Risk factors for concurrent suicidal ideation and violent impulses in military veterans.

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Title: Risk factors for concurrent suicidal ideation and violent impulses in military veterans.
Authors: Elbogen, Eric B.1,2 eric.elbogen@duke.edu, Wagner, H. Ryan1,2, Kimbrel, Nathan A.1,2, Brancu, Mira1,2, Naylor, Jennifer1,2, Crawford, Eric1, Graziano, Robert3, VA Mid-Atlantic MIRECC Workgroup
Source: Psychological Assessment. Apr2018, Vol. 30 Issue 4, p425-435. 11p.
Subject Terms: *Drug abuse, Mental health of veterans, Suicidal ideation, Suicide risk factors, Violence, Post-traumatic stress disorder
Abstract: 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 [ABSTRACT FROM AUTHOR]
Copyright of Psychological Assessment is the property of American Psychological Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Risk factors for concurrent suicidal ideation and violent impulses in military veterans.
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  Data: <searchLink fieldCode="AR" term="%22Elbogen%2C+Eric+B%2E%22">Elbogen, Eric B.</searchLink><relatesTo>1,2</relatesTo><i> eric.elbogen@duke.edu</i><br /><searchLink fieldCode="AR" term="%22Wagner%2C+H%2E+Ryan%22">Wagner, H. Ryan</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22Kimbrel%2C+Nathan+A%2E%22">Kimbrel, Nathan A.</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22Brancu%2C+Mira%22">Brancu, Mira</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22Naylor%2C+Jennifer%22">Naylor, Jennifer</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22Crawford%2C+Eric%22">Crawford, Eric</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Graziano%2C+Robert%22">Graziano, Robert</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22VA+Mid-Atlantic+MIRECC+Workgroup%22">VA Mid-Atlantic MIRECC Workgroup</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Psychological+Assessment%22">Psychological Assessment</searchLink>. Apr2018, Vol. 30 Issue 4, p425-435. 11p.
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  Data: *<searchLink fieldCode="DE" term="%22Drug+abuse%22">Drug abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health+of+veterans%22">Mental health of veterans</searchLink><br /><searchLink fieldCode="DE" term="%22Suicidal+ideation%22">Suicidal ideation</searchLink><br /><searchLink fieldCode="DE" term="%22Suicide+risk+factors%22">Suicide risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Violence%22">Violence</searchLink><br /><searchLink fieldCode="DE" term="%22Post-traumatic+stress+disorder%22">Post-traumatic stress disorder</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: 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 [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Psychological Assessment is the property of American Psychological Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1037/pas0000490
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        Text: English
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        PageCount: 11
        StartPage: 425
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      – SubjectFull: Drug abuse
        Type: general
      – SubjectFull: Mental health of veterans
        Type: general
      – SubjectFull: Suicidal ideation
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      – SubjectFull: Suicide risk factors
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      – SubjectFull: Violence
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      – SubjectFull: Post-traumatic stress disorder
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      – TitleFull: Risk factors for concurrent suicidal ideation and violent impulses in military veterans.
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              Text: Apr2018
              Type: published
              Y: 2018
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