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Guilt is more strongly associated with suicidal ideation among military personnel with direct combat exposure.

Abstract：

BACKGROUND:Suicide rates in the U.S. military have been rising rapidly in the past decade. Research suggests guilt is a significant predictor of suicidal ideation among military personnel, and may be especially pronounced among those who have been exposure to combat-related traumas. The current study explored the interactive effect of direct combat exposure and guilt on suicidal ideation in a clinical sample of military personnel. METHODS:Ninety-seven active duty U.S. Air Force personnel receiving outpatient mental health treatment at two military clinics completed self-report symptom measures of guilt, depression, hopelessness, perceived burdensomeness, posttraumatic stress disorder, and suicidal ideation. RESULTS:Generalized multiple regression analyses indicated a significant interaction of guilt and direct combat exposure (B=.124, SE=.053, p=.020), suggesting a stronger relationship of guilt with suicidal ideation among participants who had direct combat exposure as compared to those who had not. The interactions of direct combat exposure with depression (B=.004, SE=.040, p=.926), PTSD symptoms (B=.016, SE=.018, p=.382), perceived burdensomeness (B=.159, SE=.152, p=.300) and hopelessness (B=.069, SE=.036, p=.057) were nonsignificant. CONCLUSIONS:Although guilt is associated with more severe suicidal ideation in general among military personnel, it is especially pronounced among those who have had direct combat exposure.

journal_name

J Affect Disord

journal_title

Journal of affective disorders

authors

Bryan CJ,Ray-Sannerud B,Morrow CE,Etienne N

doi

10.1016/j.jad.2012.11.044

subject

Has Abstract

pub_date

2013-05-15 00:00:00

pages

37-41

issue

1

eissn

0165-0327

issn

1573-2517

pii

S0165-0327(12)00811-7

journal_volume

148

pub_type

杂志文章

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