Nonsuicidal self-injury as a prospective predictor of suicide attempts in a clinical sample of military personnel

Bryan, Craig J.; Rudd, M. David; Wertenberger, Evelyn; Young-McCaughon, Stacey; Peterson, Alan L.

doi:10.1016/j.comppsych.2014.07.009

Cited by 58 publications

(58 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…There is no evidence, whether implicit or explicit, of suicidal intent" (Crosby, Ortega, and Melanson, 2011, p. 21). Some studies indicate that NSSI predicts subsequent suicide attempts in both military and veteran samples (Kimbrel et al, 2015;Bryan and Bryan, 2014;Bryan, Rudd, et al, 2015).…”

Section: Non-suicidal Self-injurymentioning

confidence: 99%

2015 Department of Defense Health Related Behaviors Survey (HRBS)

Meadows¹,

Engel²,

Collins³

et al. 2018

154

165

View full text Add to dashboard Cite

This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited. Permission is given to duplicate this document for personal use only, as long as it is unaltered and complete. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial use. For information on reprint and linking permissions, please visit www.rand.org/pubs/permissions.The RAND Corporation is a research organization that develops solutions to public policy challenges to help make communities throughout the world safer and more secure, healthier and more prosperous. RAND is nonprofit, nonpartisan, and committed to the public interest.RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.Support RAND Make a tax-deductible charitable contribution at www.rand.org/giving/contribute www.rand.org Library of Congress Cataloging-in-Publication Data For more information on this publication, visit www.rand.org/t/RR1695Published by the RAND Corporation, Santa Monica, Calif. © Copyright 2018 RAND CorporationR® is a registered trademark. Cover photo credits from top to bottom:Photo by Cpl PrefaceThe Health Related Behaviors Survey (HRBS) is the U.S. Department of Defense's flagship survey for understanding the health, health-related behaviors, and well-being of service members. Originally implemented to assess substance use (i.e., illicit drugs, alcohol, and tobacco), the survey now includes content areas-such as mental and physical health, sexual behavior, and postdeployment problems-that may affect force readiness or the ability to meet the demands of military life. The HRBS is intended to supplement administrative data already collected by the armed forces. In 2014, the Defense Health Agency asked the RAND Corporation to review previous iterations of the HRBS, update survey content, administer a revised version of the survey, and analyze data from the resulting 2015 HRBS of active-duty personnel. The 2015 HRBS included U.S. Air Force, Army, Marine Corps, Navy, and Coast Guard personnel, and this report details the survey methodology and results. No expertise in health, health-related behaviors, or health care is required to read this report. However, it may be of most use to individuals who provide direct care related to the health and health-related behaviors of active-duty service members or who are responsible for making related policy decisions. Additional information can be found in a series of online appendixes.This research was sponsored by the Defense Health Agency and conducted within the Forces and Resources Policy Center of the RAND National Defense Research Institute, a federally funded research and development center sponsored by the Office of the Secretary of Defense, the Joint Staff, the Unified Combatant Commands, the Navy, the Marine Corps, the defense agencies, and the defense Intelli...

show abstract

Section: Non-suicidal Self-injurymentioning

confidence: 99%

2015 Department of Defense Health Related Behaviors Survey (HRBS)

Meadows¹,

Engel²,

Collins³

et al. 2018

154

165

View full text Add to dashboard Cite

show abstract

“…Specifically, Kimbrel and colleagues (2014a; 2015a) have shown that NSSI is associated with increased risk for suicidal ideation in two cohorts of Iraq/Afghanistan-era veterans, whereas Bryan and colleagues (2015) recently demonstrated that NSSI was prospectively associated with subsequent SA ( HR = 2.25, p < 0.05) among 152 active-duty soldiers with a recent history of suicidal ideation or SA.…”

Section: Introductionmentioning

confidence: 99%

“…Department of Veterans Affairs, 2013; Kaplan, Huguet, McFarland, and Newsom, 2007; Kimbrel et al, 2014b), there is a significant need for additional studies aimed at elucidating the association between NSSI and suicide attempts in veterans, as this important association has only been examined in one prior study with an active duty military sample (Bryan et al, 2015). Accordingly, the aim of the present research was to examine the association between history of NSSI and history of SA in a cross-sectional sample of 292 Iraq/Afghanistan-era veterans.…”

Section: Introductionmentioning

confidence: 99%

Nonsuicidal self-injury and suicide attempts in Iraq/Afghanistan war veterans

Kimbrel

DeBeer

Meyer

et al. 2016

Psychiatry Research

View full text Add to dashboard Cite

The present study examined the association between history of nonsuicidal self-injury (NSSI) and history of suicide attempts (SA) among 292 Iraq/Afghanistan veterans, half of whom carried a lifetime diagnosis of posttraumatic stress disorder (PTSD). Consistent with hypotheses, veterans who reported a history of NSSI were significantly more likely to report a history of SA than veterans without a history of NSSI. In addition, logistic regression demonstrated that NSSI remained a significant predictor of SA even after a wide range of covariates (i.e., combat exposure, traumatic brain injury, PTSD depression, alcohol dependence) were considered. Taken together, these findings suggest that clinicians working with veterans should include NSSI history as part of their standard risk assessment battery.

show abstract

“…Men are at increased risk of fatal suicidal behavior (Luxton et al, 2012; Bush et al, 2013; Schoenbaum et al, 2014; Logan et al, 2015) and women are at increased risk of nonfatal behavior (Lemaire and Graham, 2011; Ursano et al, 2015). Risk factors for most suicide-related outcomes have included: non-Hispanic white race/ethnicity (Luxton et al, 2012; Bush et al, 2013; Schoenbaum et al, 2014; Logan et al, 2015); under 25 years old (among active duty) (Luxton et al, 2012; Bush et al, 2013; Schoenbaum et al, 2014; Logan et al, 2015); enlisted rank of E1–E5 (among active duty) (Bachynski et al, 2012; Hyman et al, 2012; Luxton et al, 2012; Bush et al, 2013; Schoenbaum et al, 2014; Logan et al, 2015); sexual minority status (Blosnich et al, 2013, 2014); pre-enlisted and/or current mental health conditions (Ilgen et al, 2010a; Guerra and Calhoun, 2011; Lemaire and Graham, 2011; Bachynski et al, 2012; Hyman et al, 2012; Skopp et al, 2012; Conner et al, 2013; Luxton et al, 2013; Nock et al, 2014; Ramsawh et al, 2014, 2015; Ramchand et al, 2015); a history of self-directed violence (Lemaire and Graham, 2011; Weiner et al, 2011; Bryan et al, 2015b); substance use problems (Mansfield et al, 2011; Bachynski et al, 2012; LeardMann et al, 2013; Alexander et al, 2014); poor physical health and functionality (e.g., bodily pain, traumatic brain injury) (Ilgen et al, 2010c; Brenner et al, 2011; Magruder et al, 2012; Dobscha et al, 2014); recent disciplinary action from a commanding officer (i.e., Article 15), a demotion, a dishonorable discharge, or recent denial for promotion (among active duty) (Hyman et al, 2012; Schoenbaum et al, 2014; Reger et al, 2015); and intimate partner problems (Hyman et al, 2012; Skopp et al, 2012; Alexander et al, 2014). Suicidal ideation is also associated with lack of social support (Pietrzak et al, 2010; Monteith et al, 2013; Monteith et al, 2015), sexual trauma (Lemaire and Graham, 2011; Lutwak and Dill, 2013), and sleep deprivation (Luxton et al, 2011; …”

Section: Introductionmentioning

confidence: 99%

Suicidal ideation among young Afghanistan/Iraq War Veterans and civilians: Individual, social, and environmental risk factors and perception of unmet mental healthcare needs, United States, 2013

Logan

Bohnert

Spies

et al. 2016

Psychiatry Research

View full text Add to dashboard Cite

Suicidal Ideation among Afghanistan/Iraq War Veterans remains a health concern. As young Veterans adjust to civilian life, new risk factors might emerge and manifest differently in this group versus those in the general population. We explored these differences. With 2013 National Survey on Drug Use and Health data, we examined differences in risk of past-year suicidal ideation between Veterans of the Afghanistan/Iraq War periods aged 18–34 years (N=328) and age-comparable civilians (N=23,222). We compared groups based on individual and socio-environmental risk factors as well as perceptions of unmet mental healthcare needs. We report adjusted rate ratios (aRRs); interaction terms tested for between-group differences. PY suicidal ideation rates for Veterans and civilians did not differ (52 versus 59 per 1,000, p=0.60) and both groups shared many risk factors. However, drug problems and perceived unmet mental health care needs were vastly stronger risk factors among Veterans versus civilians (interaction terms indicated that the aRRs were 3.8–8.0 times higher for Veterans versus civilians). Other differences were discovered as well. Past-year suicidal ideation rates did not differ by Veteran status among young adults. However, different risk factors per group were detected, which can inform Veteran suicide prevention efforts.

show abstract

Nonsuicidal self-injury as a prospective predictor of suicide attempts in a clinical sample of military personnel

Cited by 58 publications

References 20 publications

2015 Department of Defense Health Related Behaviors Survey (HRBS)

2015 Department of Defense Health Related Behaviors Survey (HRBS)

Nonsuicidal self-injury and suicide attempts in Iraq/Afghanistan war veterans

Suicidal ideation among young Afghanistan/Iraq War Veterans and civilians: Individual, social, and environmental risk factors and perception of unmet mental healthcare needs, United States, 2013

Contact Info

Product

Resources

About