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The influence of depressive symptoms on suicidal ideation among U.S. Vietnam-era and Afghanistan/Iraq-era veterans with posttraumatic stress disorder.
J Trauma Stress. 2012 Oct; 25(5):578-82.JT

Abstract

Major depressive disorder (MDD) co-occurs frequently with posttraumatic stress disorder (PTSD), and both disorders are linked to suicidal ideation. An emergent literature examines suicidal ideation in U.S. Afghanistan/Iraq-era veterans. Little research, however, has studied the role of PTSD and comorbid MDD on suicidal ideation across service eras. Therefore, this study aimed to examine the impact of depression on suicidal ideation in Afghanistan/Iraq-era and Vietnam-era veterans with PTSD. The sample included 164 Vietnam and 98 Afghanistan/Iraq veterans diagnosed with PTSD at a VA outpatient PTSD Clinic. Using structured interviews, 63% of the Vietnam sample and 45% of the Afghanistan/Iraq sample were diagnosed with comorbid current MDD. Measures included self-report assessments of PTSD and depressive symptoms and the Personality Assessment Inventory. Results of analyses suggested that in veterans of both eras, PTSD, MDD, and their interaction were significantly related to suicidal ideation (PTSD: η(2) = .01; MDD: η(2) = .10; PTSD × MDD: η(2) = .02). For veterans reporting greater depressive symptoms, there was a stronger relationship between PTSD symptoms and suicidal ideation. These results suggest that veterans from both eras display a similar clinical presentation and highlight the need to consider depressive symptoms when assessing veterans with PTSD. Future research should examine suicidal ideation and behaviors as they change over time in these two cohorts.

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Authors+Show Affiliations

Pukay-Martin ND
Durham Veterans Affairs Medical Center, Durham, North Carolina, USA. nicole.pukaymartin@psych.ryerson.ca
Pontoski KE
No affiliation info available
Maxwell MA
No affiliation info available
Calhoun PS
No affiliation info available
Dutton CE
No affiliation info available
Clancy CP
No affiliation info available
Hertzberg MA
No affiliation info available
Collie CF
No affiliation info available
Beckham JC
No affiliation info available

MeSH

AdultAfghan Campaign 2001-AfghanistanComorbidityDepressionDepressive Disorder, MajorFemaleHumansIraqIraq War, 2003-2011MaleMiddle AgedRisk FactorsStress Disorders, Post-TraumaticSuicidal IdeationUnited StatesVeteransVietnam Conflict

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23047458

Citation

Pukay-Martin, Nicole D., et al. "The Influence of Depressive Symptoms On Suicidal Ideation Among U.S. Vietnam-era and Afghanistan/Iraq-era Veterans With Posttraumatic Stress Disorder." Journal of Traumatic Stress, vol. 25, no. 5, 2012, pp. 578-82.
Pukay-Martin ND, Pontoski KE, Maxwell MA, et al. The influence of depressive symptoms on suicidal ideation among U.S. Vietnam-era and Afghanistan/Iraq-era veterans with posttraumatic stress disorder. J Trauma Stress. 2012;25(5):578-82.
Pukay-Martin, N. D., Pontoski, K. E., Maxwell, M. A., Calhoun, P. S., Dutton, C. E., Clancy, C. P., Hertzberg, M. A., Collie, C. F., & Beckham, J. C. (2012). The influence of depressive symptoms on suicidal ideation among U.S. Vietnam-era and Afghanistan/Iraq-era veterans with posttraumatic stress disorder. Journal of Traumatic Stress, 25(5), 578-82. https://doi.org/10.1002/jts.21741
Pukay-Martin ND, et al. The Influence of Depressive Symptoms On Suicidal Ideation Among U.S. Vietnam-era and Afghanistan/Iraq-era Veterans With Posttraumatic Stress Disorder. J Trauma Stress. 2012;25(5):578-82. PubMed PMID: 23047458.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The influence of depressive symptoms on suicidal ideation among U.S. Vietnam-era and Afghanistan/Iraq-era veterans with posttraumatic stress disorder. AU - Pukay-Martin,Nicole D, AU - Pontoski,Kristin E, AU - Maxwell,Melissa A, AU - Calhoun,Patrick S, AU - Dutton,Courtney E, AU - Clancy,Carolina P, AU - Hertzberg,Michael A, AU - Collie,Claire F, AU - Beckham,Jean C, Y1 - 2012/10/09/ PY - 2012/10/11/entrez PY - 2012/10/11/pubmed PY - 2013/4/11/medline SP - 578 EP - 82 JF - Journal of traumatic stress JO - J Trauma Stress VL - 25 IS - 5 N2 - Major depressive disorder (MDD) co-occurs frequently with posttraumatic stress disorder (PTSD), and both disorders are linked to suicidal ideation. An emergent literature examines suicidal ideation in U.S. Afghanistan/Iraq-era veterans. Little research, however, has studied the role of PTSD and comorbid MDD on suicidal ideation across service eras. Therefore, this study aimed to examine the impact of depression on suicidal ideation in Afghanistan/Iraq-era and Vietnam-era veterans with PTSD. The sample included 164 Vietnam and 98 Afghanistan/Iraq veterans diagnosed with PTSD at a VA outpatient PTSD Clinic. Using structured interviews, 63% of the Vietnam sample and 45% of the Afghanistan/Iraq sample were diagnosed with comorbid current MDD. Measures included self-report assessments of PTSD and depressive symptoms and the Personality Assessment Inventory. Results of analyses suggested that in veterans of both eras, PTSD, MDD, and their interaction were significantly related to suicidal ideation (PTSD: η(2) = .01; MDD: η(2) = .10; PTSD × MDD: η(2) = .02). For veterans reporting greater depressive symptoms, there was a stronger relationship between PTSD symptoms and suicidal ideation. These results suggest that veterans from both eras display a similar clinical presentation and highlight the need to consider depressive symptoms when assessing veterans with PTSD. Future research should examine suicidal ideation and behaviors as they change over time in these two cohorts. SN - 1573-6598 UR - https://www.unboundmedicine.com/medline/citation/23047458/The_influence_of_depressive_symptoms_on_suicidal_ideation_among_U_S__Vietnam_era_and_Afghanistan/Iraq_era_veterans_with_posttraumatic_stress_disorder_ L2 - https://doi.org/10.1002/jts.21741 DB - PRIME DP - Unbound Medicine ER -