Preventing Suicides in US Service Members and Veterans Concerns After a Decade of War

Walter Reed Army Institute of Research, 501 Robert Grant Ave, Silver Spring, MD 20910, USA.
JAMA The Journal of the American Medical Association (Impact Factor: 35.29). 08/2012; 308(7):671-2. DOI: 10.1001/jama.2012.9955
Source: PubMed
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    • "As with any study relying on self-report, the data used in analyses may not accurately reflect the true beliefs of participants. This limitation is particularly concerning within military populations , as these individuals may be more motivated to under-report or alter their reporting of specific symptoms (Hoge and Castro 2012; Blocker and Miller 2013; Rudd 2013). Another limitation of this study is the 3-item BHS. "
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    ABSTRACT: Suicide rates within the military have continued to rise in recent years, resulting in re-doubled efforts to understand and remedy this trend. In an attempt to clarify unique pathways to suicide risk in this population, the current study examined the relationship between length of time since most recent deployment and several suicide risk factors (hopelessness, suicidal ideation, and resolved plans and preparations). Furthermore, this study examined the moderating influence of post-deployment social support in the prediction of suicide risk. Results indicated that the interaction of time since deployment and post-deployment support predicted both hopelessness and resolved plans and preparations, but did not predict suicidal ideation. These findings suggest that the negative effects of time spent away from recognized military support may be compounded by the isolating effect of decreased access to alternative supports at home, resulting in increased hopelessness and/or resolved plans and preparations. Implications for the necessity of improved post-deployment programs are discussed.
    Cognitive Therapy and Research 08/2015; DOI:10.1007/s10608-015-9719-z · 1.70 Impact Factor
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    • "A comprehensive report from the VA Suicide Prevention Program (Kemp & Bossarte, 2012), revealed that more than 22% of suicides in the United States are committed by veterans, which equated to more than 22 veteran suicides each day in 2010. Hoge and Castro (2012) also reported that suicide rates among active duty military have been historically lower than the general population, but this has changed with the beginning of combat in Afghanistan and Iraq. Suicide is second only to combat as the leading cause of death among active duty and reserve members of the military (Armed Forces Health Surveillance Center, 2012). "
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    ABSTRACT: Gay men and lesbians are marginalized in most areas of society. Throughout history, they have served in all branches of the military. All social workers are likely to encounter veterans that identify as gay or lesbian. This article provides social workers an overview of the description of gay and lesbian military members and introduces readers to areas of consideration when working with this population.
    Social Work in Mental Health 10/2014; 12(5-6):429-442. DOI:10.1080/15332985.2013.854286
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    • "Soldiers are viewed as a population at risk for suicide ideation and behavior in the Israeli armed forces (Lubin et al., 2010) as well as in other armies (Hoge & Castro, 2012; Reisch, Steffen, Habenstein, & Tschacher, 2013). "
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    ABSTRACT: Background: The phenomenon of suicide and suicidal behaviors during military service is universal, with a recent dramatic rise in some armies. Aims: The aim of this study was to shed light on the role of dissociation and habituation as facilitators of suicidal behavior, beyond other well-established risk factors of stress, such as depression and hopelessness. Method: The study group included 167 soldiers, aged 18-21 years divided into three research groups: soldiers who made suicide attempts, soldiers who were psychologically treated, and a control group of soldiers having no history of mental health treatment. All subjects completed a suicide ideation scale and instruments measuring stress, mental pain, bodily dissociation, and habituation. Results: Suicide attempters had higher levels of subjective stress as well as depression and hopelessness compared with the psychologically treated and control groups. Using regression analysis, suicide facilitators of dissociation and habituation explained a significant proportion of the suicidal ideation variance, above and beyond the contribution of stress, depression, and hopelessness. A combined effect of stress and facilitating factors amplifies the level of suicidal ideation among soldiers. Conclusion: Identifying psychological facilitators of suicide-like dissociation and habituation may contribute to understanding suicidal behavior in soldiers and assist in developing effective suicide-prevention initiatives in the military setting.
    Crisis The Journal of Crisis Intervention and Suicide Prevention 09/2014; 35(6):1-10. DOI:10.1027/0227-5910/a000278 · 1.09 Impact Factor
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