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Title: Veteran exposure to suicide: Prevalence and correlates
Contributor(s): Cerel, Julie (author); van de Venne, Judy G (author); Moore, Melinda M (author); Maple, Myfanwy  (author)orcid ; Flaherty, Chris (author); Brown, Margaret M (author)
Publication Date: 2015
DOI: 10.1016/j.jad.2015.03.017
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Abstract: Background: The aim of this study was to determine rates and consequences of suicide exposure in a veteran population and variables related to psychiatric morbidity. Methods: 931 veterans from a random digit dial survey conducted July 2012-June 2013 in the Commonwealth of Kentucky was utilized to examine associations between suicide exposure and depression and anxiety. For those with lifetime suicide exposure, perceptions of closeness to the decedent and additional traumatic death exposure were also examined. Results: Almost half of veterans (47.1%, n=434) reported lifetime exposure to suicide. Suicide-exposed individuals were almost twice as likely to have diagnosable depression (OR=1.92, CI=1.31-2.8) and more than twice as likely to have diagnosable anxiety (OR=2.37, CI=1.55-3.61). Suicide-exposed were also more likely than non-exposed to report suicide ideation (9.9% vs. 4.3%). Perceived closeness to decedent increased the odds of depression (OR=1.38, CI=1.12-1.69), anxiety (OR=1.51, CI=1.21-1.89) and PTSD (OR=1.65, CI=1.27-2.16) and more than doubled the odds of Prolonged Grief (OR=2.47, CI=1.60-3.83). A model examined time sequence of suicide and traumatic death exposure. Experiencing a suicide exposure first and subsequent traumatic death exposure in their military career almost quadrupled the odds of suicide ideation (OR=3.56, p=.01, CI=1.34-9.46). Limitations: Major study limitations include use of only one US state and random digit dial response rate. Conclusions: Suicide exposure confers psychiatric risks in veterans. Perceptions of closeness to decedents, which may extend beyond familial lines, may heighten these risks in the suicide exposed. Multiple exposures to suicide and traumatic death may lead to significant suicide risk.
Publication Type: Journal Article
Source of Publication: Journal of Affective Disorders, v.179, p. 82-87
Publisher: Elsevier BV
Place of Publication: Amsterdam, The Netherlands
ISSN: 0165-0327
Field of Research (FOR): 111714 Mental Health
119999 Medical and Health Sciences not elsewhere classified
Peer Reviewed: Yes
HERDC Category Description: C1 Refereed Article in a Scholarly Journal
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