Evidence map›Paper›PMID 39914645›Full record

ArticleAmerican journal of preventive medicine2025

Well-Being and Suicidal Ideation in U.S. Veterans: Age Cohort Effects During Military-to-Civilian Transition.

Shelby Borowski, Eric D Caine, Shaina A Kumar, Elizabeth Karras, Stephanie Gamble, Dawne Vogt

Abstract read
In one paragraph

Article in American journal of preventive medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
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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

6 authors.

Shelby BorowskiWomen's Health Sciences Division, National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts. Electronic address: shelby.borowski@va.gov.
Eric D CaineVA Center of Excellence for Suicide Prevention, VA Finger Lakes Healthcare System, Canandaigua, New York; Department of Psychiatry, University of Rochester Medical Center, Rochester, New York.
Shaina A KumarDepartment of Psychiatry, Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts; Behavioral Science Division, National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts.
Elizabeth KarrasVA Center of Excellence for Suicide Prevention, VA Finger Lakes Healthcare System, Canandaigua, New York.
Stephanie GambleVA Center of Excellence for Suicide Prevention, VA Finger Lakes Healthcare System, Canandaigua, New York; Department of Psychiatry, University of Rochester Medical Center, Rochester, New York.
Dawne VogtWomen's Health Sciences Division, National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts; Department of Psychiatry, Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts.

Funding

Postdoctoral Training Program in Stress and TraumaT32MH019836 · NIMH · TUFTS UNIVERSITY BOSTON · PI DENISE M. SLOAN · 1996 to 2026
$4.7M
NIMH NIH HHS T32 MH019836
6 · The paper itself

Abstract

introductionLife transitions often bring stress and uncertainty and may lead to poor long-term health outcomes if not navigated successfully. Every year over 200,000 U.S. service members transition from military to civilian life. Given that transition may be particularly challenging for younger individuals this study examined younger military Veterans' well-being during transition and its impact on suicidal ideation as compared with middle-aged Veterans.

methodsUsing data from the Veterans Metrics Initiative (TVMI) study (N=6,615), latent class analysis was used to identify age-stratified subgroups of Veterans (18-34 and 35-54 years) based on health, vocational, financial, and social well-being 1 year following military discharge. Negative binomials models were used to examine associations between subgroups and suicidal ideation at 4 data points. Data were collected in 2016-2019 and analyzed in 2024.

resultsFour subgroups were identified for younger and middle-aged Veterans. For younger Veterans, subgroups included high well-being (32.3%); low well-being (24.7%); poor health and social well-being (17.3%); and poor financial well-being with health risk (25.7%). Middle-aged Veterans subgroups included high well-being with health risk (37.4%); low well-being (20.6%); poor health and social well-being (21.8%), and poor financial well-being with health risk (20.2%). Subgroups with poorer well-being had an increased rate of suicidal ideation compared with those with the highest well-being, with the strongest association with the low well-being subgroups (younger IRRs=10.1-51.0; middle-aged IRRs=11.3-26.0), followed by poor health and social well-being subgroups (younger IRRs=3.9-22.3; middle-aged IRRs=4.9-10.2).

conclusionsFindings highlight the importance of considering age cohort effects in efforts to enhance well-being and reduce suicidal ideation among transitioning Veterans.

Indexed as

Military PersonnelSuicidal IdeationVeteransAdolescentAdultAge FactorsCohort StudiesFemaleHealth StatusHumansMaleMiddle AgedUnited StatesYoung Adult

Identifiers

PMID39914645
PMCPMC13034446

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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.