Identifying factors associated with suicidal ideation and suicide attempts following military sexual trauma

2019 ◽  
Vol 252 ◽  
pp. 300-309 ◽  
Author(s):  
Lindsey L. Monteith ◽  
Ryan Holliday ◽  
Alexandra L. Schneider ◽  
Jeri E. Forster ◽  
Nazanin H. Bahraini
Keyword(s):  
Suicidal Ideation ◽  
Sexual Trauma ◽  
Suicide Attempts ◽  
Military Sexual Trauma ◽  
Factors Associated

scholarly journals Psychiatric and Interpersonal Correlates of Suicide Ideation in Military Sexual Trauma Survivors: The National Health and Resilience in Veterans Study

2018 ◽  
Vol 2 ◽  
pp. 247054701881590 ◽  
Author(s):  
Lindsey L. Monteith ◽  
Noelle B. Smith ◽  
Ryan Holliday ◽  
Robert H. Pietrzak
Keyword(s):  
Psychological Distress ◽  
Suicidal Ideation ◽  
Alcohol Use ◽  
Suicide Attempt ◽  
Sexual Trauma ◽  
Suicide Attempts ◽  
Military Sexual Trauma ◽  
Hazardous Alcohol Use ◽  
Cross Sectional ◽  
Hazardous Alcohol

Background Veterans who experience military sexual trauma are at increased risk for experiencing suicidal ideation, suicide attempt, and suicide. Yet few studies have attempted to discern factors that relate to suicidal ideation and suicide attempts among survivors of military sexual trauma. The present study aimed to identify psychiatric and interpersonal correlates of suicidal ideation (primary aim) and suicide attempt (secondary aim) among survivors of military sexual trauma. Methods This cross-sectional analysis included 115 veterans (56 females; mean age = 53.24) who participated in the National Health and Resilience in Veterans Study and reported experiencing military sexual trauma. Self-report measures assessed psychological distress, hazardous alcohol use, social support, loneliness, social acknowledgment following one’s worst trauma, suicidal ideation, and suicide attempts. Results Military sexual trauma survivors who reported more severe psychological distress (OR = 2.88), hazardous alcohol use (OR = 1.14), and perceived general disapproval from others (OR = 1.14) were significantly more likely to report experiencing suicidal ideation in the past two weeks. Hazardous alcohol use (OR = 1.19) and perceived general disapproval from others (OR = 1.36) were associated with being more likely to report attempting suicide in adulthood. Conclusions Addressing alcohol misuse, psychological distress, and perceived general disapproval from others in relation to one’s worst traumatic event is recommended when assessing and managing suicide risk among veterans who have experienced military sexual trauma. Findings also contribute to a growing literature highlighting the importance of understanding perceptions of the interpersonal response to trauma. Considering the cross-sectional design, longitudinal research is needed to further elucidate the roles of these constructs in predicting suicidal ideation and suicide attempt following military sexual trauma.

Predictors of suicidal ideation in veterans with PTSD related to military sexual trauma

2011 ◽  
Vol 24 (5) ◽  
pp. 605-608 ◽  
Author(s):  
Alina Surís ◽  
Jessica Link-Malcolm ◽  
Carol S. North
Keyword(s):  
Suicidal Ideation ◽  
Sexual Trauma ◽  
Military Sexual Trauma

Military sexual trauma and suicidal ideation in VHA-care-seeking OEF/OIF/OND veterans without mental health diagnosis or treatment

2021 ◽  
pp. 114089
Author(s):  
Suzanne E. Decker ◽  
Christine M. Ramsey ◽  
Silvia Ronzitti ◽  
Robert D. Kerns ◽  
Mary A. Driscoll ◽  
...  
Keyword(s):  
Mental Health ◽  
Suicidal Ideation ◽  
Sexual Trauma ◽  
Military Sexual Trauma ◽  
Care Seeking ◽  
Mental Health Diagnosis ◽  
Health Diagnosis

Organizational Factors Associated with Screening for Military Sexual Trauma

2012 ◽  
Vol 22 (2) ◽  
pp. e209-e215 ◽  
Author(s):  
Jenny K. Hyun ◽  
Rachel Kimerling ◽  
Ruth C. Cronkite ◽  
Susan McCutcheon ◽  
Susan M. Frayne
Keyword(s):  
Sexual Trauma ◽  
Organizational Factors ◽  
Military Sexual Trauma ◽  
Factors Associated

scholarly journals Relation between sexual and gender minority status and suicide attempts among veterans seeking treatment for military sexual trauma.

2020 ◽  
Author(s):  
Minden Sexton ◽  
Margaret T. Davis ◽  
RaeAnn Elizabeth Anderson ◽  
Diana C. Bennett ◽  
Erin Sparapani ◽  
...  
Keyword(s):  
Military Service ◽  
Sexual Trauma ◽  
Suicide Attempts ◽  
Psychiatric Morbidity ◽  
Health Care Research ◽  
Additional Risk Factor ◽  
Military Sexual Trauma ◽  
Gender Minorities ◽  
Minority Veterans ◽  
And Gender

There is limited study of suicidal behaviors among veterans identifying as sexual and gender minorities (SGMs), despite previous research indicating rates of suicide attempts are high within civilian SGM populations. Further, some research incorporating military service members suggests those identifying as SGMs are disproportionately exposed to military sexual trauma (MST), an additional risk factor for negative psychiatric sequelae. To address health care research disparities among minority veterans (i.e., women, those endorsing MST, SGMs), we examined presentations of veterans (N = 277) who attended initial consultation appointments for MST-related treatment and completed a semistructured clinical interview including demographic characteristics, history of suicide attempts (HSA), and a diagnostic evaluation. Twenty-eight (10.1%) veterans identified as SGMs. SGM/non-SGM groups were contrasted on suicidal and psychiatric morbidity outcomes. Overall, endorsement of HSA was high (30.7%). Despite similar clinical profiles, 53.6% of veterans who identified as SGM endorsed HSA in contrast with 28.1% of peers identifying as heterosexual and nontransgender, a significant effect of small-to-moderate size. Findings suggest assessment and clinical management of suicidality is of critical importance for clinicians providing services to veterans pursuing recovery from MST, generally, and may be especially so when delivering care to SGM. Further, results underscore the need for culturally competent delivery of trauma-focused interventions.

scholarly journals 1353. Gonorrhea and Chlamydia Testing and Case Rates Among Women Veterans in the Veterans Health Administration

2021 ◽  
Vol 8 (Supplement_1) ◽  
pp. S763-S764
Author(s):  
Shimrit Keddem ◽  
Marissa Maier ◽  
Carolyn Gardella ◽  
Joleen Borgerding ◽  
Elliott Lowy ◽  
...  
Keyword(s):  
Sexual Trauma ◽  
Women Veterans ◽  
Veterans Health Administration ◽  
Military Sexual Trauma ◽  
Veterans Health ◽  
Health Administration ◽  
Infection Rates ◽  
Factors Associated ◽  
Chlamydia Testing ◽  
Case Rate

Abstract Background United States (US) rates of sexually transmitted infection (STI) in women, especially gonorrhea and chlamydia, have increased over the past decade. Women Veterans have many risk factors associated with STIs, including high rates of childhood sexual assault, military sexual trauma and intimate partner violence. Despite the availability of effective diagnostic tests and evidence-based guidelines for annual screening among sexually active women under age 25, screening rates for gonorrhea and chlamydia remain low in the US and among Veterans. Methods We performed a retrospective cohort study of all women Veterans in Veterans Health Administration (VHA) care between January 1, 2018 and December 31, 2019 to examine patient characteristics and health system factors associated with gonorrhea and chlamydia testing and case rates among women Veterans in the VHA in 2019. Results Among women under age 25, 21.3% were tested for gonorrhea or chlamydia in 2019. After adjusting for demographic and other health factors, predictors of testing in women under age 25 included Black race (aOR: 2.11 CI: 1.89, 2.36), rural residence (aOR: 0.84, CI: 0.74, 0.95), and cervical cancer screening (aOR: 5.05 CI: 4.59, 5.56). Women under age 25 had the highest infection rates, with an incidence of chlamydia and gonorrhea of 1,950 and 267 cases/100,000, respectively. Incidence of gonorrhea and chlamydia was higher for women with a history of military sexual trauma (MST) (Chlamydia case rate: 265, Gonorrhea case rate: 97/100,000) and those with mental health diagnoses (Chlamydia case rate: 263, Gonorrhea case rate: 72/100,000.) Over a third of chlamydia cases (35.2%) and gonorrhea cases (35.5%) occurred in women who resided in the South Atlantic census division. Chlamydia cases per 100,000 women Veterans seen in VHA (2019) Gonorrhea cases per 100,000 women Veterans seen in VHA (2019) Conclusion Gonorrhea and chlamydia testing remains underutilized among women in the VHA and infection rates are high among younger women. Patient-centered, system-level interventions are urgently needed to address low testing rates. Disclosures All Authors: No reported disclosures

scholarly journals Suicidal behavior in the community: prevalence and factors associated with suicidal ideation

2005 ◽  
Vol 27 (1) ◽  
pp. 45-53 ◽  
Author(s):  
Neury José Botega ◽  
Marilisa Berti de Azevedo Barros ◽  
Helenice Bosco de Oliveira ◽  
Paulo Dalgalarrondo ◽  
Letícia Marín-León
Keyword(s):  
Suicidal Ideation ◽  
Mental Disorders ◽  
Suicidal Behavior ◽  
Suicide Attempts ◽  
Prevalence Rates ◽  
Factors Associated ◽  
Gender And Age ◽  
Stratified Sample ◽  
Ideation Methods ◽  
Suicidal Plans

OBJECTIVES: To estimate the life prevalence rates of suicidal ideation, suicidal plans and suicide attempts and verify factors associated to suicidal ideation. METHODS: 515 individuals > 14 years old were selected at random (cluster and stratified sample) and assessed by means of the WHO SUPRE-MISS interview, SRQ-20 and AUDIT. Life prevalence rates were estimated. Uni and multivariate analyses were performed. Odds ratios, together with confidence intervals, were adjusted by gender and age. RESULTS: Life prevalence rates were 17.1% (95% CI: 12.9 - 21.2) for suicidal ideation, 4.8% (95% CI: 2.8 - 6.8) for plans and 2.8% (95% CI: 0.09 - 4.6) for suicide attempts. Only one-third of those who attempted suicide were later treated at a health facility. The 12-month prevalence rates were, respectively, 5.3% (95% CI: 3.5 - 7.2), 1.9% (95% CI: 1.0 - 2.8) and 0.4% (95% CI: -0.3 - 1.1). Suicidal ideation was more frequently reported by women (OR = 1.7), young adults (20-29 years old: OR = 2.9; 30-39 years old: OR = 3.6, compared to the 14-19 year old group), those living alone (OR = 4.2) and those presenting mental disorders (OR between 2.8 and 3.8). CONCLUSION: The prevalence of suicidal behavior was similar to that found in most studies carried out in other countries. Suicidal ideation was consistently associated with factors related to mental disorders or psychological distress. This should be taken into account when developing strategies to prevent suicidal behavior.

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