@article{ref1,
title="Understanding processes that advance suicidal behavior among Israeli active duty soldiers: a mediation model",
journal="Journal of clinical psychology (Hoboken)",
year="2021",
author="Goldner, Limor and Shelef, Leah and Goldstein, Becky Amit and Scharf, Miri",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVES: The current study was aimed to identify the factors and mechanisms that promote nonsuicidal self-injury and suicidal ideation (SI) as precursors of suicidal behaviors in a sample of 553 Israeli active-duty soldiers. <br><br>METHODS: A mediation model was used to examine the contribution of posttraumatic stress disorder (PTSD) symptoms, emotion-regulation difficulties, habituation, and risk-taking behaviors to soldiers' self-injury and SI. <br><br>RESULTS: Results indicated direct effects between PTSD symptoms and self-injury and SI, as well as between emotion regulation difficulties and self-injury. Indirect effects were found between PTSD symptoms and nonsuicidal self-injury (NSSI) through the mechanisms of habituation and risk-taking behavior and between difficulties in emotion regulation and NSSI through the mechanism of risk-taking behaviors. <br><br>CONCLUSION: To tackle soldiers' suicidal behaviors, clinicians might assess soldiers' PTSD symptoms and difficulties in emotion regulation and intervene by lessening their access to thrill-seeking situations and situations that increase habituation to pain and death.<p /> <p>Language: en</p>",
language="en",
issn="0021-9762",
doi="10.1002/jclp.23237",
url="http://dx.doi.org/10.1002/jclp.23237"
}