Citation

Vujanovic AA, Bakhshaie J, Martin C, Reddy MK, Anestis MD. J. Nerv. Ment. Dis. 2017; 205(7): 531-541.

Copyright

(Copyright © 2017, Lippincott Williams and Wilkins)

DOI

10.1097/NMD.0000000000000690

PMID

28604417

Abstract

Trauma and posttraumatic stress disorder (PTSD) symptomatology have been associated with suicidality, including ideation and behavior. The current investigation evaluated, in acute-care psychiatric inpatients, the mediating role of perceived (self-reported) distress tolerance in the association between PTSD symptom severity and suicidality, defined as a) suicidal ideation, intent, or behavior leading to current psychiatric hospitalization; b) self-reported severity of suicidal desire; and c) percentage of days of suicidality during current hospitalization. Participants were composed of 105 adults (55.2% women; mean age, 33.9; SD, 10.9) admitted to a public psychiatric acute-care inpatient hospital in a large metropolitan area; 52.3% of the participants were hospitalized for suicidality.

RESULTS indicated that PTSD symptom severity (and severity of each PTSD symptom cluster) may exert an indirect effect on suicidality, specifically suicidality as a basis for current hospital admission and self-reported severity of suicidal desire, through perceived distress tolerance. Effects were documented after controlling for theoretically relevant covariates.

Language: en

Keywords

Humans; Adult; Female; Male; Middle Aged; Severity of Illness Index; Young Adult; Hospitalization; Suicidal Ideation; Suicide, Attempted; Self Report; Adaptation, Psychological; Inpatients; Stress, Psychological; Hospitals, Psychiatric; Stress Disorders, Post-Traumatic