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

2018 ◽  
Vol 15 (3) ◽  
pp. 357-362 ◽  
Author(s):  
Minden B. Sexton ◽  
Margaret T. Davis ◽  
RaeAnn E. Anderson ◽  
Diana C. Bennett ◽  
Erin Sparapani ◽  
...  
Keyword(s):  
Sexual Trauma ◽  
Suicide Attempts ◽  
Military Sexual Trauma ◽  
Minority Status ◽  
Gender Minority ◽  
Sexual And Gender Minority ◽  
And Gender

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

Associations Among Military Sexual Trauma, Opioid Use Disorder, and Gender

2021 ◽  
Author(s):  
Kerry L. Beckman ◽  
Emily C. Williams ◽  
Paul L. Hebert ◽  
Madeline C. Frost ◽  
Anna D. Rubinsky ◽  
...  
Keyword(s):  
Sexual Trauma ◽  
Opioid Use Disorder ◽  
Military Sexual Trauma ◽  
Opioid Use ◽  
And Gender

Military Sexual Trauma During Deployment to Iraq and Afghanistan: Prevalence, Readjustment, and Gender Differences

2012 ◽  
Vol 27 (4) ◽  
pp. 487-499 ◽  
Author(s):  
Lori S. Katz ◽  
Geta Cojucar ◽  
Sayeh Beheshti ◽  
Erin Nakamura ◽  
Michelle Murray
Keyword(s):  
Gender Differences ◽  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Sexual Trauma ◽  
Stress Disorder ◽  
Self Report ◽  
Military Sexual Trauma ◽  
Men And Women ◽  
And Gender

This study examines military sexual trauma (MST) in men and women deployed in the wars in Iraq and Afghanistan. A diverse sample of 470 (408 men and 62 women) completed anonymous self-report questionnaires. Seventy-seven reported MST: 51 (12.5%) men and 26 (42%) women. MST was significantly related to symptoms and readjustment and most strongly with intimacy problems. Of those with MST, 73% also reported exposure to war-related stressors. Gender differences revealed that women reported a higher prevalence of MST, but men were more likely to endorse MST with multiple war-related stressors. However, no gender differences were found on reports of symptoms, posttraumatic stress disorder (PTSD), or readjustment. Implications of these results are discussed.

Military Sexual Trauma and Intimate Partner Violence: Subtypes, Associations, and Gender Differences

2019 ◽  
Vol 35 (4) ◽  
pp. 349-360 ◽  
Author(s):  
Mark R. Relyea ◽  
Galina A. Portnoy ◽  
Joan L. Combellick ◽  
Cynthia A. Brandt ◽  
Sally G. Haskell
Keyword(s):  
Gender Differences ◽  
Intimate Partner Violence ◽  
Partner Violence ◽  
Sexual Trauma ◽  
Intimate Partner ◽  
Military Sexual Trauma ◽  
And Gender

Military sexual trauma as a determinant in the development of mental and physical illness in male and female veterans

2013 ◽  
Vol 25 (3) ◽  
pp. 269-274 ◽  
Author(s):  
Betsy S. O’Brien ◽  
Leo Sher
Keyword(s):  
Military Service ◽  
Sexual Trauma ◽  
Behavioral Science ◽  
Multiple Organ ◽  
Physical Illness ◽  
Traumatic Experiences ◽  
Medical Illness ◽  
Military Sexual Trauma ◽  
Organ Systems ◽  
Military Service Member

Abstract Background: Military Sexual Trauma (MST) is defined as sexual harassment and or sexual assault experienced by a military service member. It is much more widespread and common than reported. It is associated with pre-combat traumatic experiences and pathologic sequelae including mental and medical illness. Methods: An electronic search of the major behavioral science databases was conducted to retrieve studies detailing the social, epidemiological and clinical characteristics of MST and its relationship to psychiatric and medical illness. Results: Studies indicate that military sexual trauma is related to an increase in psychiatric pathology, including posttraumatic stress disorder (PTSD), substance abuse and dependence, depression, anxiety, eating disorders and suicidal behavior. MST is also related to an increase in medical illness, primarily pain-related symptoms involving multiple organ systems, including gastrointestinal, neurological, genitourinary and musculoskeletal. Conclusion: MST is associated with an increased prevalence of mental and physical illness. Although there are some gender differences in the reported rates of MST and there may be some variables, such as prior traumatic experiences, that may make an individual more vulnerable to the psychiatric and medical sequela of MST, it is clear that MST is a major healthcare issue that affects both sexes and warrants further attention and an increase in clinical resources devoted to it. Some preventive measures for decreasing the prevalence of MST may include increasing education and legal prosecution of perpetrators in the military, and increasing access to mental health services for individuals who have suffered from MST.

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.

Assessing Institutional Betrayal Among Female Veterans Who Experienced Military Sexual Trauma: A Rasch Analysis of the Institutional Betrayal Questionnaire.2

2021 ◽  
pp. 088626052098395
Author(s):  
Lindsey L. Monteith ◽  
Alexandra L. Schneider ◽  
Ryan Holliday ◽  
Nazanin H. Bahraini
Keyword(s):  
Sexual Assault ◽  
Sexual Harassment ◽  
Factor Structure ◽  
Military Service ◽  
Rasch Analysis ◽  
Sexual Trauma ◽  
Military Sexual Trauma ◽  
Female Veterans ◽  
Military Sexual Assault ◽  
History Of

Military sexual trauma (MST; i.e., sexual harassment and/or sexual assault during one’s military service) is highly prevalent among female veterans and is associated with numerous adverse health and psychosocial sequelae. When institutions fail to prevent sexual trauma from happening or respond in an unsupportive manner (i.e., institutional betrayal [IB]), MST survivors typically report more severe health-related outcomes. Although the Institutional Betrayal Questionnaire.2 (IBQ.2) was developed to assess IB, no studies have examined the factor structure or dimensionality of the IBQ.2 among MST survivors. In addition, initial research has reported differing factor structures for this measure. The present study examined the dimensionality and factor structure of the IBQ.2, and tested for differential item functioning (DIF) based on whether military sexual assault was experienced. The sample comprised 235 female veterans who reported a history of MST in an anonymous national survey. Rasch analysis suggested multidimensionality and DIF based on history of military sexual assault. Exploratory factor analysis and parallel analysis suggested the IBQ.2 comprises three factors: (1) Environment Leading to MST, (2) Institutional Response to MST, and (3) Institutional Belongingness following MST. Although these results suggest that the IBQ.2 is multidimensional, the three-factor model had significant issues with respect to dimensionality, item fit, and person separation and reliability. Thus, using the full IBQ.2 may be more advantageous. Further examination of the IBQ.2 is warranted to ensure optimal assessment of IB in relation to MST, irrespective of whether the MST comprised sexual harassment or sexual assault, as well as to ensure that the IBQ.2 is culturally meaningful for MST survivors.

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