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Journal Article

Citation

Walker M, Chalker SA, Ingram TC, Jobes DA. Mil. Behav. Health 2021; 9(2): 170-180.

Copyright

(Copyright © 2021, Informa - Taylor and Francis Group)

DOI

10.1080/21635781.2020.1830208

PMID

unavailable

Abstract

The research on referral source regarding suicidal service members (SM) and their associated outcomes is limited. As such, to further prevent military suicides, the current study focused on referral source to behavior health treatment (BH). Specifically, the authors investigated whether referral source to BH is associated to differences in suicidal ideation severity, overall symptom distress, posttraumatic stress disorder (PTSD) symptom severity, and resiliency among active duty U.S. Army Soldiers. This is a secondary analysis of a larger randomized controlled trial of 148 suicidal Soldiers. A quasi-independent variable (i.e., referral source) was reliably coded where Soldiers were categorized into four groups: those who self-referred, those who were command-referred, those who were referred by others to BH, and those cases in which the referral source was unclear (unknown). A one-way ANOVA indicated that referral source is significantly associated to differences in Soldiers' baseline suicidal ideation current scores (Scale for Suicide Ideation-Current [SSI-C]). Likewise, multiple comparisons revealed that when Soldiers were referred by significant others, family members, and (or) friends to BH, they reported lower SSI-C than those that were referred to treatment by their respective chain of command. Thus, it appears that when suicidal Soldiers' loved ones refer them to BH, they tend to have a lower degree of suicidal ideation than those whose chain of command refers them.

CONCLUSIONS and study limitations are discussed. © 2020 Taylor & Francis Group, LLC.


Language: en

Keywords

suicidal ideation; health services; military suicide; mental health behavioral symptoms; Service member

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