TY  - JOUR
PY  - 2018//
TI  - Shame as a mediator between posttraumatic stress disorder symptoms and suicidal ideation among veterans
JO  - Journal of affective disorders
A1  - Cunningham, Katherine C.
A1  - LoSavio, Stefanie T.
A1  - Dennis, Paul A.
A1  - Farmer, Chloe
A1  - Clancy, Carolina P.
A1  - Hertzberg, Michael A.
A1  - Kimbrel, Nathan A.
A1  - Calhoun, Patrick S.
A1  - Beckham, Jean C.
SP  - 216
EP  - 219
VL  - 243
IS  - 
N2  - 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>
LA  - en
SN  - 0165-0327
UR  - http://dx.doi.org/10.1016/j.jad.2018.09.040
ID  - ref1
ER  -