Combined PTSD and Depressive Symptoms Interact with Post-deployment Social Support to Predict Suicidal Ideation in Operation Enduring Freedom and Operation Iraqi Freedom Veterans

Overview

Journal Psychiatry Res

Specialty Psychiatry

Date 2014 Mar 12

PMID 24612971

Citations 38

Authors

Bryann B DeBeer

Nathan A Kimbrel

Eric C Meyer

Suzy B Gulliver

Sandra B Morissette

Affiliations

Soon will be listed here.

Abstract

Rates of suicide are alarmingly high in military and veteran samples. Suicide rates are particularly elevated among those with post-traumatic stress disorder (PTSD) and depression, which share overlapping symptoms and frequently co-occur. Identifying and confirming factors that reduce, suicide risk among veterans with PTSD and depression is imperative. The proposed study evaluated, whether post-deployment social support moderated the influence of PTSD-depression symptoms on, suicidal ideation among Veterans returning from Iraq and Afghanistan using state of the art clinical, diagnostic interviews and self-report measures. Operations Enduring and Iraqi Freedom (OEF/OIF) Veterans (n=145) were invited to, participate in a study evaluating returning Veterans׳ experiences. As predicted, PTSD-depression, symptoms had almost no effect on suicidal ideation (SI) when post-deployment social support was high; however, when, post-deployment social support was low, PTSD-depression symptoms were positively associated with, SI. Thus, social support may be an important factor for clinicians to assess in the context of PTSD and, depressive symptoms. Future research is needed to prospectively examine the inter-relationship, between PTSD/depression and social support on suicidal risk, as well as whether interventions to, improve social support result in decreased suicidality.

Citing Articles

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References

Sheehan D, Lecrubier Y, Sheehan K, Amorim P, Janavs J, Weiller E . The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry. 1999; 59 Suppl 20:22-33;quiz 34-57. View

Steer R, Kumar G, Beck A . Self-reported suicidal ideation in adolescent psychiatric inpatients. J Consult Clin Psychol. 1993; 61(6):1096-9. DOI: 10.1037//0022-006x.61.6.1096. View

Brown T, Di Nardo P, Lehman C, Campbell L . Reliability of DSM-IV anxiety and mood disorders: implications for the classification of emotional disorders. J Abnorm Psychol. 2001; 110(1):49-58. DOI: 10.1037//0021-843x.110.1.49. View

Pukay-Martin N, Pontoski K, Maxwell M, Calhoun P, Dutton C, Clancy C . The influence of depressive symptoms on suicidal ideation among U.S. Vietnam-era and Afghanistan/Iraq-era veterans with posttraumatic stress disorder. J Trauma Stress. 2012; 25(5):578-82. PMC: 3752899. DOI: 10.1002/jts.21741. View

Kang H, Bullman T . Risk of suicide among US veterans after returning from the Iraq or Afghanistan war zones. JAMA. 2008; 300(6):652-3. DOI: 10.1001/jama.300.6.652. View

Beck A, Steer R, Ball R, Ranieri W . Comparison of Beck Depression Inventories -IA and -II in psychiatric outpatients. J Pers Assess. 1996; 67(3):588-97. DOI: 10.1207/s15327752jpa6703_13. View

Forbes D, Creamer M, Biddle D . The validity of the PTSD checklist as a measure of symptomatic change in combat-related PTSD. Behav Res Ther. 2001; 39(8):977-86. DOI: 10.1016/s0005-7967(00)00084-x. View

Marroquin B . Interpersonal emotion regulation as a mechanism of social support in depression. Clin Psychol Rev. 2011; 31(8):1276-90. DOI: 10.1016/j.cpr.2011.09.005. View

Seal K, Bertenthal D, Miner C, Sen S, Marmar C . Bringing the war back home: mental health disorders among 103,788 US veterans returning from Iraq and Afghanistan seen at Department of Veterans Affairs facilities. Arch Intern Med. 2007; 167(5):476-82. DOI: 10.1001/archinte.167.5.476. View

10.

Couture S, Penn D, Roberts D . The functional significance of social cognition in schizophrenia: a review. Schizophr Bull. 2006; 32 Suppl 1:S44-63. PMC: 2632537. DOI: 10.1093/schbul/sbl029. View

11.

Guthrie E, Kapur N, Mackway-Jones K, Chew-Graham C, Moorey J, Mendel E . Randomised controlled trial of brief psychological intervention after deliberate self poisoning. BMJ. 2001; 323(7305):135-8. PMC: 34723. DOI: 10.1136/bmj.323.7305.135. View

12.

Van Orden K, Witte T, Cukrowicz K, Braithwaite S, Selby E, Joiner Jr T . The interpersonal theory of suicide. Psychol Rev. 2010; 117(2):575-600. PMC: 3130348. DOI: 10.1037/a0018697. View

13.

Brenner L, Ignacio R, Blow F . Suicide and traumatic brain injury among individuals seeking Veterans Health Administration services. J Head Trauma Rehabil. 2011; 26(4):257-64. DOI: 10.1097/HTR.0b013e31821fdb6e. View

14.

Elhai J, Biehn T, Armour C, Klopper J, Frueh B, Palmieri P . Evidence for a unique PTSD construct represented by PTSD's D1-D3 symptoms. J Anxiety Disord. 2010; 25(3):340-5. DOI: 10.1016/j.janxdis.2010.10.007. View

15.

Tsai J, Harpaz-Rotem I, Pietrzak R, Southwick S . The role of coping, resilience, and social support in mediating the relation between PTSD and social functioning in veterans returning from Iraq and Afghanistan. Psychiatry. 2012; 75(2):135-49. DOI: 10.1521/psyc.2012.75.2.135. View

16.

Gros D, Price M, Magruder K, Frueh B . Symptom overlap in posttraumatic stress disorder and major depression. Psychiatry Res. 2012; 196(2-3):267-70. PMC: 3415314. DOI: 10.1016/j.psychres.2011.10.022. View

17.

Jakupcak M, Vannoy S, Imel Z, Cook J, Fontana A, Rosenheck R . Does PTSD moderate the relationship between social support and suicide risk in Iraq and Afghanistan War Veterans seeking mental health treatment?. Depress Anxiety. 2010; 27(11):1001-5. PMC: 3038554. DOI: 10.1002/da.20722. View

18.

Blow F, Bohnert A, Ilgen M, Ignacio R, McCarthy J, Valenstein M . Suicide mortality among patients treated by the Veterans Health Administration from 2000 to 2007. Am J Public Health. 2012; 102 Suppl 1:S98-104. PMC: 3496461. DOI: 10.2105/AJPH.2011.300441. View

19.

Lemaire C, Graham D . Factors associated with suicidal ideation in OEF/OIF veterans. J Affect Disord. 2010; 130(1-2):231-8. DOI: 10.1016/j.jad.2010.10.021. View

20.

Guerra V, Calhoun P . Examining the relation between posttraumatic stress disorder and suicidal ideation in an OEF/OIF veteran sample. J Anxiety Disord. 2010; 25(1):12-8. PMC: 3635678. DOI: 10.1016/j.janxdis.2010.06.025. View