title: Current Suicidal Ideation among Treatment-Engaged Active Duty Soldiers and Marines.
abstract: We examined suicidal ideation among 399 active duty Soldiers and Marines engaged in mental health treatment. Using a generalized linear model controlling for demographic and military factors, depression, and positive traumatic brain injury screen, we confirmed our hypothesis that self-report measures of current PTSD symptoms uniquely predicted suicidal ideation. The association between PTSD severity and suicidal ideation was moderated by gender with women at higher risk as PTSD severity increased. Female Soldiers and Marines with high levels of PTSD should receive additional monitoring and intervention. Self-report measures may aid with risk assessment and identify symptom-related distress associated with suicide risk.
authors.affiliation: Implementation Science, National Center for PTSD, Dissemination and Training Division, Veteran Affairs Palo Alto Health Care System.
authors.forename: Lindsey
authors.initials: L
authors.lastname: Zimmerman
authors.affiliation: Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Harborview Medical Center, Seattle, Washington 98104.
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Villatte
authors.affiliation: Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Harborview Medical Center, Seattle, Washington 98104.
authors.forename: Amanda H
authors.initials: AH
authors.lastname: Kerbrat
authors.affiliation: Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Harborview Medical Center, Seattle, Washington 98104.
authors.forename: David C
authors.initials: DC
authors.lastname: Atkins
authors.affiliation: Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Harborview Medical Center, Seattle, Washington 98104.
authors.forename: Aaron
authors.initials: A
authors.lastname: Flaster
authors.affiliation: Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Harborview Medical Center, Seattle, Washington 98104.
authors.forename: Kate A
authors.initials: KA
authors.lastname: Comtois
keywords: Active Duty; Army; Depression; Marine; Military Suicide; PTSD; Suicidal ideation; Traumatic Brain Injury; Treatment-Engagement