The associations between suicidality and mental health factors and pain interference in veterans being referred to primary care mental health integration

Ashrafioun, Lisham; Leong, Shirley H.; Pigeon, Wilfred R.; Oslin, David W.

doi:10.1016/j.psychres.2018.08.073

Cited by 7 publications

(1 citation statement)

References 30 publications

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“…Extant research has identified several factors associated with suicide attempt among veterans. These include sociodemographic characteristics, such as younger age (Ashrafioun et al, 2018), female sex (Bryan & Bryan, 2019), Caucasian race (Ashrafioun et al, 2016), and lower education (Fanning & Pietrzak, 2013). Military characteristics, such as being enlisted (vs. drafted; Fanning & Pietrzak, 2013), and experiencing high levels of violent combat exposure are associated with heightened risk for attempting suicide (Nichter et al, 2020; Nichter et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Risk factors for suicide attempts among U.S. military veterans: A 7‐year population‐based, longitudinal cohort study

Nichter

Stein

Monteith

et al. 2021

Suicide & Life Threat Behav

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Background: Population-based data on risk factors for suicide attempts among veterans remains limited. Methods:A national probability sample of 2307 veterans was followed over the course of four timepoints spanning seven years to examine how a range of baseline risk factors predict incident suicide attempt. Suicide attempt data were aggregated into a single follow-up timepoint.Results: Sixty-two veterans (3.1%) reported attempting suicide during the 7-year period. The strongest risk factors for suicide attempts were higher baseline levels of loneliness, lower baseline levels of adaptive psychosocial traits (e.g., dispositional gratitude), baseline thoughts of self-harm, and greater post-baseline trauma exposures (12.3%-41.3% of explained variance). Veterans with multiple co-occurring risk factors were at greatest risk for attempts; of veterans with 0, 1, 2, 3, and all 4 of these factors, the predicted probability of suicide attempt was 2.0%, 5.3%, 13.5%, 30.4%, and 55.0%, respectively. Conclusions:Baseline loneliness, dispositional gratitude, thoughts of self-harm, and new-onset traumas emerged as the strongest risk factors for suicide attempts among veterans, underscoring the potential importance of targeting these factors in prevention efforts. Veterans with multiple co-occurring risk factors have

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