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Smolenski DJ, McDonald KL, Hoffmire CA, Britton PC, Carlson KF, Dobscha SK, Denneson LM. Informing measurement of gender differences in suicide risk and resilience: A national study of United States military veterans. J Clin Psychol 2023; 79:1371-1385. [PMID: 36680761 DOI: 10.1002/jclp.23485] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2022] [Revised: 11/07/2022] [Accepted: 01/03/2023] [Indexed: 01/22/2023]
Abstract
OBJECTIVE To inform measure selection when examining gender differences in suicide risk, this paper evaluates measure performance for a set of gender-relevant constructs and examines gender differences in mean scores. METHODS A national sample of veterans (n = 968) who had recently attempted suicide (past 6 months) completed measures assessing life experience-, psychosocial-, and health-related constructs. A multigroup latent variable model was used to assess similarity of measurement properties between women and men. RESULTS Metric and scalar invariance indicated that the latent variables functioned similarly between women and men. Women had higher scores on negative coping, institutional betrayal, and social rejection; men had higher scores on self-compassion, autonomy, and suicide ideation. CONCLUSIONS Measurement properties and gender differences in mean values support the use of these measures for research on gender differences. Findings also suggest further investigation of social rejection, institutional betrayal, and negative coping among women veterans at risk for suicide.
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Affiliation(s)
- Derek J Smolenski
- Department of Defense, Defense Health Agency, Silver Spring, Maryland, USA
| | - Katie L McDonald
- HSR&D Center to Improve Veteran Involvement in Care (CIVIC), VA Portland Health Care System, Portland, Oregon, USA
| | - Claire A Hoffmire
- Rocky Mountain MIRECC, VA Eastern Colorado Health Care System, Aurora, Colorado, USA
| | - Peter C Britton
- VISN 2 Center of Excellence for Suicide Prevention, VA Finger Lakes Healthcare System, Canandaigua, New York, USA
| | - Kathleen F Carlson
- HSR&D Center to Improve Veteran Involvement in Care (CIVIC), VA Portland Health Care System, Portland, Oregon, USA.,School of Public Health, Oregon Health & Science University, Portland, Oregon, USA
| | - Steven K Dobscha
- HSR&D Center to Improve Veteran Involvement in Care (CIVIC), VA Portland Health Care System, Portland, Oregon, USA.,Department of Psychiatry, Oregon Health & Science University, Portland, Oregon, USA
| | - Lauren M Denneson
- HSR&D Center to Improve Veteran Involvement in Care (CIVIC), VA Portland Health Care System, Portland, Oregon, USA.,Department of Psychiatry, Oregon Health & Science University, Portland, Oregon, USA
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De Smet MM, Von below C, Acke E, Werbart A, Meganck R, Desmet M. When ‘good outcome’ does not correspond to ‘good therapy’: Reflections on discrepancies between outcome scores and patients’ therapy satisfaction. EUROPEAN JOURNAL OF PSYCHOTHERAPY & COUNSELLING 2021. [DOI: 10.1080/13642537.2021.1923049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- Melissa M. De Smet
- Department of Psychoanalysis and Clinical Consulting, Ghent University, Ghent, Belgium
| | | | - Emma Acke
- Department of Psychoanalysis and Clinical Consulting, Ghent University, Ghent, Belgium
| | - Andrzej Werbart
- Department of Psychology, Stockholm University, Stockholm, Sweden
| | - Reitske Meganck
- Department of Psychoanalysis and Clinical Consulting, Ghent University, Ghent, Belgium
| | - Mattias Desmet
- Department of Psychoanalysis and Clinical Consulting, Ghent University, Ghent, Belgium
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Cartwright C, Gibson K, Read J. Personal agency in women's recovery from depression: The impact of antidepressants and women's personal efforts. CLIN PSYCHOL-UK 2020. [DOI: 10.1111/cp.12093] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Affiliation(s)
- Claire Cartwright
- School of Psychology, University of Auckland, Auckland, New Zealand,
| | - Kerry Gibson
- School of Psychology, University of Auckland, Auckland, New Zealand,
| | - John Read
- School of Psychological Science, Swinburne University of Technology, Melbourne, Victoria, Australia,
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Cole WR, Brockway JA, Fann JR, Ahrens AP, Hurst S, Hart T, Vuletic S, Bush N, Bell KR. Expressions of emotional distress in active duty military personnel with mild traumatic brain injury: A qualitative content analysis. MILITARY PSYCHOLOGY 2019. [DOI: 10.1080/08995605.2018.1503022] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Wesley R. Cole
- Defense and Veterans Brain Injury Center, GDHS, Intrepid Spirit, Fort Bragg, North Carolina
| | - Jo Ann Brockway
- Department of Rehabilitation Medicine, University of Washington, Seattle, Washington
| | - Jesse R. Fann
- Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington
| | - Angelica P. Ahrens
- Defense and Veterans Brain Injury Center, GDHS, Intrepid Spirit, Fort Bragg, North Carolina
| | - Samantha Hurst
- Department of Family Medicine and Public Health, University of California San Diego, La Jolla, California
| | - Tessa Hart
- Moss Rehabilitation Research Institute, Elkins Park, Pennsylvania
| | - Simona Vuletic
- National Center for Telehealth and Technology (T2), Joint Base Lewis-McChord, Washington
| | - Nigel Bush
- National Center for Telehealth and Technology (T2), Joint Base Lewis-McChord, Washington
- Psychological Health Center of Excellence, Defense Health Agency, Joint Base Lewis-McChord, Washington
| | - Kathleen R. Bell
- Department of Physical Medicine and Rehabilitation, University of Texas Southwestern, Dallas, Texas
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Bell CM, Ridley JA, Overholser JC, Young K, Athey A, Lehmann J, Phillips K. The Role of Perceived Burden and Social Support in Suicide and Depression. Suicide Life Threat Behav 2018; 48:87-94. [PMID: 28093796 DOI: 10.1111/sltb.12327] [Citation(s) in RCA: 38] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/25/2016] [Accepted: 11/08/2016] [Indexed: 11/29/2022]
Abstract
In a sample of 114 military veterans with depression histories, perceived burden was related to depression symptoms and suicide attempt history. After accounting for perceived burden, sense of belonging was negatively related to depression. Among the areas of social support, family support was inversely related to both depression and suicide history. After accounting for family support, personal meaning from relationships and friend support were related to depression. The results of this study suggest that perceived burdensomeness may be a stronger determinant of suicidality than sense of belonging or social support. This study highlights the contribution of perceived burdensomeness to suicide and depression.
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Affiliation(s)
- Christopher M Bell
- Psychology, Louis Stokes Cleveland VA Medical Center, Cleveland, OH, USA
| | - Josephine A Ridley
- Psychology, Louis Stokes Cleveland VA Medical Center, Cleveland, OH, USA
| | | | - Kevin Young
- Louis Stokes Cleveland VA Medical Center Mental Health Services, Cleveland, OH, USA
| | - Alison Athey
- Psychology, Case Western Reserve University, Cleveland, OH, USA
| | | | - Kristie Phillips
- Louis Stokes Cleveland VA Medical Center Mental Health Services, Cleveland, OH, USA
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Ewusi-Boisvert E, Racine E. A Critical Review of Methodologies and Results in Recent Research on Belief in Free Will. NEUROETHICS-NETH 2017. [DOI: 10.1007/s12152-017-9346-3] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Psychological flexibility as a dimension of resilience for posttraumatic stress, depression, and risk for suicidal ideation among Air Force personnel. JOURNAL OF CONTEXTUAL BEHAVIORAL SCIENCE 2015. [DOI: 10.1016/j.jcbs.2015.10.002] [Citation(s) in RCA: 45] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Pennings SM, Law KC, Green BA, Anestis MD. The Impact of Grit on the Relationship Between Hopelessness and Suicidality. Int J Cogn Ther 2015. [DOI: 10.1521/ijct.2015.8.2.130] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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