TY - JOUR PY - 2022// TI - Perceived purpose in life, mental health, and suicidality in older U.S. military veterans: results from the National Health and Resilience in Veterans Study JO - American journal of geriatric psychiatry A1 - Fischer, Ian C. A1 - Tsai, Jack A1 - Harpaz-Rotem, Ilan A1 - McCutcheon, Victoria E. A1 - Schulenberg, Stefan E. A1 - Pietrzak, Robert H. SP - ePub EP - ePub VL - ePub IS - ePub N2 - OBJECTIVE: To determine the current prevalence of perceived purpose in life (PIL) and its association with screening positive for mental disorders and suicidality in a nationally representative sample of predominantly older U.S. veterans.

METHODS: Data were analyzed from the 2019-2020 National Health and Resilience in Veterans Study (N = 4,069; M(age) = 62.2). Veterans were classified into three groups based on perceived PIL level (i.e., low, average, and high). Self-report assessments were administered to screen for mental disorders and suicidality.

RESULTS: Most veterans endorsed average PIL (71.7%), while 16.0% endorsed low PIL and 12.4% endorsed high PIL. A "dose-response" association was observed between PIL and outcomes. High PIL was associated with 42%-94% reduced odds of screening positive for major depressive, generalized anxiety, posttraumatic stress, and substance use disorders, as well as suicide attempts, ideation, and future intent.

CONCLUSION: Higher PIL is associated with lower odds of mental disorders and suicidality in U.S. veterans, underscoring the potential importance of interventions to bolster PIL in this population.

Language: en

LA - en SN - 1064-7481 UR - http://dx.doi.org/10.1016/j.jagp.2022.09.010 ID - ref1 ER -