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Social Psychiatry and Psychiatric Epidemiology

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01.02.2013 | Original Paper

Suicidal ideation and social exchanges among at-risk veterans referred for a behavioral health assessment

verfasst von: Shahrzad Mavandadi, Karen S. Rook, Jason T. Newsom, David W. Oslin

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 2/2013

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Abstract

Purpose

The current study examined the independent association between positive (e.g., emotional and instrumental support) and negative (e.g., insensitive behavior, unwanted advice from others) social exchanges and suicidal ideation among veterans referred for a behavioral health assessment.

Methods

The sample included 606 veterans [mean age = 54.96 (SD = 14.96)] referred by primary care for a clinical mental health/substance abuse (MH/SA) assessment following a positive MH/SA screen. Data on sociodemographics, MH/SA conditions (e.g., depression, PTSD, anxiety, and alcohol abuse), the self-reported frequency of positive and negative social exchanges, and suicidal ideation were extracted from clinical interviews and evaluated.

Results

Veterans were primarily male, non-married, and had adequate financial resources, and approximately half were White. 74.4 and 20.3 % met criteria for a MH/SA condition and suicidal ideation, respectively. Multiple logistic regression analyses revealed that, adjusting for sociodemographics, physical functioning, and comorbid MH/SA conditions, veterans reporting more frequent negative exchanges with network members were significantly more likely to report suicidal ideation. Positive exchanges, in contrast, were not significantly related to the outcome. Inadequate finances and MH/SA conditions also were significantly related to suicidal ideation.

Conclusions

Findings highlight the value of exploring the quality of social exchanges among veterans in primary care who screen positive for behavioral health issues, as such information has the potential to inform screening and intervention efforts aimed at reducing suicidal ideation.

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Fontana A, Rosenheck R (1995) Attempted suicide among Vietnam veterans: a model of etiology in a community sample. Am J Psychiatry 152(1):102–109PubMed

Reich J (1998) The relationship of suicide attempts, borderline personality traits, and major depressive disorder in a veteran outpatient population. J Affect Disord 49(2):151–156PubMedCrossRef

McCarthy JF, Valenstein M, Kim HM, Ilgen M, Zivin K, Blow FC (2009) Suicide mortality among patients receiving care in the veterans health administration health system. Am J Epidemiol 169(8):1033–1038PubMedCrossRef

Desai RA, Dausey DJ, Rosenheck RA (2005) Mental health service delivery and suicide risk: the role of individual patient and facility factors. Am J Psychiatry 162(2):311–318PubMedCrossRef

Kaplan MS, Huguet N, McFarland BH, Newsom JT (2007) Suicide among male veterans: a prospective population-based study. J Epidemiol Community Health 61(7):619–624PubMedCrossRef

Desai MM, Rosenheck RA, Desai RA (2008) Time trends and predictors of suicide among mental health outpatients in the Department of Veterans Affairs. J Behav Health Serv Res 35(1):115–124PubMedCrossRef

Desai RA, Dausey D, Rosenheck RA (2008) Suicide among discharged psychiatric inpatients in the Department of Veterans Affairs. Mil Med 173(8):721–728PubMed

Lambert MT, Fowler DR (1997) Suicide risk factors among veterans: risk management in the changing culture of the Department of Veterans Affairs. J Ment Health Adm 24(3):350–358PubMedCrossRef

Kaplan MS, McFarland BH, Huguet N, Newsom JT (2007) Physical illness, functional limitations, and suicide risk: a population-based study. Am J Orthopsychiatry 77(1):56–60PubMedCrossRef

10.

Jakupcak M, Cook J, Imel Z, Fontana A, Rosenheck R, McFall M (2009) Posttraumatic stress disorder as a risk factor for suicidal ideation in Iraq and Afghanistan War veterans. J Trauma Stress 22(4):303–306PubMedCrossRef

11.

Valenstein M, Kim HM, Ganoczy D, McCarthy JF, Zivin K, Austin KL, Hoggatt K, Eisenberg D, Piette JD, Blow FC, Olfson M (2009) Higher-risk periods for suicide among VA patients receiving depression treatment: prioritizing suicide prevention efforts. J Affect Disord 112(1–3):50–58PubMedCrossRef

12.

Zivin K, Kim HM, McCarthy JF, Austin KL, Hoggatt KJ, Walters H, Valenstein M (2007) Suicide mortality among individuals receiving treatment for depression in the Veterans Affairs health system: associations with patient and treatment setting characteristics. Am J Public Health 97(12):2193–2198PubMedCrossRef

13.

Pietrzak RH, Goldstein MB, Malley JC, Rivers AJ, Johnson DC, Southwick SM (2010) Risk and protective factors associated with suicidal ideation in veterans of Operations Enduring Freedom and Iraqi Freedom. J Affect Disord 123(1–3):102–107PubMedCrossRef

14.

Cohen S (2004) Social relationships and health. Am Psychol 59(8):676–684PubMedCrossRef

15.

Qin P, Agerbo E, Mortensen PB (2003) Suicide risk in relation to socioeconomic, demographic, psychiatric, and familial factors: a national register-based study of all suicides in Denmark, 1981–1997. Am J Psychiatry 160(4):765–772PubMedCrossRef

16.

Pietrzak RH, Johnson DC, Goldstein MB, Malley JC, Rivers AJ, Morgan CA, Southwick SM (2010) Psychosocial buffers of traumatic stress, depressive symptoms, and psychosocial difficulties in veterans of Operations Enduring Freedom and Iraqi Freedom: the role of resilience, unit support, and postdeployment social support. J Affect Disord 120(1–3):188–192PubMedCrossRef

17.

Handley TE, Inder KJ, Kelly BJ, Attia JR, Lewin TJ, Fitzgerald MN, Kay-Lambkin FJ (2011) You’ve got to have friends: the predictive value of social integration and support in suicidal ideation among rural communities. Soc Psychiatry Psychiatr Epidemiol. doi:10.1007/s00127-011-0436-y PubMed

18.

Vilhjalmsson R, Kristjansdottir G, Sveinbjarnardottir E (1998) Factors associated with suicide ideation in adults. Soc Psychiatry Psychiatr Epidemiol 33(3):97–103PubMedCrossRef

19.

Lemaire CM, Graham DP (2011) Factors associated with suicidal ideation in OEF/OIF veterans. J Affect Disord 130(1–2):231–238. doi:10.1016/j.jad.2010.10.021 PubMedCrossRef

20.

Rook KS (1998) Investigating the positive and negative sides of personal relationships: through a glass darkly? In: Spitzberg BH, Cupach WR (eds) The dark side of close relationships. Lawrence Erlbaum, Mahwah, pp 369–393

21.

Newsom JT, Nishishiba M, Morgan DL, Rook KS (2003) The relative importance of three domains of positive and negative social exchanges: a longitudinal model with comparable measures. Psychol Aging 18(4):746–754PubMedCrossRef

22.

Finch JF, Okun MA, Pool GJ, Ruehlman LS (1999) A comparison of the influence of conflictual and supportive social interactions on psychological distress. J Pers 67(4):581–621PubMedCrossRef

23.

Newsom JT, Rook KS, Nishishiba M, Sorkin DH, Mahan TL (2005) Understanding the relative importance of positive and negative social exchanges: examining specific domains and appraisals. Journals Gerontol 60(6):P304–P312CrossRef

24.

Rook KS (1984) The negative side of social interaction: impact on psychological well-being. J Pers Soc Psychol 46(5):1097–1108PubMedCrossRef

25.

Finch JF, Okun MA, Barrera M Jr, Zautra AJ, Reich JW (1989) Positive and negative social ties among older adults: measurement models and the prediction of psychological distress and well-being. Am J Community Psychol 17(5):585–605PubMedCrossRef

26.

Laffaye C, Cavella S, Drescher K, Rosen C (2008) Relationships among PTSD symptoms, social support, and support source in veterans with chronic PTSD. J Trauma Stress 21(4):394–401PubMedCrossRef

27.

Monson CM, Taft CT, Fredman SJ (2009) Military-related PTSD and intimate relationships: from description to theory-driven research and intervention development. Clin Psychol Rev 29(8):707–714PubMedCrossRef

28.

Sayers SL, Farrow VA, Ross J, Oslin DW (2009) Family problems among recently returned military veterans referred for a mental health evaluation. J Clin Psychiatry 70(2):163–170PubMedCrossRef

29.

Renshaw KD, Rodrigues CS, Jones DH (2008) Psychological symptoms and marital satisfaction in spouses of Operation Iraqi Freedom veterans: relationships with spouses’ perceptions of veterans’ experiences and symptoms. J Fam Psychol 22(4):586–594PubMedCrossRef

30.

Baumeister RF, Brewer LE, Tice DM, Twenge JM (2007) Thwarting the need to belong: understanding the interpersonal and inner effects of social exclusion. Soc Pers Psychol Compass 1(1):506–520CrossRef

31.

Van Orden KA, Witte TK, Cukrowicz KC, Braithwaite SR, Selby EA, Joiner TE Jr (2010) The interpersonal theory of suicide. Psychol Rev 117(2):575–600PubMedCrossRef

32.

Stillman TF, Baumeister RF, Lambert NM, Crescioni AW, Dewall CN, Fincham FD (2009) Alone and without purpose: life loses meaning following social exclusion. J Exp Soc Psychol 45(4):686–694PubMedCrossRef

33.

Hawthorne G (2008) Perceived social isolation in a community sample: its prevalence and correlates with aspects of peoples’ lives. Soc Psychiatry Psychiatr Epidemiol 43(2):140–150PubMedCrossRef

34.

Oslin DW, Ross J, Sayers S, Murphy J, Kane V, Katz IR (2006) Screening, assessment, and management of depression in VA primary care clinics. The Behavioral Health Laboratory. J Gen Intern Med 21(1):46–50PubMedCrossRef

35.

Ware JKM, Keller S (1998) How to score the SF-12 (R) physical and mental health summary scales, 3rd edn. QualityMetric Incorporated, Lincoln

36.

Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, Hergueta T, Baker R, Dunbar GC (1998) 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 59 Suppl 20:22–33

37.

Blanchard EB, Jones-Alexander J, Buckley TC, Forneris CA (1996) Psychometric properties of the PTSD Checklist (PCL). Behav Res Ther 34(8):669–673PubMedCrossRef

38.

Kroenke K, Spitzer RL, Williams JB (2001) The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med 16(9):606–613PubMedCrossRef

39.

Bartels SJ, Coakley E, Oxman TE, Constantino G, Oslin D, Chen H, Zubritsky C, Cheal K, Durai UN, Gallo JJ, Llorente M, Sanchez H (2002) Suicidal and death ideation in older primary care patients with depression, anxiety, and at-risk alcohol use. Am J Geriatr Psychiatry 10(4):417–427PubMed

40.

Paykel ES, Myers JK, Lindenthal JJ, Tanner J (1974) Suicidal feelings in the general population: a prevalence study. Br J Psychiatry 124:460–469PubMedCrossRef

41.

Rook KS (1990) Stressful aspects of older adults’ social relationships: Current theory and research. In: Crowther JH, Hobfall SE, Tennenbaum DL (eds) Stephens MAP. Stress and coping in later life Hemisphere, Washington, DC, pp 173–192

42.

Lakey B, Tardiff TA, Drew JB (1994) Negative social interaction: assessment and relations to social support, cognition, and psychological distress. J Soc Clin Psychol 13:42–62CrossRef

43.

Ingersoll-Dayton B, Morgan D, Antonucci T (1997) The effects of positive and negative social exchanges on aging adults. J Gerontol 52(4):S190–S199

44.

You S, Van Orden KA, Conner KR (2011) Social connections and suicidal thoughts and behavior. Psychol Addict Behav 25(1):180–184PubMedCrossRef

45.

Mavandadi S, Rook KS (2009) Negative interactions during late life. In: Reis HT, Sprecher SK (eds) Encyclopedia of Human Relationships. Sage Publications, Inc., Thousand Oaks

46.

Krause N, Rook KS (2003) Negative interaction in late life: issues in the stability and generalizability of conflict across relationships. The journals of gerontology 58(2):P88–P99PubMedCrossRef

47.

Bolger N, DeLongis A, Kessler RC, Schilling EA (1989) Effects of daily stress on negative mood. J Pers Soc Psychol 57(5):808–818PubMedCrossRef

48.

Newsom JT, Mahan TL, Rook KS, Krause N (2008) Stable negative social exchanges and health. Health Psychol 27(1):78–86PubMedCrossRef

49.

Rook KS (1987) Social support versus companionship: effects on life stress, loneliness, and evaluations by others. J Pers Soc Psychol 52(6):1132–1147PubMedCrossRef

50.

Rook KS, Mavandadi S, Sorkin DH, Zettel L (2007) Optimizing social relationships as a resource for health and well-being in later life. In: Aldwin CM, Park CL, Spiro AI (eds) Handbook of health psychology and aging. Guilford, New York

51.

Bolger N, Eckenrode J (1991) Social relationships, personality, and anxiety during a major stressful event. J Pers Soc Psychol 61(3):440–449PubMedCrossRef

52.

Coyne JC, Kessler RC, Tal M, Turnbull J, Wortman CB, Greden JF (1987) Living with a depressed person. J Consult Clin Psychol 55(3):347–352PubMedCrossRef

53.

Coyne JC, Thompson R, Palmer SC (2002) Marital quality, coping with conflict, marital complaints, and affection in couples with a depressed wife. J Fam Psychol 16(1):26–37PubMedCrossRef

54.

Druley JA, Stephens MA, Martire LM, Ennis N, Wojno WC (2003) Emotional congruence in older couples coping with wives’ osteoarthritis: exacerbating effects of pain behavior. Psychol Aging 18(3):406–414PubMedCrossRef

55.

Coyne JC, Wortman CB, Lehman DR (1988) The other side of support: Emotional over involvement and miscarried helping. In: Gottlieb BH (ed) Marshalling social support: formats, processes, and effects. Sage, Newbury Park, pp 305–330

56.

Bradbury TN, Beach SR, Fincham FD, Nelson GM (1996) Attributions and behavior in functional and dysfunctional marriages. J Consult Clin Psychol 64(3):569–576PubMedCrossRef

57.

Morgan DL (1989) Adjusting to widowhood: do social networks really make it easier? The Gerontologist 29(1):101–107PubMedCrossRef

58.

Duberstein PR, Conwell Y, Conner KR, Eberly S, Evinger JS, Caine ED (2004) Poor social integration and suicide: fact or artifact? A case–control study. Psychol Med 34(7):1331–1337PubMedCrossRef

Titel: Suicidal ideation and social exchanges among at-risk veterans referred for a behavioral health assessment
verfasst von: Shahrzad Mavandadi
Karen S. Rook
Jason T. Newsom
David W. Oslin
Publikationsdatum: 01.02.2013
Verlag: Springer-Verlag
Erschienen in: Social Psychiatry and Psychiatric Epidemiology / Ausgabe 2/2013
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI: https://doi.org/10.1007/s00127-012-0534-5

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