title: Suicidal Ideation among Florida National Guard Members: Combat Deployment and Non-Deployment Risk and Protective Factors.
abstract: This study examined relationships among risk/protective factors and suicidal ideation (SI) in deployed and non-deployed National Guard members, particularly examining for possible differential effects of deployment on SI. A total of 3,098 Florida National Guard members completed an anonymous online survey that assessed variables associated with SI including demographics, current psychiatric diagnoses, and pre-, during, and post-deployment experiences. Those deployed had significantly higher rates of SI (5.5%) than those not deployed (3.0%; p < .001). In multivariate analyses, among those not deployed, SI was significantly associated with major depressive disorder (p < .001), posttraumatic stress disorder (PTSD) (p < .001), prior psychological trauma (p < .01), and heavy/hazardous alcohol consumption (p < .05). In contrast, in the deployed, only PTSD (p < .001) and deployment-related mild traumatic brain injury (p < .05) were independently associated with SI. Risk and protective factors differed by deployment status in National Guard members suggesting the possible need for cohort-specific treatment targets to minimize SI.
authors.forename: Rodney D
authors.initials: RD
authors.lastname: Vanderploeg
authors.forename: Sarra
authors.initials: S
authors.lastname: Nazem
authors.forename: Lisa A
authors.initials: LA
authors.lastname: Brenner
authors.forename: Heather G
authors.initials: HG
authors.lastname: Belanger
authors.forename: Alison J
authors.initials: AJ
authors.lastname: Donnell
authors.forename: Steven G
authors.initials: SG
authors.lastname: Scott
mesh_terms: D000328:Adult; D000428:Alcohol Drinking / Q000453:epidemiology / Q000523:psychology*; D003865:Major Depressive Disorder / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology*; D004651:Employment / Q000523:psychology*; D005260:Female; D005431:Florida / Q000453:epidemiology; D006801:Humans; D008297:Male; D008889:Military Personnel / Q000523:psychology*; D065840:Protective Factors; D011580:Psychological Techniques; D012307:Risk Factors; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology*; D059020:Suicidal Ideation
keywords: PTSD; blast injury; deployment; mental disorders; military personnel; suicidal ideation; traumatic brain injury