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The Association of Military Sexual Harassment/Assault With Suicide Ideation, Plans, Attempts, and Mortality Among US Service Members/Veterans: A Meta-Analysis
Trauma, Violence, & Abuse ( IF 5.4 ) Pub Date : 2022-06-28 , DOI: 10.1177/15248380221109790
Whitney S Livingston 1 , Hallie S Tannahill 1 , Diana J Meter 1 , Jamison D Fargo 1 , Rebecca K Blais 1, 2
Affiliation  

Suicide rates continue to increase among service members/veterans. Military sexual harassment/assault (MSH/A) may increase risk of suicide, but little is known about the collective magnitude of associations between MSH/A and suicide outcomes, including ideation, plan, attempt, and mortality. The current meta-analysis addressed this literature gap while testing potential moderators of gender, marital status, discharge status, and military branch. PsycINFO, PubMed, Dissertations/Theses, relevant citation lists, and conference brochures were reviewed for papers that included quantitative analyses in English, U.S. military samples, and measures of MSH/A and suicide ideation/plan/attempt/mortality. The search resulted in 22 studies (N = 10,898,875) measuring the association of MSH/A with suicide ideation (k = 15), plans (k = 1), attempts (k = 14), and mortality (k = 2), with papers published from 2007–2021. MSH/A was associated with suicide ideation (r ¯ = .14) and attempts (r ¯ = .11, ps < .05). The association of MSH/A and suicide ideation and attempts was higher among women relative to men, those identifying as married versus not married, those actively serving compared to discharged, and those reporting service in the Air Force relative to all other branches. The association of MSH/A with suicide plans and mortality was not calculated due to the small number of studies reporting those effect sizes (ks = 1–2). The effect sizes observed suggest MSH/A is part of a larger network of risk factors for suicide. Moderators indicate that suicide risk is higher among specific groups, and prevention strategies would be most effective if they targeted these individuals. This research area would be strengthened by additional studies of plans and mortality.



中文翻译:

美国现役军人/退伍军人中军事性骚扰/袭击与自杀意念、计划、企图和死亡率的关联:荟萃分析

军人/退伍军人的自杀率继续上升。军队性骚扰/攻击 (MSH/A) 可能会增加自杀风险,但人们对 MSH/A 与自杀结果(包括意念、计划、企图和死亡率)之间关联的总体程度知之甚少。当前的荟萃分析解决了这一文献空白,同时测试了性别、婚姻状况、退伍状况和军事部门的潜在调节因素。对 PsycINFO、PubMed、学位论文/论文、相关引文列表和会议手册进行了审查,其中包括英文定量分析、美国军事样本以及 MSH/A 和自杀意念/计划/企图/死亡率的测量。检索结果包括 22 项研究 ( N = 10,898,875),测量 MSH/A 与自杀意念 ( k = 15)、计划 ( k = 1)、尝试 ( k = 14) 和死亡率 ( k = 2) 的关系,其中2007年至2021年发表的论文。MSH/A 与自杀意念相关(r = .14) 和尝试 (r = .11,p s < .05)。相对于男性,女性、已婚女性与未婚女性、现役军人与退役军人以及在空军服役的女性与所有其他军种相比,MSH/A 与自杀意念和企图的关联性更高。由于报告这些效应大小的研究数量较少(k s = 1-2),因此未计算 MSH/A 与自杀计划和死亡率的关联。观察到的效应大小表明 MSH/A 是更大的自杀危险因素网络的一部分。主持人表示,特定群体的自杀风险较高,如果针对这些人,预防策略将是最有效的。该研究领域将通过对计划和死亡率的额外研究得到加强。

更新日期:2022-07-02
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