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区分低收入退伍军人中与自杀意念、计划和企图相关的个体特征。

Differentiating Individual Characteristics Associated with Suicidal Ideations, Plans, and Attempts among low-Income Veterans.

作者信息

Tsai Jack, Liang Jie, Maroufy Vahed

机构信息

U.S. Department of Veterans Affairs, National Center on Homelessness among Veterans, Washington, DC, USA.

School of Public Health, University of Texas Health Science Center at Houston, Houston, TX, USA.

出版信息

Chronic Stress (Thousand Oaks). 2025 Jun 3;9:24705470251348749. doi: 10.1177/24705470251348749. eCollection 2025 Jan-Dec.

Abstract

BACKGROUND

Low-income veterans are a group that are at high risk for suicidal behaviors and require clinical attention and research.

METHODS

This brief report analyzed data from a nationally representative sample of 985 low-income veterans participating in the National Veteran Homeless and Other Poverty Experiences (NV-HOPE) study in 2021. The lifetime prevalence and correlates of three levels of suicidal behaviors were analyzed, including suicidal ideation (SI), having a suicidal plan (SP), and making a suicide attempt (SA).

RESULTS

In the sample, 17.6% reported any SI, 7.0% reported any SP, and 4.5% reported any SA. Multivariable analyses revealed that compared to veterans who only reported SI, those who reported SP had overall lower mental health functioning scores (aOR = 0.97, 95% CI = 0.95-0.99). Compared to veterans who reported only SP, those who reported SA were two times more likely to be unmarried (aOR = 2.38, 95% = 1.09-5.30).

CONCLUSION

These findings suggest a few factors may be driving differences between veterans who engage in different levels of suicidal behaviors, and these factors may be important treatment targets.

摘要

背景

低收入退伍军人是自杀行为高危群体,需要临床关注和研究。

方法

本简要报告分析了2021年参与全国退伍军人无家可归及其他贫困经历(NV-HOPE)研究的985名低收入退伍军人的全国代表性样本数据。分析了三个自杀行为水平的终生患病率及其相关因素,包括自杀意念(SI)、有自杀计划(SP)和自杀未遂(SA)。

结果

在该样本中,17.6%的人报告有任何自杀意念,7.0%的人报告有任何自杀计划,4.5%的人报告有任何自杀未遂。多变量分析显示,与仅报告有自杀意念的退伍军人相比,报告有自杀计划的退伍军人心理健康功能总体得分较低(调整后比值比[aOR]=0.97,95%置信区间[CI]=0.95-0.99)。与仅报告有自杀计划的退伍军人相比,报告有自杀未遂的退伍军人未婚的可能性高出两倍(aOR=2.38,95%CI=1.09-5.30)。

结论

这些发现表明,一些因素可能导致了不同自杀行为水平的退伍军人之间存在差异,这些因素可能是重要的治疗靶点。

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