TY - JOUR PY - 2016// TI - Postdeployment suicide risk increases over a 6-month period: predictors of increased risk among Midwestern Army National Guard Soldiers JO - Suicide and life-threatening behavior A1 - Kim, Hyungjin Myra A1 - Levine, Debra Siegel A1 - Pfeiffer, Paul N. A1 - Blow, Adrian J. A1 - Marchiondo, Christopher A1 - Walters, Heather A1 - Valenstein, Marcia SP - 421 EP - 435 VL - 47 IS - 4 N2 - National Guard (NG) soldiers returning from deployments in Iraq and Afghanistan were surveyed at 6 and 12 months following their return (N = 970). The overall prevalence of suicide risk at 6 and 12 months following their return was assessed, as were changes in suicide risk among soldiers initially at high or low risk. Factors associated with changes in risk were assessed. The percentage of NG soldiers with high suicide risk increased from 6.8% at 6 months to 9.2% at 12 months (odds ratio = 1.7, p = .02). In the 882 soldiers initially at low risk, 5.9% (52/882) became high risk at 12 months; in the 64 soldiers initially at high risk, 46.9% (30/64) became low risk at 12 months. Initial levels of depressive symptoms were predictive of changing to high risk; this association appeared to be partially explained by soldier reports of increased search in the meaning in life and higher levels of perceived stress. Because suicide risk increases over the first 12 months, continued risk assessments during this time period should be considered. Supporting soldiers to find meaning in their life after deployment and enhancing their capacity to cope with perceived stress may help prevent increases in suicide risk over time.

© 2016 The American Association of Suicidology.

Language: en

LA - en SN - 0363-0234 UR - http://dx.doi.org/10.1111/sltb.12303 ID - ref1 ER -