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PTSD comorbidity and suicidal ideation associated with PTSD within the Ohio Army National Guard.
J Clin Psychiatry. 2011 Aug; 72(8):1072-8.JC

Abstract

OBJECTIVE

To study the relation between posttraumatic stress disorder (PTSD) psychiatric comorbidity and suicidal ideation in a representative sample of Ohio Army National Guard soldiers.

METHOD

Using retrospective data collected on the telephone from a random sample of 2,616 National Guard soldiers who enrolled in a 10-year longitudinal study (baseline data collected November 2008-November 2009), we examined (1) the prevalence of other psychopathologies among those with DSM-IV-diagnosed PTSD compared to those without PTSD and (2) the association between PTSD comorbidity and suicidal ideation (reporting thoughts of being better off dead or hurting themselves). All analyses were carried out using logistic regression.

RESULTS

Of guard members with PTSD in the last year, 61.7% had at least 1 other psychopathology; 20.2% had at least 2 other co-occurring conditions. The most common co-occurring psychopathology was depression. While those with PTSD overall were 5.4 (95% CI, 3.8-7.5) times more likely to report suicidality than those without PTSD, those who had at least 2 additional conditions along with PTSD were 7.5 (95% CI, 3.0-18.3) times more likely to report suicidal ideation at some point in their lifetime than those with PTSD alone.

CONCLUSIONS

Soldiers with PTSD were at increased risk for suicidality, and, among those with PTSD, those with at least 2 additional conditions were at the highest risk of suicidal ideation. Future research should address the mechanisms that contribute to multimorbidity in this population and the appropriate treatment methods for this high-risk group.

Authors+Show Affiliations

Department of Psychiatry, University Hospitals Case Medical Center, Case Western Reserve University, Cleveland, Ohio, USA. joseph.calabrese@UHhospitals.orgNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

21899816

Citation

Calabrese, Joseph R., et al. "PTSD Comorbidity and Suicidal Ideation Associated With PTSD Within the Ohio Army National Guard." The Journal of Clinical Psychiatry, vol. 72, no. 8, 2011, pp. 1072-8.
Calabrese JR, Prescott M, Tamburrino M, et al. PTSD comorbidity and suicidal ideation associated with PTSD within the Ohio Army National Guard. J Clin Psychiatry. 2011;72(8):1072-8.
Calabrese, J. R., Prescott, M., Tamburrino, M., Liberzon, I., Slembarski, R., Goldmann, E., Shirley, E., Fine, T., Goto, T., Wilson, K., Ganocy, S., Chan, P., Serrano, M. B., Sizemore, J., & Galea, S. (2011). PTSD comorbidity and suicidal ideation associated with PTSD within the Ohio Army National Guard. The Journal of Clinical Psychiatry, 72(8), 1072-8. https://doi.org/10.4088/JCP.11m06956
Calabrese JR, et al. PTSD Comorbidity and Suicidal Ideation Associated With PTSD Within the Ohio Army National Guard. J Clin Psychiatry. 2011;72(8):1072-8. PubMed PMID: 21899816.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - PTSD comorbidity and suicidal ideation associated with PTSD within the Ohio Army National Guard. AU - Calabrese,Joseph R, AU - Prescott,Marta, AU - Tamburrino,Marijo, AU - Liberzon,Israel, AU - Slembarski,Renee, AU - Goldmann,Emily, AU - Shirley,Edwin, AU - Fine,Thomas, AU - Goto,Toyomi, AU - Wilson,Kimberly, AU - Ganocy,Stephen, AU - Chan,Philip, AU - Serrano,Mary Beth, AU - Sizemore,James, AU - Galea,Sandro, PY - 2011/02/21/received PY - 2011/06/23/accepted PY - 2011/9/9/entrez PY - 2011/9/9/pubmed PY - 2011/11/1/medline SP - 1072 EP - 8 JF - The Journal of clinical psychiatry JO - J Clin Psychiatry VL - 72 IS - 8 N2 - OBJECTIVE: To study the relation between posttraumatic stress disorder (PTSD) psychiatric comorbidity and suicidal ideation in a representative sample of Ohio Army National Guard soldiers. METHOD: Using retrospective data collected on the telephone from a random sample of 2,616 National Guard soldiers who enrolled in a 10-year longitudinal study (baseline data collected November 2008-November 2009), we examined (1) the prevalence of other psychopathologies among those with DSM-IV-diagnosed PTSD compared to those without PTSD and (2) the association between PTSD comorbidity and suicidal ideation (reporting thoughts of being better off dead or hurting themselves). All analyses were carried out using logistic regression. RESULTS: Of guard members with PTSD in the last year, 61.7% had at least 1 other psychopathology; 20.2% had at least 2 other co-occurring conditions. The most common co-occurring psychopathology was depression. While those with PTSD overall were 5.4 (95% CI, 3.8-7.5) times more likely to report suicidality than those without PTSD, those who had at least 2 additional conditions along with PTSD were 7.5 (95% CI, 3.0-18.3) times more likely to report suicidal ideation at some point in their lifetime than those with PTSD alone. CONCLUSIONS: Soldiers with PTSD were at increased risk for suicidality, and, among those with PTSD, those with at least 2 additional conditions were at the highest risk of suicidal ideation. Future research should address the mechanisms that contribute to multimorbidity in this population and the appropriate treatment methods for this high-risk group. SN - 1555-2101 UR - https://www.unboundmedicine.com/medline/citation/21899816/PTSD_comorbidity_and_suicidal_ideation_associated_with_PTSD_within_the_Ohio_Army_National_Guard_ L2 - http://www.psychiatrist.com/jcp/article/pages/2011/v72n08/v72n0807.aspx DB - PRIME DP - Unbound Medicine ER -