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Relationships of DSM-5 PTSD symptom clusters to suicidal ideation and death ideation in outpatient military veterans.
- Source :
-
Psychiatry research [Psychiatry Res] 2024 Sep; Vol. 339, pp. 115993. Date of Electronic Publication: 2024 May 30. - Publication Year :
- 2024
-
Abstract
- Veterans with PTSD are at higher risk for suicide. This study examined the specific associations of PTSD symptom clusters with suicidal ideation (SI) and death ideation (DI), independently from depressive symptom clusters. Participants included 695 Israeli male outpatient military veterans (M = 25.35 years, SD = 5.65), divided into subsamples of probable PTSD (PTSD Checklist for DSM-5 [PCL-5] ≥ 33) and subthreshold PTSD scores (PCL-5 < 33). Data were extracted from medical chartsand self-report questionnaires. The main analyses included logistic regression to evaluate the associations between SI and DI (Brief Symptom Inventory, items 9 and 39) and PTSD symptom clusters (PCL-5), controlling for depressive symptom clusters (Beck Depression Inventory; cognitive-affective and somatization) in each subsample. The results showed that, for veterans with probable PTSD, the negative alterations in cognition and mood symptom cluster was positively correlated with SI and DI, while avoidance was negatively correlated with SI, independently from depressive symptoms clusters. In those with sub-syndromal PTSD, the re-experiencing cluster was positively correlated with DI, independently from the depressive symptom clusters. These findings highlight the importance of targeting PTSD components, such as negative alterations in cognition and mood symptoms experienced by veterans with PTSD, as part of suicide prevention efforts.<br />Competing Interests: Declaration of competing interest None.<br /> (Copyright © 2024 Elsevier B.V. All rights reserved.)
- Subjects :
- Humans
Male
Adult
Depression psychology
Depression diagnosis
Young Adult
Outpatients
Israel epidemiology
Middle Aged
Psychiatric Status Rating Scales
Suicidal Ideation
Veterans psychology
Veterans statistics & numerical data
Stress Disorders, Post-Traumatic diagnosis
Stress Disorders, Post-Traumatic psychology
Diagnostic and Statistical Manual of Mental Disorders
Subjects
Details
- Language :
- English
- ISSN :
- 1872-7123
- Volume :
- 339
- Database :
- MEDLINE
- Journal :
- Psychiatry research
- Publication Type :
- Academic Journal
- Accession number :
- 38878422
- Full Text :
- https://doi.org/10.1016/j.psychres.2024.115993