Evidence map›Paper›PMID 37211498›Full record

ArticleThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2023

Suicidal Thoughts and Behaviors in Older U.S. Military Veterans: Results From the National Health and Resilience in Veterans Study.

Ian C Fischer, Brandon Nichter, Frances M Aunon, David B Feldman, Becca R Levy, Irina Esterlis, Robert H Pietrzak

Open access · greenAbstract read
In one paragraph

Article in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 21% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
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

7 authors at 4 institutions in 1 country.

Ian C FischerU.S. Department of Veterans Affairs National Center for Posttraumatic Stress Disorder (ICF, IE, RHP), VA Connecticut Healthcare System, West Haven, CT; Department of Psychiatry, Yale School of Medicine (ICF, BN, FMA, IE, RHP), New Haven, CT. Electronic address: ian.fischer@yale.edu.
Brandon NichterDepartment of Psychiatry, Yale School of Medicine (ICF, BN, FMA, IE, RHP), New Haven, CT.
Frances M AunonDepartment of Psychiatry, Yale School of Medicine (ICF, BN, FMA, IE, RHP), New Haven, CT; VA Connecticut Healthcare System (FMA), West Haven, CT.
David B FeldmanDepartment of Counseling Psychology, Santa Clara University (DBF), Santa Clara, CA.
Becca R LevyDepartment of Social and Behavioral Sciences, Yale School of Public Health (BRL. RHP), New Haven, CT.
Irina EsterlisU.S. Department of Veterans Affairs National Center for Posttraumatic Stress Disorder (ICF, IE, RHP), VA Connecticut Healthcare System, West Haven, CT; Department of Psychiatry, Yale School of Medicine (ICF, BN, FMA, IE, RHP), New Haven, CT.
Robert H PietrzakU.S. Department of Veterans Affairs National Center for Posttraumatic Stress Disorder (ICF, IE, RHP), VA Connecticut Healthcare System, West Haven, CT; Department of Psychiatry, Yale School of Medicine (ICF, BN, FMA, IE, RHP), New Haven, CT; Department of Social and Behavioral Sciences, Yale School of Public Health (BRL. RHP), New Haven, CT.
Yale University · USVA Connecticut Healthcare System · USSanta Clara University · USUnited States Department of Veterans Affairs · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Culture-Gene Relationship: A Novel Model of Aging Cognitive HealthU01AG032284 · NIA · YALE UNIVERSITY · PI LEVY, BECCA R · 2017 to 2020
$1.7M
NCATS NIH HHS UL1 TR001863NIA NIH HHS U01 AG032284
6 · The paper itself

Abstract

objectiveTo identify the prevalence and correlates associated with suicidal thoughts and behaviors (STBs) in a nationally representative sample of older (55+) US military veterans.

methodsData were analyzed from the 2019-2020 National Health and Resilience in Veterans Study (N = 3,356; mean age = 70.6). Self-report measures of past-year suicidal ideation (SI), lifetime suicide plan, lifetime suicide attempt(s), and future suicide intent were examined in relation to sociodemographic, neuropsychiatric, trauma, physical health, and protective factors.

resultsA total of 6.6% (95% CI = 5.7%-7.8%) of the sample endorsed past-year SI, 4.1% (CI = 3.3%-5.1%) a lifetime suicide plan, 1.8% (CI = 1.4%-2.3%) a lifetime suicide attempt, and 0.9% (CI = 0.5%-1.3%) future suicide intent. Higher levels of loneliness and lower levels of purpose in life were most strongly associated with past-year SI; lifetime history of major depressive disorder with suicide plan and suicide attempt; and frequency of past-year SI and more negative expectations regarding emotional aging with future suicide intent.

conclusionThese findings provide the most up-to-date nationally representative prevalence estimates of STBs among older military veterans in the United States. Several modifiable vulnerability factors were found to be associated with suicide risk in older US military veterans, suggesting that these factors may be targets for intervention in this population.

Indexed as

Major Depressive DisorderResilience, PsychologicalVeteransAgedHumansRisk FactorsSuicidal IdeationSuicide, AttemptedUnited StatesOlder veteransprotective factorssuicide preventionsuicide risk

Identifiers

PMID37211498
PMCPMC10731861
OpenAlexW4367396183

What OpenQuestion holds

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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.