A substantial proportion of U.S. military veterans experience mental health and/or substance use disorders. As public awareness of these difficulties rises, so too does interest in the relation between veteran behavioral health and high-risk events, namely suicide attempts, incarceration, and homelessness. Using latent class analysis and a large, nationally representative sample of community veterans, the current study examined common patterns of veteran behavioral health disorders and the associations between these patterns and high-risk events. Results suggest four classes of veterans, including a "healthy" class (comprising 69% of the total sample), a "substance use disorder" class (16%), a "personality disorder-substance use disorder" class (8%), and a "depressive disorder" class (7%). Veterans in the healthy class had the lowest rates of suicide attempt (2%), incarceration (14%), and homelessness (3%), whereas veterans in the personality disorder-substance use disorder class had the highest rates of these events (27%, 45%, and 22%, respectively). Results attest to the importance of investing clinical resources into addressing the needs of veterans experiencing complex behavioral health patterns, particularly personality and substance use disorders. Implications for the health care of veterans are discussed. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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与终生自杀未遂、监禁和无家可归相关的心理健康和物质使用模式：对具有全国代表性的美国退伍军人样本的潜在类别分析。

相当大比例的美国退伍军人经历过心理健康和/或物质使用障碍。随着公众对这些困难的认识提高，对退伍军人行为健康与高风险事件（即自杀未遂、监禁和无家可归）之间关系的兴趣也在增加。本研究使用潜在类别分析和具有全国代表性的社区退伍军人样本，研究了退伍军人行为健康障碍的常见模式以及这些模式与高风险事件之间的关联。结果显示退伍军人分为四类，包括“健康”类（占样本总数的69%）、“物质使用障碍”类（16%）、“人格障碍-物质使用障碍”类（8%）、和“抑郁症”类（7%）。健康级别的退伍军人自杀未遂 (2%)、监禁 (14%) 和无家可归 (3%) 的发生率最低，而人格障碍 - 物质使用障碍级别的退伍军人在这些事件中的发生率最高 (27 %、45% 和 22%）。结果证明了将临床资源投入到满足经历复杂行为健康模式（尤其是人格和物质使用障碍）的退伍军人需求方面的重要性。讨论了对退伍军人医疗保健的影响。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。结果证明了将临床资源投入到满足经历复杂行为健康模式（尤其是人格和物质使用障碍）的退伍军人需求方面的重要性。讨论了对退伍军人医疗保健的影响。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。结果证明了将临床资源投入到满足经历复杂行为健康模式（尤其是人格和物质使用障碍）的退伍军人需求方面的重要性。讨论了对退伍军人医疗保健的影响。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。