Amanda M Raines1, Daniel W Capron2, Lauren A Stentz3, Jessica L Walton1, Nicholas P Allan4, Eliza S McManus5, Madeline Uddo6, Gala True7, C Laurel Franklin8. 1. Southeast Louisiana Veterans Health Care System, 3500 Canal St., New Orleans, LA 70119, USA; South Central VA Healthcare Network Mental Illness Research, Education, and Clinical Center (MIRECC), 1601 Perdido St., New Orleans, LA 70112, USA. 2. Department of Psychology, University of Southern Mississippi, 118 College Dr., Hattiesburg, MS 32406, USA. 3. Department of Psychology, Florida State University, 1107W. Call St., Tallahassee, FL 32306, USA. 4. Department of Psychology, Ohio University, 200 Porter Hall, Athens, OH 45701, USA. 5. Southeast Louisiana Veterans Health Care System, 3500 Canal St., New Orleans, LA 70119, USA. 6. Southeast Louisiana Veterans Health Care System, 3500 Canal St., New Orleans, LA 70119, USA; South Central VA Healthcare Network Mental Illness Research, Education, and Clinical Center (MIRECC), 1601 Perdido St., New Orleans, LA 70112, USA; Department of Psychiatry and Behavioral Sciences, Tulane University School of Medicine, 1430 Tulane Ave, New Orleans, LA 70112, USA. 7. Southeast Louisiana Veterans Health Care System, 3500 Canal St., New Orleans, LA 70119, USA; South Central VA Healthcare Network Mental Illness Research, Education, and Clinical Center (MIRECC), 1601 Perdido St., New Orleans, LA 70112, USA; Division of General Internal Medicine and Geriatrics, Department of Medicine, Tulane University School of Medicine, 1430 Tulane Ave, New Orleans, LA 70112, USA. 8. Southeast Louisiana Veterans Health Care System, 3500 Canal St., New Orleans, LA 70119, USA; South Central VA Healthcare Network Mental Illness Research, Education, and Clinical Center (MIRECC), 1601 Perdido St., New Orleans, LA 70112, USA; Department of Psychiatry and Behavioral Sciences, Tulane University School of Medicine, 1430 Tulane Ave, New Orleans, LA 70112, USA. Electronic address: laurel.franklin@va.gov.
Abstract
BACKGROUND: Although the relationship between posttraumatic stress disorder (PTSD) and suicide has been firmly established, research on underlying mechanisms has been disproportionately low. The cognitive concerns subscale of anxiety sensitivity (AS), which reflects fears of cognitive dyscontrol, has been linked to both PTSD and suicide and thus may serve as an explanatory mechanism between these constructs. METHODS: The sample consisted of 60 male veterans presenting to an outpatient Veteran Affairs (VA) clinic for psychological services. Upon intake, veterans completed a diagnostic interview and brief battery of self-report questionnaires to assist with differential diagnosis and treatment planning. RESULTS: Results revealed a significant association between PTSD symptom severity and higher suicidality (i.e., ideation, plans, and impulses), even after accounting for relevant demographic and psychological constructs. Moreover, AS cognitive concerns mediated this association. LIMITATIONS: Limitations include the small sample size and cross-sectional nature of the current study. CONCLUSIONS: These findings add considerably to a growing body of literature examining underlying mechanisms that may help to explain the robust associations between PTSD and suicide. Considering the malleable nature of AS cognitive concerns, research is needed to determine the extent to which reductions in this cognitive risk factor are associated with reductions in suicide among at risk samples, such as those included in the present investigation. Published by Elsevier B.V.
BACKGROUND: Although the relationship between posttraumatic stress disorder (PTSD) and suicide has been firmly established, research on underlying mechanisms has been disproportionately low. The cognitive concerns subscale of anxiety sensitivity (AS), which reflects fears of cognitive dyscontrol, has been linked to both PTSD and suicide and thus may serve as an explanatory mechanism between these constructs. METHODS: The sample consisted of 60 male veterans presenting to an outpatient Veteran Affairs (VA) clinic for psychological services. Upon intake, veterans completed a diagnostic interview and brief battery of self-report questionnaires to assist with differential diagnosis and treatment planning. RESULTS: Results revealed a significant association between PTSD symptom severity and higher suicidality (i.e., ideation, plans, and impulses), even after accounting for relevant demographic and psychological constructs. Moreover, AS cognitive concerns mediated this association. LIMITATIONS: Limitations include the small sample size and cross-sectional nature of the current study. CONCLUSIONS: These findings add considerably to a growing body of literature examining underlying mechanisms that may help to explain the robust associations between PTSD and suicide. Considering the malleable nature of AS cognitive concerns, research is needed to determine the extent to which reductions in this cognitive risk factor are associated with reductions in suicide among at risk samples, such as those included in the present investigation. Published by Elsevier B.V.
Authors: Joseph W Boffa; Ian H Stanley; Lia J Smith; Brittany M Mathes; Jana K Tran; Sam J Buser; Norman B Schmidt; Anka A Vujanovic Journal: J Nerv Ment Dis Date: 2018-03 Impact factor: 2.254
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