Risk for depression and suicidal ideation among food insecure US veterans: data from the National Health and Nutrition Examination Study

Kamdar, Nipa; Horning, Melissa L.; Geraci, Joseph C.; Uzdavines, Alexander W.; Helmer, Drew A.; Hundt, Natalie E.

doi:10.1007/s00127-021-02071-3

Cited by 22 publications

(24 citation statements)

References 40 publications

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“…Overall, our study adds to the growing scholarship demonstrating the detrimental mental and behavioral health effects associated with food insecurity. While cross-sectional and longitudinal studies have documented that food insecurity is a strong risk factor for depressive symptoms or incidence of a major depressive episode (Heflin, Siefert, and Williams 2005; Siefert et al 2004; Whitaker, Phillips, and Orzol 2006), anxiety, and sleep disorders (Arenas et al 2019), as well as increased substance use (Ciciurkaite and Brown 2017; Nagata et al 2021; Pryor et al 2016), risk for suicidality has received less scholarly attention (Alaimo et al 2002; Brinkman et al 2021; Davison et al 2015; Kamdar et al 2021; Koyanagi et al 2019; Men, Elgar, and Tarasuk 2021; Nagata et al 2019b; Pryor et al 2016). Notably, scholarship that has considered suicide ideation or attempts as outcomes has primarily focused on either adult or adolescent samples.…”

Section: Discussionmentioning

confidence: 99%

“…Recently, food insecurity has been increasingly recognized as an overlooked risk factor for suicidal thoughts and behaviors among adolescents (Alaimo, Olson, and Frongillo 2002; Brinkman et al 2021; Koyanagi et al 2019) and adults (Davison, Marshall-Fabien, and Tecson 2015; Kamdar et al 2021; Men, Elgar, and Tarasuk 2021; Nagata et al 2019b; Pryor et al 2016). However, there is a paucity of scholarship on food insecurity and suicide ideation among young adults, and the research that does exist has been largely limited to nonrepresentative samples (Men, Elgar, and Tarasuk 2021; Pryor et al 2016).…”

Section: Introductionmentioning

confidence: 99%

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The Risk for Food Insecurity and Suicide Ideation among Young Adults in the United States: The Mediating Roles of Perceived Stress and Social Isolation

Graham

Ciciurkaite

2022

Society and Mental Health

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Young adults in the United States have the highest prevalence of suicidal thoughts of any adult age group. While limited, research indicates food insecurity heightens the risk of suicide ideation among young adults. However, research has not explored the pathways underlying the food insecurity—suicide ideation association among this population. Using 2008 data from Wave IV of the National Longitudinal Study of Adolescent to Adult Health (Add Health), we fill this gap by testing for the mediating roles of perceived stress and social isolation in the association between the risk for food insecurity and suicide ideation among young adults ages 24–32 ( N = 14,897). Our findings reveal that perceived stress and social isolation account for almost half of this association. Given the eradication of food insecurity in the United States is unlikely imminent, our results indicate an exigent need for interventions and programs to address psychosocial risk factors associated with food insecurity.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Risk for Food Insecurity and Suicide Ideation among Young Adults in the United States: The Mediating Roles of Perceived Stress and Social Isolation

Graham

Ciciurkaite

2022

Society and Mental Health

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“…Unfortunately, however, this literature tends to be characterized by methodological limitations that inhibit causal inference and application to real‐world screening, prevention, and intervention efforts. For example, research tends to rely on cross‐sectional designs, despite a need to clarify the temporal precedence of suicide risk factors to improve intervention methods (e.g., Hyman et al, 2012; Kamdar et al, 2021; Sterling IV et al, 2017). Where longitudinal designs have been utilized, analyses often focus on a narrow scope of situational stressors or collapse across stressor domains, limiting nuance of available conclusions (e.g., Ashrafioun et al, 2016; LaCroix et al, 2018; LeardMann et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Situational stress and suicide attempt behavior in Army soldiers and veterans: Insights from the Army Study to Assess Risk and Resilience in Servicemembers‐Longitudinal Study

Edwards

Coolidge

Ruiz

et al. 2023

Suicide & Life Threat Behav

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IntroductionPrevention of suicide‐related behaviors is considered a top clinical priority within the Departments of Veterans Affairs and Defense. Despite previous literature attesting to the likely importance of situational stress as a key correlate of acute changes in suicide risk, longitudinal research into associations between situational stress and suicide‐related outcomes among military personnel has been relatively limited.MethodsThe current study examined associations between situational stress, recent suicide attempt, and future suicide attempt using data from 14,508 Army soldiers and recently discharged veterans enrolled in the Army Study to Assess Risk and Resilience in Servicemembers‐Longitudinal Studies (STARRS‐LS).ResultsRecent situational stress was more common among recently discharged veterans (vs. soldiers), those with a recent suicide attempt (vs. those without), and those with a subsequent suicide attempt (vs. those without). Job loss was more closely associated with suicide attempts among soldiers, whereas financial crisis, police contact, and death, illness, or injury of close others were more closely associated with suicide attempts among recently discharged veterans.ConclusionFindings further highlight situational stress as a salient risk factor for suicide‐related outcomes among military personnel, particularly among recently discharged veterans. Implications for screening and treatment of at‐risk military personnel are discussed.

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“…Food insecurity is associated with negative health outcomes including chronic illnesses such as diabetes and hypertension in adults (Gundersen & Ziliak, 2015). Among veterans, those who experience food insecurity also have greater risk for depression and suicidal ideation (Kamdar et al., 2021). Thus, veterans with children living in food insecure households are a particularly vulnerable group.…”

Section: Introductionmentioning

confidence: 99%

Photo‐elicitation: Reflections on a method to study food insecurity among low‐income, post‐9/11 veterans

Kamdar

Hernandez

2021

Public Health Nursing

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Photo‐elicitation is a research method in which participants use visual images (e.g., photographs) to convey their experiences. It is a useful method for public health nurses to research complex topics among vulnerable populations. This article focuses on the granular details of one research team's implementation of photo‐elicitation to study food insecurity among low‐income veterans raising children. They detail three sessions with participants during which they: (1) described the process of photo‐elicitation; (2) completed photo‐guided interviews; and (3) sought participant input through member checking. The article also includes reflections on their experiences as researchers implementing the photo‐elicitation process. Among their insights was an appreciation for the range of emotions participants experienced as they shared their narratives. These emotions and the associated photos contributed to the rich data generated from the interviews. The researchers used the images and participant captions generated through photo‐elicitation to raise awareness of and build empathy for the challenges and situations veterans who are food insecure experience. In this way, photo‐elicitation may be used as an advocacy tool to capture the attention of policymakers and other key stakeholders.

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Risk for depression and suicidal ideation among food insecure US veterans: data from the National Health and Nutrition Examination Study

Cited by 22 publications

References 40 publications

The Risk for Food Insecurity and Suicide Ideation among Young Adults in the United States: The Mediating Roles of Perceived Stress and Social Isolation

The Risk for Food Insecurity and Suicide Ideation among Young Adults in the United States: The Mediating Roles of Perceived Stress and Social Isolation

Situational stress and suicide attempt behavior in Army soldiers and veterans: Insights from the Army Study to Assess Risk and Resilience in Servicemembers‐Longitudinal Study

Photo‐elicitation: Reflections on a method to study food insecurity among low‐income, post‐9/11 veterans

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