%0 Journal Article
%T Shame as a mediator between posttraumatic stress disorder symptoms and suicidal ideation among veterans
%J Journal of affective disorders
%D 2018
%A Cunningham, Katherine C.
%A LoSavio, Stefanie T.
%A Dennis, Paul A.
%A Farmer, Chloe
%A Clancy, Carolina P.
%A Hertzberg, Michael A.
%A Kimbrel, Nathan A.
%A Calhoun, Patrick S.
%A Beckham, Jean C.
%V 243
%N 
%P 216-219
%X BACKGROUND: Suicidal ideation is a problem that disproportionately affects veterans. Moreover, veterans with posttraumatic stress disorder (PTSD) appear to be at particularly high risk for suicide. <br><br>OBJECTIVE: The purpose of the present research was to examine whether shame mediates the association between PTSD and suicidal ideation. <br><br>METHODS: Secondary analyses were conducted in a sample of 201 veterans with PTSD seeking care through an outpatient Veterans Affairs specialty PTSD clinic. <br><br>RESULTS: Path analysis revealed that shame fully accounted for the effects of PTSD on suicidal ideation, suggesting that shame may represent a key link between PTSD and suicidal ideation among veterans. LIMITATIONS: Although the reverse mediation effect was also examined, the present sample was cross-sectional and predominantly male. <br><br>CONCLUSIONS: The present findings suggest that shame may be an effective point of treatment intervention to reduce suicidal ideation among veterans with PTSD; however, additional prospective research is still needed to delineate the precise nature of these associations over time.<br><br>Published by Elsevier B.V.<p /> <p>Language: en</p>
%G en
%I Elsevier Publishing
%@ 0165-0327
%U http://dx.doi.org/10.1016/j.jad.2018.09.040