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Predictors of Suicidal Ideation Across Deployment: A Prospective Study
Jeffrey A Cigrang1, Christina Balderrama-Durbin2, Douglas K Snyder2
1Wright State University.
Predeployment problem drinking and depressive symptoms significantly predict suicidal ideation in Air Force Security Forces. Early intervention targeting problem drinking may reduce suicide risk.
Area of Science:
- Military mental health
- Psychotraumatology
- Suicidology
Background:
- Suicidal ideation poses a significant risk among military personnel, particularly during and after deployment.
- Understanding predictors of suicidal ideation is crucial for developing effective prevention strategies.
Purpose of the Study:
- To identify concurrent and prospective predictors of suicidal ideation in United States Air Force Security Forces.
- To examine the combined impact of depressive symptoms and problem drinking on suicidal ideation.
Main Methods:
- A sample of 318 Air Force Security Forces personnel completed self-report measures during and after a 1-year deployment in Iraq.
- Measures included suicidal ideation, depressive symptoms, posttraumatic stress, alcohol use, combat experiences, relationship distress, social support, and readjustment.
Main Results:
- Problem drinking before deployment prospectively predicted postdeployment suicidal ideation.
- Depressive symptoms and problem drinking were significant independent predictors of suicidal ideation.
- A ninefold increase in suicidal ideation was observed in service members with mild depressive symptoms and moderate problem drinking.
Conclusions:
- Predeployment problem drinking is a modifiable risk factor for suicidal ideation and a potential target for early intervention.
- Comorbid depressive symptoms and problem drinking significantly elevate the risk of suicidal ideation in military personnel.
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