TY - JOUR
PY - 2023//
TI - Contribution of veterans' initial post-separation vocational, financial, and social experiences to their suicidal ideation trajectories following military service
JO - Suicide and life-threatening behavior
A1 - Hoffmire, Claire A.
A1 - Borowski, Shelby
A1 - Vogt, Dawne
SP - 443
EP - 456
VL - 53
IS - 3
N2 - BACKGROUND: Veterans' success with navigating the challenges of transition from military service may contribute to their risk for suicidal outcomes. The concept of well-being can help to conceptualize and assess successful navigation of reintegration challenges and may serve as an optimal target for public health-oriented suicide prevention.
METHODS: The relationship between US veterans' psychosocial well-being and experiences of suicidal ideation (SI) during the first 3 years following military separation was evaluated using multinomial logistic regression predicting SI trajectories over time in a population-based, longitudinal, post-9/11 veteran cohort. At 3-months post-separation, veterans reported on their socio-material conditions, functioning, and satisfaction with respect to vocational, financial, and social domains. SI frequency was assessed at 3-, 9-, 15-, 21-, and 27-months post-separation using the Patient Health Questionnaire-9.
RESULTS: Veterans' vocational, financial, and social well-being were associated with their SI trajectories, even after accounting for mental health. Socio-material conditions, functioning, and satisfaction all emerged as important predictors of SI trajectories, although results varied across domains. Effects were largest for social well-being.
CONCLUSIONS: Suicide prevention efforts may benefit from a holistic approach that considers veterans' needs for support across their vocational, financial, and social well-being, inclusive of their socio-material conditions, functioning, and satisfaction within each domain. Language: en
LA - en
SN - 0363-0234
UR - http://dx.doi.org/10.1111/sltb.12955
ID - ref1
ER -