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Contribution of veterans' initial post‐separation vocational, financial, and social experiences to their suicidal ideation trajectories following military service
Background Veterans' success with navigating the challenges of transition from military service may contribute to their risk for suicidal outcomes. The concept of well‐being can help to conceptualize and assess successful navigation of reintegration challenges and may serve as an optimal target...
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Published in: | Suicide & life-threatening behavior 2023-06, Vol.53 (3), p.443-456 |
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Main Authors: | , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
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Summary: | Background
Veterans' success with navigating the challenges of transition from military service may contribute to their risk for suicidal outcomes. The concept of well‐being can help to conceptualize and assess successful navigation of reintegration challenges and may serve as an optimal target for public health‐oriented suicide prevention.
Methods
The relationship between US veterans' psychosocial well‐being and experiences of suicidal ideation (SI) during the first 3 years following military separation was evaluated using multinomial logistic regression predicting SI trajectories over time in a population‐based, longitudinal, post‐9/11 veteran cohort. At 3‐months post‐separation, veterans reported on their socio‐material conditions, functioning, and satisfaction with respect to vocational, financial, and social domains. SI frequency was assessed at 3‐, 9‐, 15‐, 21‐, and 27‐months post‐separation using the Patient Health Questionnaire‐9.
Results
Veterans' vocational, financial, and social well‐being were associated with their SI trajectories, even after accounting for mental health. Socio‐material conditions, functioning, and satisfaction all emerged as important predictors of SI trajectories, although results varied across domains. Effects were largest for social well‐being.
Conclusions
Suicide prevention efforts may benefit from a holistic approach that considers veterans' needs for support across their vocational, financial, and social well‐being, inclusive of their socio‐material conditions, functioning, and satisfaction within each domain. |
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ISSN: | 0363-0234 1943-278X |
DOI: | 10.1111/sltb.12955 |