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. 2024 Aug;37(4):594-605.
doi: 10.1002/jts.23033. Epub 2024 Mar 25.

From posttraumatic stress symptoms to suicidal ideation among military veterans: Pathways founded on meaning in life and gratitude

Shaina A Kumar  1   2 , Emily Taverna  3 , Shelby Borowski  3 , Brian N Smith  1   3 , Dawne Vogt  1   3
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From posttraumatic stress symptoms to suicidal ideation among military veterans: Pathways founded on meaning in life and gratitude

Shaina A Kumar et al. J Trauma Stress. 2024 Aug.

Abstract

Military veterans experience higher rates of suicidal ideation compared to nonveteran populations. Importantly, suicidal ideation often precedes and predicts fatal and nonfatal suicide attempts, and thus it is critical to better understand factors that increase risk for suicidal ideation to inform suicide prevention efforts in this population. One key predictor of suicidal ideation is exposure to traumatic experiences and their sequelae, particularly posttraumatic stress symptoms (PTSS). However, little work has explored how deficits in well-being contribute to this association among veterans. We tested two aspects of well-being-meaning in life and gratitude-as potential mechanisms underlying the pathway from PTSS to suicidal ideation among 7,388 men and women veterans who recently separated from service. A parallel mediation analysis revealed significant paths from more severe PTSS to more frequent suicidal ideation through diminished meaning in life, B = 0.005, SE = 0.001, 95% CI [0.004, 0.007], and gratitude, B = 0.001, SE = 0.001, 95% CI [< 0.001, 0.002]. Gender differences were also observed. Although the results related to meaning in life appeared to replicate across gender, pathways involving gratitude differed among men and women. Overall, our findings suggest that helping veterans build meaning and appreciation in everyday life may be a proactive and holistic approach to suicide prevention.

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References

    1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). 10.1176/appi.books.9780890425596 - DOI
    1. Centers for Disease Control and Prevention. (2023). Facts about suicide. https://www.cdc.gov/suicide/facts/
    1. Cole DA, & Maxwell SE (2003). Testing mediational models with longitudinal data: Questions and tips in the use of structural equation modeling. Journal of Abnormal Psychology, 112(4), 558–577. 10.1037/0021-843X.112.4.558 - DOI - PubMed
    1. Contractor AA, Weiss NH, & Forkus SR (2021). Moderating effects of dysregulation and fear of positive emotions on the relationship between posttraumatic stress disorder symptoms and positive memory count. Journal of Clinical Psychology, 77(3), 701–721. 10.1002/jclp.23046 - DOI - PMC - PubMed
    1. Denneson LM, Tompkins KJ, McDonald KL, Hoffmire CA, Britton PC, Carlson KF, Smolenski DJ, & Dobscha SK (2020). Gender differences in the development of suicidal behavior among United States military veterans: A national qualitative study. Social Science & Medicine, 260, Article 113178. 10.1016/j.socscimed.2020.113178 - DOI - PubMed

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