Suicide and violence are significant problems in a subset of Iraq/Afghanistan-era veterans. This study investigates how posttraumatic stress disorder (PTSD) and resilience in veterans are associated with suicidal ideation and violent impulses while controlling for known covariates of both adverse outcomes. Structured clinical interviews were conducted of N = 2,543 Iraq/Afghanistan-era U.S. veterans. Compared with veterans denying suicidal ideation or violent impulses (n = 1,927), veterans endorsing both (n = 171) were more likely to meet diagnostic criteria for PTSD, report childhood abuse, combat exposure, physical pain symptoms, and drug misuse, and less likely to endorse self-direction/life purpose. Veterans reporting concurrent suicidal ideation and violent impulses had higher odds of misusing drugs and reporting pain symptoms relative to veterans reporting suicidal ideation only (n = 186) and had lower odds of endorsing self-direction/life purpose compared with veterans reporting violent impulses only (n = 259). The findings underscore the importance of examining drug abuse, physical pain symptoms, and self-direction/life purpose, as well as PTSD and history of trauma, in the context of clinical assessment and empirical research aimed at optimizing risk management of suicide and violence in military veterans. (PsycINFO Database Record

译文

自杀和暴力是伊拉克/阿富汗时代退伍军人中一个重要的问题。这项研究调查了创伤后应激障碍(PTSD)和退伍军人的适应力如何与自杀意念和暴力冲动相关联,同时控制了两种不良结局的已知协变量。对N = 2,543名伊拉克/阿富汗时代的美国退伍军人进行了结构化的临床采访。与否认自杀意念或暴力冲动的退伍军人(n = 1,927)相比,认可两者的退伍军人(n = 171)更有可能达到PTSD的诊断标准,并报告了儿童期虐待,战斗暴露,身体疼痛症状和滥用药物的情况,且更少可能认同自我指导/人生目标。与仅报告有自杀意图的退伍军人相比,报告同时自杀意念和暴力冲动的退伍军人比仅报告有自杀意念的退伍军人滥用药物和报告疼痛症状的几率更高(n = 186),并且认可自我指导/人生目标的几率比仅报告暴力冲动的退伍军人低( n = 259)。这些发现强调了在临床评估和实证研究的背景下,检查药物滥用,身体疼痛症状和自我指导/生活目的,以及创伤后应激障碍和创伤史的重要性,旨在优化自杀和暴力行为的风险管理。退伍军人。 (PsycINFO数据库记录

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