The Relationship between Post-Battle Experiences and Thwarted Belongingness and Perceived Burdensomeness in Three United States Military Samples

Suicide rates within the military are elevated relative to the general population; however, research suggests that many of the suicide risk factors for military personnel are similar to the suicide risk factors for civilians. Given that many military specific experiences (e.g., number of deployments) are not considered robust predictors of either suicidal ideation or behavior, it has been posited that deployment specific experiences (e.g., post-battle experiences) may be better able to explain the increased rates of suicide among military personnel. Therefore, the current study aimed to examine the relationship between post-battle experiences and perceived burdensomeness (PB), thwarted belongingness (TB), and suicidal ideation within 3 different military samples: a non-clinical sample of Army National Guard personnel, a non-clinical sample of active duty U.S. Air Force Security Forces personnel, and a clinical sample of U.S. Army personnel receiving outpatient treatment. Post-battle experiences were found to be significantly associated with TB in both non-clinical samples; however, the association between post-battle experiences and TB was non-significant within the clinical sample. Furthermore, results indicated that post-battle experiences were not significantly associated with either PB or suicidal ideation in any of the samples. These findings suggest that in non-clinical samples, post-battle experiences impact a soldier’s ability to feel connected to others. Within clinical samples, results indicate that post-battle experiences may not be a direct contributor to either PB or TB. These results indicate a need for universal intervention promoting interpersonal support of military personnel and their families prior to development of further need for psychological interventions. This upstream approach may decrease further development of TB and potentially prevent suicidal desire.

[1]  T. Joiner,et al.  Conceptual and Empirical Scrutiny of Covarying Depression Out of Suicidal Ideation , 2018, Assessment.

[2]  G. Shahar,et al.  Perceived Stress and Intent to Die in Young Soldiers Who Attempt Suicide , 2018, Crisis.

[3]  C. Bryan,et al.  The Impact of Aggression on the Relationship Between Betrayal and Belongingness Among U.S. Military Personnel , 2017 .

[4]  R. Kessler,et al.  Risk Factors, Methods, and Timing of Suicide Attempts Among US Army Soldiers. , 2016, JAMA psychiatry.

[5]  Kamryn T. Eddy,et al.  Associations between eating disorder symptoms and suicidal ideation through thwarted belongingness and perceived burdensomeness among eating disorder patients. , 2016, Journal of affective disorders.

[6]  S. Bruce,et al.  Stigma, career worry, and mental illness symptomatology: Factors influencing treatment-seeking for Operation Enduring Freedom and Operation Iraqi Freedom soldiers and veterans. , 2016, Psychological trauma : theory, research, practice and policy.

[7]  C. Bryan,et al.  An Exploratory Study of the Mental Toughness Psychological Skills Profile Psychometrics, and the Mediating Effect of Social Support Sources on Mental Toughness and Suicidal Ideation Among Military Police , 2016 .

[8]  C. Bryan,et al.  Moral injury: A new challenge for complementary and alternative medicine. , 2016, Complementary therapies in medicine.

[9]  B. Green,et al.  Support Systems: How Post-Deployment Support Impacts Suicide Risk Factors in the United States Army National Guard , 2016, Cognitive Therapy and Research.

[10]  S. Stewart,et al.  Preliminary Examination of the Interpersonal Psychological Theory of Suicide in an Adolescent Clinical Sample , 2015, Journal of Abnormal Child Psychology.

[11]  Michael D Anestis,et al.  The Impact of Varying Levels of Confidentiality on Disclosure of Suicidal Thoughts in a Sample of United States National Guard Personnel. , 2015, Journal of clinical psychology.

[12]  M. Anestis,et al.  The Relationship Between Non-Suicidal Self-Injury and Both Perceived Burdensomeness and Thwarted Belongingness , 2015, Journal of Psychopathology and Behavioral Assessment.

[13]  R. Mohn,et al.  Testing the main hypotheses of the interpersonal-psychological theory of suicidal behavior in a large diverse sample of United States military personnel. , 2015, Comprehensive psychiatry.

[14]  J. Griffith Suicide in the U.S. army: stressor-strain hypothesis among deployed and nondeployed Army National Guard soldiers , 2015 .

[15]  Han K. Kang,et al.  Risk of Suicide Among US Military Service Members Following Operation Enduring Freedom or Operation Iraqi Freedom Deployment and Separation From the US Military. , 2015, JAMA psychiatry.

[16]  C. Sharp,et al.  Evaluating the Interpersonal Needs Questionnaire: Comparison of the Reliability, Factor Structure, and Predictive Validity across Five Versions. , 2015, Suicide & life-threatening behavior.

[17]  T. Joiner,et al.  Perceived burdensomeness and thwarted belongingness predict excessive reassurance seeking among clinical outpatients. , 2015, Journal of clinical psychology.

[18]  Cynthia L. S. Pury,et al.  The role of different stigma perceptions in treatment seeking and dropout among active duty military personnel. , 2015, Psychiatric rehabilitation journal.

[19]  C. Bryan adjusting Our Aim: Next Steps in Military and Veteran Suicide Prevention , 2015 .

[20]  J. Mintz,et al.  Brief cognitive-behavioral therapy effects on post-treatment suicide attempts in a military sample: results of a randomized clinical trial with 2-year follow-up. , 2015, The American journal of psychiatry.

[21]  Rie Kobayashi,et al.  National Guard Service Members’ Perceptions of Informal and Formal Supports: An Exploratory Study , 2015, Journal of social work in disability & rehabilitation.

[22]  Han K. Kang,et al.  Suicide risk among 1.3 million veterans who were on active duty during the Iraq and Afghanistan wars. , 2015, Annals of epidemiology.

[23]  Ingrid C. Lim,et al.  AN INVESTIGATION OF THE INTERACTIVE EFFECTS OF THE CAPABILITY FOR SUICIDE AND ACUTE AGITATION ON SUICIDALITY IN A MILITARY SAMPLE , 2015, Depression and anxiety.

[24]  I. Katz,et al.  Posttraumatic stress disorder and suicide in 5.9 million individuals receiving care in the veterans health administration health system. , 2014, Journal of affective disorders.

[25]  R. Kessler,et al.  Predictors of suicide and accident death in the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS): results from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS). , 2014, JAMA psychiatry.

[26]  E. D. Klonsky,et al.  Differentiating suicide attempters from suicide ideators: a critical frontier for suicidology research. , 2014, Suicide & life-threatening behavior.

[27]  Madhavi K. Reddy,et al.  Risk factors for post-deployment posttraumatic stress disorder in national guard/reserve service members , 2013, Psychiatry Research.

[28]  Joel A Miller,et al.  Unintended consequences: stigma and suicide prevention efforts. , 2013, Military medicine.

[29]  C. Bryan,et al.  Age and belongingness moderate the effects of combat exposure on suicidal ideation among active duty Air Force personnel. , 2013, Journal of affective disorders.

[30]  Besa Smith,et al.  Risk factors associated with suicide in current and former US military personnel. , 2013, JAMA.

[31]  L. Monteith,et al.  Examining the interpersonal-psychological theory of suicide in an inpatient veteran sample. , 2013, Suicide & life-threatening behavior.

[32]  Keith D. Renshaw,et al.  Personality traits as moderators of the associations between deployment experiences and PTSD symptoms in OEF/OIF service members , 2013, Anxiety, stress, and coping.

[33]  J. Pettit,et al.  Suicidal ideation and sexual orientation in college students: the roles of perceived burdensomeness, thwarted belongingness, and perceived rejection due to sexual orientation. , 2012, Suicide & life-threatening behavior.

[34]  C. Hoge,et al.  Preventing suicides in US service members and veterans: concerns after a decade of war. , 2012, JAMA.

[35]  Kelly C. Cukrowicz,et al.  Thwarted belongingness and perceived burdensomeness: construct validity and psychometric properties of the Interpersonal Needs Questionnaire. , 2012, Psychological assessment.

[36]  C. Bryan,et al.  Perceived burdensomeness, fearlessness of death, and suicidality among deployed military personnel , 2012 .

[37]  J. Griffith Suicide in the army national guard: an empirical inquiry. , 2012, Suicide & life-threatening behavior.

[38]  Kelly C. Cukrowicz,et al.  Associations between types of combat violence and the acquired capability for suicide. , 2011, Suicide & life-threatening behavior.

[39]  Keith D. Renshaw,et al.  An integrated model of risk and protective factors for post-deployment PTSD symptoms in OEF/OIF era combat veterans. , 2011, Journal of affective disorders.

[40]  Keith D. Renshaw,et al.  Deployment experiences and postdeployment PTSD symptoms in National Guard/Reserve service members serving in operations Enduring Freedom and Iraqi Freedom. , 2010, Journal of traumatic stress.

[41]  Kelly C. Cukrowicz,et al.  Combat experience and the acquired capability for suicide. , 2010, Journal of clinical psychology.

[42]  S. Southwick,et al.  Risk and protective factors associated with suicidal ideation in veterans of Operations Enduring Freedom and Iraqi Freedom. , 2010, Journal of affective disorders.

[43]  Kelly C. Cukrowicz,et al.  The interpersonal theory of suicide. , 2010, Psychological review.

[44]  H. Sørensen,et al.  Posttraumatic stress disorder and completed suicide. , 2010, American journal of epidemiology.

[45]  Thomas E. Joiner,et al.  A preliminary test of the interpersonal-psychological theory of suicidal behavior in a military sample , 2010 .

[46]  Tracy K. Witte,et al.  Suicidal desire and the capability for suicide: tests of the interpersonal-psychological theory of suicidal behavior among adults. , 2008, Journal of consulting and clinical psychology.

[47]  M. Oquendo,et al.  Association of comorbid posttraumatic stress disorder and major depression with greater risk for suicidal behavior. , 2003, The American journal of psychiatry.

[48]  A. Beck,et al.  Dimensions of suicidal ideation in psychiatric inpatients. , 1993, Behaviour research and therapy.

[49]  M. Valenstein,et al.  Predictors of suicidal ideation among depressed Veterans and the interpersonal theory of suicide. , 2014, Journal of affective disorders.

[50]  T. Joiner Why People Die by Suicide , 2005 .

[51]  A. Beck,et al.  Relationship between the beck anxiety inventory and the Hamilton anxiety rating scale with anxious outpatients , 1991 .