TY  - JOUR
PY  - 2015//
TI  - Combat exposure and risk for suicidal thoughts and behaviors among military personnel and veterans: A systematic review and meta-analysis
JO  - Suicide and life-threatening behavior
A1  - Bryan, C.J.
A1  - Griffith, J.E.
A1  - Pace, B.T.
A1  - Hinkson, K.
A1  - Bryan, A.O.
A1  - Clemans, T.A.
A1  - Imel, Z.E.
SP  - 633
EP  - 649
VL  - 45
IS  - 5
N2  - Due to seemingly mixed empirical results, questions persist about the possible role of deployments and combat exposure. We conducted a narrative review and meta-analysis of 22 published studies to integrate findings regarding the relationship of deployment-related predictors (i.e., deployment, deployment to a combat zone, combat experience, and exposure to specific combat events) with suicide-related outcomes (i.e., suicide ideation, attempt, and death). Across all predictors and outcomes, the combined effect was small and positive, r =.08 [0.04, 0.13], and marked by significant heterogeneity, I2 = 99.9%, Q(21)=4880.16, p <.0001, corresponding to a 25% increased risk for suicide-related outcomes among those who have deployed. Studies examining the relationship between exposure to killing and atrocities (k = 5) showed the largest combined effect, r =.12 [0.08, 0.17], and less heterogeneity, I2 = 84.4%, Q(4)=34.96, p <.0001, corresponding to a 43% increased risk for suicide-related outcomes among those exposed to killing or atrocity. Implications for theory, research, and clinical practice are discussed. © 2015 The American Association of Suicidology.<p /> <p>Language: en</p>
LA  - en
SN  - 0363-0234
UR  - http://dx.doi.org/10.1111/sltb.12163
ID  - ref1
ER  -