Sex Differences in Suicide-Related Symptoms in a Large Military Sample

Rogers, Megan L.; Ringer, Fallon B.; Michaels, Matthew S.; Chiurliza, Bruno; Hagan, Christopher R.; Chu, Carol; Schneider, Mark; Lim, Ingrid C.; Joiner, Thomas E.

doi:10.1080/21635781.2016.1243496

Cited by 4 publications

(3 citation statements)

References 42 publications

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“…Sex is an important determinant of PB, TB, ACSS, and ACSS–Fearlessness About Death (FAD) scores (Donker, Batterham, Van Orden, & Christensen, ; Ribeiro et al, ; Rogers et al, ; Silva et al, ). The ACSS‐FAD is revised from the original ACSS to assess an individual’s level of fearlessness and habituation toward the act and thought of death or suicide (Ribeiro et al, ).…”

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confidence: 99%

“…Further, ACSS and TB scores were higher among male relative to female undergraduates, and PB was correlated more strongly with current suicidal ideation measures for male than for females in the general population (Freedenthal, Lamis, Osman, Kahlo, & Gutierrez, ). Suicidal ideation, as well as ACSS and PB scores, was elevated in male, relative to female U.S. Army recruiters (Rogers et al, ). There is also evidence that men exhibited higher ACSS scores and a trend toward higher TB scores, as compared to women (Donker et al, ).…”

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confidence: 99%

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Interpersonal Risk Factors for Suicide in Cocaine Dependence: Association with Self‐Esteem, Personality Traits, and Childhood Abuse

Zhornitsky

Dhingra

et al. 2020

Suicide & Life Threat Behav

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Objective Studies have linked cocaine dependence to suicidality. According to the Interpersonal Theory of Suicide, suicidal behavior becomes likely with the simultaneous presence of perceived burdensomeness (PB), lack of (or thwarted) belongingness (TB), and acquired fearlessness about death (FAD). Here, we examined personality and other variables, including depression, self‐esteem, childhood abuse, and substance use, as predictors of these risk factors in cocaine‐dependent individuals (CDs). Methods Seventy CDs and 70 healthy controls (HCs) participated. We examined group differences in a group‐by‐sex analysis of variance and identified predictors of PB, TB, and FAD in stepwise regressions. Results CDs exhibited elevated PB and TB but not FAD, compared to HCs. CDs also exhibited elevated harm avoidance, novelty seeking, depression, and lower self‐esteem and reward dependence. Females reported elevated sexual abuse, harm avoidance, reward dependence, depression, but lower FAD, relative to males, among CDs and HCs. Among CDs, PB was predicted by lower self‐esteem and greater emotional abuse; TB was predicted by lower self‐esteem and reward dependence, as well as greater emotional and sexual abuse; and FAD was predicted by lower harm avoidance and greater physical abuse. Conclusions Interventions targeting suicidality in cocaine dependence should take into consideration self‐esteem, personality traits, and childhood abuse.

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confidence: 99%

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confidence: 99%

Interpersonal Risk Factors for Suicide in Cocaine Dependence: Association with Self‐Esteem, Personality Traits, and Childhood Abuse

Zhornitsky

Dhingra

et al. 2020

Suicide & Life Threat Behav

View full text Add to dashboard Cite

show abstract

“…Sociodemographic characteristics significant at the univariable level (P < .05) were examined together in a multivariable model. One exception was the a priori decision to include sex in subsequent multivariable models because of its consistent association with SI in previous Army 11,[36][37][38] and civilian [39][40][41] studies. A similar process was used for MHDx variables, except that the multivariable model included significant sociodemographic characteristics from the previous step.…”

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confidence: 99%

Factors Associated With Suicide Ideation in US Army Soldiers During Deployment in Afghanistan

et al. 2020

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IMPORTANCE Understanding suicide ideation (SI) during combat deployment can inform prevention and treatment during and after deployment. OBJECTIVE To examine associations of sociodemographic characteristics, lifetime and past-year stressors, and mental disorders with 30-day SI among a representative sample of US Army soldiers deployed in Afghanistan. DESIGN, SETTING, AND PARTICIPANTS In this survey study, soldiers deployed to Afghanistan completed self-administered questionnaires in July 2012. The sample was weighted to represent all 87 032 soldiers serving in Afghanistan. Prevalence of lifetime, past-year, and 30-day SI and mental disorders was determined. Logistic regression analyses examined risk factors associated with SI. Data analyses for this study were conducted between August 2018 and August 2019. MAIN OUTCOMES AND MEASURES Suicide ideation, lifetime and 12-month stressors, and mental disorders were assessed with questionnaires. Administrative records identified sociodemographic characteristics and suicide attempts. RESULTS A total of 3957 soldiers (3473 [weighted 87.5%] male; 2135 [weighted 52.6%] aged Յ29 years) completed self-administered questionnaires during their deployment in Afghanistan. Lifetime, past-year, and 30-day SI prevalence estimates were 11.7%, 3.0%, and 1.9%, respectively. Among soldiers with SI, 44.2% had major depressive disorder (MDD) and 19.3% had posttraumatic stress disorder in the past 30-day period. A series of analyses of the 23 grouped variables potentially associated with SI resulted in a final model of sex; race/ethnicity; lifetime noncombat trauma; past 12-month relationship problems, legal problems, and death or illness of a friend or family member; and MDD. In this final multivariable model, white race/ethnicity (odds ratio [OR], 3.1 [95% CI, 1.8-5.1]), lifetime noncombat trauma (OR, 2.1 [95% CI, 1.1-4.0]), and MDD (past 30 days: OR, 31.8 [95% CI, 15.0-67.7]; before past 30 days: OR, 4.9 [95% CI, 2.5-9.6]) were associated with SI. Among the 85 soldiers with past 30-day SI, from survey administration through 12 months after returning from deployment, 6% (5 participants) had a documented suicide attempt vs 0.14% (6 participants) of the 3872 soldiers without SI. CONCLUSIONS AND RELEVANCE This study suggests that major depressive disorder and noncombat trauma are important factors in identifying SI risk during combat deployment.

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Use of the acquired capability for suicide scale (ACSS) among United States military and Veteran samples: A systematic review

Kramer

Gaeddert

Jackson

et al. 2020

Journal of Affective Disorders

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Sex Differences in Suicide-Related Symptoms in a Large Military Sample

Cited by 4 publications

References 42 publications

Interpersonal Risk Factors for Suicide in Cocaine Dependence: Association with Self‐Esteem, Personality Traits, and Childhood Abuse

Interpersonal Risk Factors for Suicide in Cocaine Dependence: Association with Self‐Esteem, Personality Traits, and Childhood Abuse

Factors Associated With Suicide Ideation in US Army Soldiers During Deployment in Afghanistan

Use of the acquired capability for suicide scale (ACSS) among United States military and Veteran samples: A systematic review

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