideation in Gulf War Veterans (GWV). Clinicians caring for GWVs should attend to both chronic symptoms, and the elevated risk of suicidal thoughts in this cohort.
各时代退伍军人的自杀死亡率都有所上升。疼痛、抑郁和睡眠障碍等慢性症状在退伍军人中也很常见,这些症状与自杀念头和行为有关。1990 - 1991年被部署到波斯湾战区的69.7万海湾战争时期退伍军人中,约25%仍患有被称为海湾战争综合症(GWI)的慢性不明症状。本研究使用了来自一个海湾战争退伍军人全国样本(N = 1142)的数据,这些退伍军人完成了一项关于人口统计学、军事和健康信息的调查。多变量逻辑回归模型在控制混杂变量的情况下,测试了部署、GWI的一个三级分类变量(无GWI;中度GWI;重度GWI)与自杀念头和行为之间的关联。部署与任何自杀相关结果均无关联。中度和重度GWI与过去一年的自杀意念仍有显著关联(中度GWI:调整后比值比3.94;95%置信区间:1.55 - 10.03;重度GWI:调整后比值比3.66;95%置信区间:1.31 - 10.20),但它们与自杀未遂无关。我们的研究结果表明,GWI慢性症状的负担和负面影响可能在海湾战争退伍军人(GWV)自杀意念的发生中起作用。照顾GWV的临床医生应关注这一群体的慢性症状以及自杀念头风险的增加。