Nexus of despair: A network analysis of suicidal ideation among veterans

Jeffrey S. Simons; Raluca M. Simons; Kyle J. Walters; Jessica A. Keith; Carol O’Brien; Kate Andal; Scott F. Stoltenberg

doi:10.1080/13811118.2019.1574689

Nexus of despair: A network analysis of suicidal ideation among veterans

Jeffrey S. Simons, Raluca M. Simons, Kyle J. Walters, Jessica A. Keith, Carol O’Brien, Kate Andal, Scott F. Stoltenberg

Research output: Contribution to journal › Article › peer-review

15 Scopus citations

Abstract

The objective of this study was to estimate a network model of risk and resilience factors of suicidal ideation among veterans. Two network models of suicidal ideation among Operation Iraqi Freedom/Operation Enduring Freedom/Operation New Dawn veterans (N = 276) incorporated key disorders, traumatic stress, and resilience constructs to contextualize suicidal ideation. Childhood trauma was positively connected with suicidal ideation and harassment and inversely connected with social support and distress tolerance. This exemplifies long-lasting associations between childhood trauma and re-victimization, emotion regulation, and ability to form supportive social relationships. A subsequent model including lower-order facets indicated that combat trauma was predominantly associated with posttraumatic stress disorder-intrusion symptoms. This study highlights the importance of addressing both risk and resilience to reduce suicide risk among veterans and increases understanding of factors that contribute to suicidal ideation.

Original language	English (US)
Pages (from-to)	314-336
Number of pages	23
Journal	Archives of Suicide Research
Volume	24
Issue number	sup1
DOIs	https://doi.org/10.1080/13811118.2019.1574689
State	Published - Feb 3 2020

Keywords

alcohol
emotion regulation
network analysis
self-control
suicide
traumatic stress

ASJC Scopus subject areas

Clinical Psychology
Psychiatry and Mental health

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10.1080/13811118.2019.1574689

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title = "Nexus of despair: A network analysis of suicidal ideation among veterans",

abstract = "The objective of this study was to estimate a network model of risk and resilience factors of suicidal ideation among veterans. Two network models of suicidal ideation among Operation Iraqi Freedom/Operation Enduring Freedom/Operation New Dawn veterans (N = 276) incorporated key disorders, traumatic stress, and resilience constructs to contextualize suicidal ideation. Childhood trauma was positively connected with suicidal ideation and harassment and inversely connected with social support and distress tolerance. This exemplifies long-lasting associations between childhood trauma and re-victimization, emotion regulation, and ability to form supportive social relationships. A subsequent model including lower-order facets indicated that combat trauma was predominantly associated with posttraumatic stress disorder-intrusion symptoms. This study highlights the importance of addressing both risk and resilience to reduce suicide risk among veterans and increases understanding of factors that contribute to suicidal ideation.",

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note = "Funding Information: This research was supported by the National Institute on Alcohol Abuse and Alcoholism of the National Institutes of Health under Award Number R01AA020519. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health, the Department of Veterans Affairs, or the United States Government. This research was supported with resources and the use of facilities at the Sioux Falls VA Health Care System, Bay Pines VA Health Care System, and the University of South Dakota. Publisher Copyright: {\textcopyright} 2019, {\textcopyright} 2019 International Academy for Suicide Research.",

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AU - Andal, Kate

AU - Stoltenberg, Scott F.

N1 - Funding Information: This research was supported by the National Institute on Alcohol Abuse and Alcoholism of the National Institutes of Health under Award Number R01AA020519. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health, the Department of Veterans Affairs, or the United States Government. This research was supported with resources and the use of facilities at the Sioux Falls VA Health Care System, Bay Pines VA Health Care System, and the University of South Dakota. Publisher Copyright: © 2019, © 2019 International Academy for Suicide Research.

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Nexus of despair: A network analysis of suicidal ideation among veterans

Abstract

Keywords

ASJC Scopus subject areas

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