ArticleJournal of affective disorders2020
Anger mediates the relationship between posttraumatic stress disorder and suicidal ideation in veterans.
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 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- The impact of trauma-focused psychotherapies on anger: A systematic review and meta-analysis.Psychological trauma : theory, research, practice and policy · 2025Pooled it
- Sleep disorder symptoms are associated with greater posttraumatic stress and anger symptoms in US Army service members seeking treatment for posttraumatic stress disorder.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022Trial
- Anger mediates the relationship between changes in alcohol use and violence: A longitudinal examination among Iraq/Afghanistan-era veterans.Psychological trauma : theory, research, practice and policy · 2026Article
- Associations between anger reductions and functional improvements among veterans in brief cognitive-behavioral conjoint therapy for PTSD.Couple & family psychology · 2026Article
- Anger-Related Affect and Suicidal Thoughts and Behaviors: A Systematic Review and Meta-Analysis.Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association · 2025Article
- An exploratory analysis of obsessive-compulsive personality traits, pathologic anger and quality of life among trauma-exposed veterans.Comprehensive psychiatry · 2025Article
- Concurrent Validity of Digital Measures of Psychological Dimensions Associated with Suicidality Using AuxiliApp.Behavioral sciences (Basel, Switzerland) · 2025Article
- Mothers' Adverse Childhood Experiences Moderate the Association between Maternal Anger and Children's Externalizing Symptoms.Children (Basel, Switzerland) · 2024Article
- Communication dynamics and media interactions of young adults who have attempted suicide: a qualitative thematic analysis.Frontiers in psychology · 2024Article
- Effects of Social Network Characteristics on Mental Health Outcomes Among United States Army Reserve and National Guard Soldiers.Community mental health journal · 2022Article
- Concurrent associations of dimensions of anger with posttraumatic stress, depression, and functional impairment following non-fatal traffic accidents.European journal of psychotraumatology · 2022Article
- Pre-enlistment Anger Attacks and Postenlistment Mental Disorders and Suicidality Among US Army Soldiers.JAMA network open · 2021Observational
- A network analysis of risk factors for suicide in Iraq/Afghanistan-era veterans.Journal of psychiatric research · 2021Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundTheoretical models and cross-sectional empirical studies of suicide indicate that anger is a factor that may help explain the association between posttraumatic stress disorder (PTSD) and suicide, but to date no longitudinal studies have examined this relationship. The current study used longitudinal data to examine whether changes in anger mediated the association between changes in PTSD symptomatology and suicidal ideation (SI).
methodsPost 9/11-era veterans (N = 298) were assessed at baseline, 6-months, and 12-month time points on PTSD symptoms, anger, and SI. Analyses covaried for age, sex, and depressive symptoms. Multilevel structural equation modeling was used to examine the three waves of data.
resultsThe effect of change in PTSD symptoms on SI was reduced from B = 0.02 (p = .008) to B = -0.01 (p = .67) when change in anger was added to the model. Moreover, the indirect effect of changes in PTSD symptoms on suicidal ideation via changes in anger was significant, B = 0.02, p = .034. The model explained 31.1% of the within-person variance in SI. LIMITATIONS: Focus on predicting SI rather than suicidal behavior. Sample was primarily male.
conclusionsFindings suggest that the association between PTSD and SI is accounted for, in part, by anger. This study further highlights the importance of anger as a risk factor for veteran suicide. Additional research on clinical interventions to reduce anger among veterans with PTSD may be useful in reducing suicide risk.
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