title: The Impact of Cannabis Use Disorder on Suicidal and Nonsuicidal Self-Injury in Iraq/Afghanistan-Era Veterans with and without Mental Health Disorders.
abstract: The objective of this study was to assess the association between cannabis use disorder (CUD) and self-injury among veterans. As expected, after adjusting for sex, age, sexual orientation, combat exposure, traumatic life events, traumatic brain injury, posttraumatic stress disorder, depression, alcohol use disorder, and noncannabis drug use disorder, CUD was significantly associated with both suicidal (OR = 3.10, p = .045) and nonsuicidal (OR = 5.12, p = .009) self-injury. CUD was the only variable significantly associated with self-injury in all three models examined. These findings are consistent with prior research among civilians and suggest that CUD may also increase veterans' risk for self-injurious behavior.
authors.affiliation: Durham Veterans Affairs Medical Center, Durham, NC, USA.|VA Mid-Atlantic Mental Illness Research, Education, and Clinical Center, Durham, NC, USA.|Duke University Medical Center, Durham, NC, USA.
authors.forename: Nathan A
authors.identifier: 0000-0001-7218-1005
authors.initials: NA
authors.lastname: Kimbrel
authors.affiliation: VISN 17 Center of Excellence for Research on Returning War Veterans, Waco, TX, USA.|Central Texas Veterans Health Care System, Temple, USA.|Texas A&M University Health Science Center, College Station, TX, USA.
authors.forename: Eric C
authors.initials: EC
authors.lastname: Meyer
authors.affiliation: VISN 17 Center of Excellence for Research on Returning War Veterans, Waco, TX, USA.|Central Texas Veterans Health Care System, Temple, USA.|Texas A&M University Health Science Center, College Station, TX, USA.
authors.forename: Bryann B
authors.initials: BB
authors.lastname: DeBeer
authors.affiliation: Warriors Research Institute, Baylor, Scott & White Healthcare System, Waco, TX, USA.
authors.forename: Suzy B
authors.initials: SB
authors.lastname: Gulliver
authors.affiliation: The University of Texas at San Antonio, San Antonio, TX, USA.
authors.forename: Sandra B
authors.initials: SB
authors.lastname: Morissette
mesh_terms: D000328:Adult; D055826:Afghan Campaign 2001-; D000437:Alcoholism / Q000175:diagnosis / Q000523:psychology; D015897:Comorbidity; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology; D005260:Female; D006801:Humans; D054542:Iraq War, 2003-2011; D008297:Male; D002189:Marijuana Abuse / Q000175:diagnosis / Q000523:psychology*; D008875:Middle Aged; D012307:Risk Factors; D016728:Self-Injurious Behavior / Q000175:diagnosis / Q000523:psychology*; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000523:psychology; D059020:Suicidal Ideation; D013405:Suicide / Q000523:psychology*; D014728:Veterans / Q000523:psychology*