Evidence map›Paper›PMID 31561113›Full record

ArticleJournal of affective disorders2020

Psychosocial protective factors and suicidal ideation: Results from a national longitudinal study of veterans.

Eric B Elbogen, Kiera Molloy, H Ryan Wagner, Nathan A Kimbrel, Jean C Beckham, Lynn Van Male, Jonathan Leinbach, Daniel W Bradford

Open access · greenAbstract read
In one paragraph

Article in Journal of affective disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Eric B ElbogenDurham VA Health Care System, Durham, NC, USA; VISN 6 Mental Illness Research, Education, and Clinical Center (MIRECC), Durham VA Medical Center, Durham, NC, USA; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA. Electronic address: eric.elbogen@duke.edu.
Kiera MolloyDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA.
H Ryan WagnerDurham VA Health Care System, Durham, NC, USA; VISN 6 Mental Illness Research, Education, and Clinical Center (MIRECC), Durham VA Medical Center, Durham, NC, USA; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA.
Nathan A KimbrelDurham VA Health Care System, Durham, NC, USA; VISN 6 Mental Illness Research, Education, and Clinical Center (MIRECC), Durham VA Medical Center, Durham, NC, USA; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA.
Jean C BeckhamDurham VA Health Care System, Durham, NC, USA; VISN 6 Mental Illness Research, Education, and Clinical Center (MIRECC), Durham VA Medical Center, Durham, NC, USA; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA.
Lynn Van MaleVeterans Health Administration, Office of Mental Health and Suicide Prevention, Washington, DC, USA; Oregon Health & Sciences University, Department of Psychiatry, Portland, OR, USA.
Jonathan LeinbachDurham VA Health Care System, Durham, NC, USA; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA.
Daniel W BradfordDurham VA Health Care System, Durham, NC, USA; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA.
Duke Medical Center · USDurham VA Health Care System · USVeterans Health Administration · US

Funding

Assessing and Reducing Post-Deployment Violence RiskR01MH080988 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ELBOGEN, ERIC B. · 2008 to 2011
$1.4M
NIMH NIH HHS R01 MH080988
6 · The paper itself

Abstract

backgroundThis study investigates the empirical association between psychosocial protective factors and subsequent suicidal ideation in veterans.

methodsWe conducted a national longitudinal survey in which participants were randomly drawn from over one million U.S. military service members who served after September 11, 2001. Data were provided by a total of 1090 veterans representative of all 50 states and all military branches in two waves of data collection one year apart (79% retention rate).

resultsIn chi-square analyses, psychosocial protective factors at wave 1 (employment, meeting basic needs, self-care, living stability, social support, spirituality, resilience, and self-determination) were significantly related to lower suicidal ideation at wave 2. In multivariable analyses controlling for covariates at wave 1 including suicidal ideation, the total number of protective factors endorsed at wave 1 significantly predicted reduced odds of suicidal ideation at wave 2. In multivariable analysis examining individual risk and protective factors, again controlling for covariates, results showed that money to cover basic needs and higher psychological resilience at wave 1 were associated with significantly lower odds of suicidal ideation at wave 2. LIMITATIONS: The study measured the link between psychosocial protective factors and suicidal ideation but not suicide attempts, which would be an important next step for this research.

conclusionsThe results indicate that psychosocial rehabilitation and holistic approaches targeting financial well-being, homelessness, resilience, self-care, social support, spirituality, and work may offer a promising avenue in both veteran and non-veteran populations for treatment safety planning as well as suicide risk management and prevention.

Indexed as

Suicidal IdeationAdultFemaleHumansLongitudinal StudiesMaleMiddle AgedMilitary PersonnelProtective FactorsResilience, PsychologicalRisk FactorsSpiritualityVeteransViolenceProtective factorsPsychosocial rehabilitationSuicidal ideationVeterans

Identifiers

PMID31561113
PMCPMC6878990
OpenAlexW2972686787

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.