Negative pressure wound therapy for managementof the surgical incision in orthopaedic surgery: A review of evidence and mechanisms for an emerging indication

Objectives

The period of post-operative treatment before surgical wounds are completely closed remains a key window, during which one can apply new technologies that can minimise complications. One such technology is the use of negative pressure wound therapy to manage and accelerate healing of the closed incisional wound (incisional NPWT).

Methods

We undertook a literature review of this emerging indication to identify evidence within orthopaedic surgery and other surgical disciplines. Literature that supports our current understanding of the mechanisms of action was also reviewed in detail.

Results

A total of 33 publications were identified, including nine clinical study reports from orthopaedic surgery; four from cardiothoracic surgery and 12 from studies in abdominal, plastic and vascular disciplines. Most papers (26 of 33) had been published within the past three years. Thus far two randomised controlled trials – one in orthopaedic and one in cardiothoracic surgery – show evidence of reduced incidence of wound healing complications after between three and five days of post-operative NPWT of two- and four-fold, respectively. Investigations show that reduction in haematoma and seroma, accelerated wound healing and increased clearance of oedema are significant mechanisms of action.

Conclusions

There is a rapidly emerging literature on the effect of NPWT on the closed incision. Initiated and confirmed first with a randomised controlled trial in orthopaedic trauma surgery, studies in abdominal, plastic and vascular surgery with high rates of complications have been reported recently. The evidence from single-use NPWT devices is accumulating. There are no large randomised studies yet in reconstructive joint replacement.

Cite this article: Bone Joint Res 2013;2:276–84.

The Temporal Association Between Traditional and Cyber Dating Abuse Among Adolescents

While research has explored adolescents' use of technology to perpetrate dating violence, little is known about how traditional in-person and cyber abuse are linked, and no studies have examined their relationship over time. Using our sample of 780 diverse adolescents (58 % female), we found that traditional and cyber abuse were positively associated, and cyber abuse perpetration and victimization were correlated at each time point. Cyber abuse perpetration in the previous year (spring 2013) predicted cyber abuse perpetration 1 year later (spring 2014), while controlling for traditional abuse and demographic variables. In addition, physical violence victimization and cyber abuse perpetration and victimization predicted cyber abuse victimization the following year. These findings highlight the reciprocal nature of cyber abuse and suggest that victims may experience abuse in multiple contexts.

An Examination of the Partner Cyber Abuse Questionnaire in a College Student Sample

OBJECTIVE

To examine the factor structure and convergent validity of a newly developed measure of an understudied form of partner abuse, cyber abuse, and to examine the prevalence of, and gender differences in, victimization by cyber abuse.

METHOD

College students in a dating relationship (N = 502) completed the Partner Cyber Abuse Questionnaire (Hamby, 2013), as well as measures of partner abuse victimization and depression.

RESULTS

Using exploratory factor analysis, we determined a one-factor solution was the most statistically and conceptually best fitting model. The cyber abuse victimization factor was correlated with depressive symptoms and physical, psychological, and sexual partner abuse victimization, supporting the convergent validity of the measure. The overall prevalence of victimization by cyber abuse was 40%, with victimization by specific acts ranging from 2-31%. Men and women did not differ in their victimization by cyber abuse.

CONCLUSIONS

Cyber abuse is prevalent among college students and occurs concurrently with other partner abuse forms and depressive symptoms. Given the interrelated nature of partner abuse forms, prevention and intervention programs should address partner abuse occurring in-person and through technology. Cyber abuse should also be considered in the conceptualization and measurement of partner abuse to more fully understand this social problem.

Emotion Dysregulation, Gender, and Intimate Partner Violence Perpetration: An Exploratory Study in College Students

Intimate partner violence (IPV) is a prevalent problem, as it is bidirectional and perpetrated by both men and women. Emotion dysregulation may influence IPV perpetration among men and women. This cross-sectional survey study of 598 college students investigated the associations between two important factors related to IPV perpetration: gender and emotion dysregulation. Findings illustrated an association between emotion dysregulation and IPV perpetration. The bivariate association between physical violence and one facet of emotion dysregulation differed by gender, such that lack of emotional awareness was associated with violence perpetrated by women, but not men; however, this was not supported in multivariate analyses. These preliminary findings suggest that future work should examine how different emotion regulation deficits may increase IPV by gender.

Antisocial Traits, Distress Tolerance, and Alcohol Problems as Predictors of Intimate Partner Violence in Men Arrested for Domestic Violence

OBJECTIVE

Men with antisocial personality disorder (ASPD) traits are at an increased risk for consuming alcohol and perpetrating intimate partner violence (IPV). However, previous research has neglected malleable mechanisms potentially responsible for the link between ASPD traits, alcohol problems, and IPV perpetration. Efforts to improve the efficacy of batterer intervention programs (BIPs) would benefit from exploration of such malleable mechanisms. The present study is the first to examine distress tolerance as one such mechanism linking men's ASPD traits to their alcohol problems and IPV perpetration.

METHODS

Using a cross-sectional sample of 331 men arrested for domestic violence and court-referred to BIPs, the present study used structural equation modeling to examine pathways from men's ASPD traits to IPV perpetration directly and indirectly through distress tolerance and alcohol problems.

RESULTS

Results supported a two-chain partial mediational model. ASPD traits were related to psychological aggression perpetration directly and indirectly via distress tolerance and alcohol problems. A second pathway emerged by which ASPD traits related to higher levels of alcohol problems, which related to psychological aggression perpetration. Controlling for psychological aggression perpetration, neither distress tolerance nor alcohol problems explained the relation between ASPD traits and physical assault perpetration.

CONCLUSION

These results support and extend existing conceptual models of IPV perpetration. Findings suggest intervention efforts for IPV should target both distress tolerance and alcohol problems.

Online Mate-Retention Tactics on Facebook Are Associated With Relationship Aggression

A measure of Facebook-related mate-retention tactics was developed to investigate the relationship between online behaviors and intimate partner aggression. One hundred and seventy-seven young adults (65 men, 112 women) completed questionnaires that included measures of online and offline mate-retention tactics, Facebook jealousy, Facebook surveillance, and intimate partner violence. A factor analysis yielded four subscales for the Facebook Mate-Retention Tactic Inventory (FMRTI): Care and Affection, Jealousy and Surveillance, Possession Signals, and Punishment of Infidelity Threat. The FMRTI total scores were positively correlated with Facebook jealousy, Facebook surveillance, and use of offline mate-retention tactics. The Jealousy and Surveillance subscale uniquely predicted intimate partner psychological and physical aggression over and above existing measures. Facebook mate-retention tactics fully mediated the relation between Facebook jealousy and both intimate partner psychological and physical aggression. The current study provides preliminary evidence for conceptualizing Facebook as an environment for the use of mate-retention tactics that have real-life implications for intimate partner violence.

Experiential avoidance, distress tolerance, and substance use cravings among adults in residential treatment for substance use disorders

Substance use cravings are a known predictor of relapse to substance use following treatment for a substance use disorder. Thus, research on factors that may be correlated with cravings, and could then be targeted in substance use treatment, is needed. Both distress tolerance and experiential avoidance, similar but distinct constructs, are independently associated with substance use cravings. However, no known research has examined these constructs as simultaneous predictors of substance use cravings, which may have important implications for treatment. The current study examined this in a sample of men and women in residential substance use treatment (n = 117). The authors used pre-existing data from a larger study where men and women were recruited for participation from a residential substance use treatment facility. The majority of the sample was male (n = 87; 74.3%) and Caucasian (92.2%). The mean age was 41.27 (standard deviation = 10.68). Better distress tolerance and lower experiential avoidance were negatively and significantly associated with alcohol and drug cravings, but only experiential avoidance remained significantly and negatively associated with cravings when both predictors were examined simultaneously. The current findings provide preliminary support for the importance of decreasing experiential avoidance in substance use treatment, which may result in reduced substance use cravings.

Dating Violence Victimization, Interpersonal Needs, and Suicidal Ideation Among College Students

BACKGROUND

Victims of dating violence experience suicidal ideation at a higher rate than the general population. However, very few studies have examined the relationship between dating violence and suicidal ideation within an empirically supported theory of suicide. The interpersonal-psychological theory of suicide posits that thwarted interpersonal needs (i.e., thwarted belongingness and perceived burdensomeness) are proximal antecedents to suicidal ideation. The experience of dating violence may thwart such interpersonal needs, thus increasing risk for suicidal ideation.

AIMS

We aimed to examine the relationships among dating violence, thwarted interpersonal needs, and suicidal ideation and test the interpersonal-psychological theory of suicide.

METHOD

We conducted two cross-sectional studies on college students in dating relationships to examine these research questions.

RESULTS

Study 1 indicated positive correlations among dating violence (i.e., physical and psychological), thwarted belongingness, and perceived burdensomeness. Study 2 generally replicated the bivariate relationships of Study 1 and demonstrated that, at high levels of thwarted belongingness, perceived burdensomeness was correlated with suicidal ideation, while accounting for the effects of depressive symptoms and drug use.

CONCLUSION

These results highlight the importance of using theory-guided research to understand the relationship between dating violence and suicidal ideation.

Problematic Pornography Use and Physical and Sexual Intimate Partner Violence Perpetration Among Men in Batterer Intervention Programs

Recent decades witnessed a surge in pornography use, contributing to what some researchers referred to as problematic pornography use (PPU; excessive, compulsive, and uncontrollable pornography use). Informed by cognitive scripts theory, cross-sectional, longitudinal, and experimental research spanning several decades documented a positive association between men's pornography use and physical and sexual violence perpetration. However, there is a paucity of research investigating pornography use broadly, and PPU specifically, among men who perpetrate intimate partner violence (IPV). The present cross-sectional study investigated the association between self-reported PPU and physical and sexual IPV perpetration among 273 men in batterer intervention programs. After accounting for psychiatric symptomology and substance use and problems, results revealed a positive association between PPU and both physical and sexual IPV perpetration. Findings highlighted the need for continued investigation of the function of pornography use for violent men, particularly as it relates to physical and sexual IPV perpetration.

Marijuana use is associated with intimate partner violence perpetration among men arrested for domestic violence

Intimate partner violence (IPV) is a serious public health problem. Substance use, particularly alcohol, is a robust risk factor for IPV. There is a small but growing body of research demonstrating that marijuana use is positively associated with IPV perpetration. However, research on marijuana use and IPV has failed to control for other known predictors of IPV that may account for the positive association between marijuana use and IPV perpetration. Therefore, the current study examined whether marijuana use was associated with IPV perpetration after controlling for alcohol use and problems, antisocial personality symptoms, and relationship satisfaction, all known risk factors for IPV. Participants were men arrested for domestic violence and court-referred to batterer intervention programs (N = 269). Findings demonstrated that marijuana use was positively and significantly associated with psychological, physical, and sexual IPV perpetration, even after controlling for alcohol use and problems, antisocial personality symptoms, and relationship satisfaction. Moreover, marijuana use and alcohol use and problems interacted to predict sexual IPV, such that marijuana use was associated with sexual IPV at high, but not low, levels of alcohol use and problems. These findings lend additional support to the body of research demonstrating that marijuana use is positively associated with IPV perpetration in a variety of samples. Results suggest that additional, rigorous research is needed to further explore why and under what conditions marijuana is associated with IPV perpetration.

Dispositional Mindfulness, Shame, and Compulsive Sexual Behaviors among Men in Residential Treatment for Substance Use Disorders

Approximately 31% of men in treatment for a substance use disorders (SUD) engage in compulsive sexual behavior (CSB). Shame, a well-documented consequence of CSB, increases the likelihood of relapse following treatment for SUDs. Despite the risk of relapse, prior research has not investigated factors that may attenuate the relation between CSB and shame. Dispositional mindfulness is one such factor known to mitigate shame. However, researchers have yet to examine dispositional mindfulness as a moderator of the relationship between CSB and shame among a sample of men in treatment for SUDs. In an effort to inform intervention efforts, the present study aimed to investigate the hypothesis that CSB would not relate to shame among men with high, as opposed to low, levels of dispositional mindfulness. The present study reviewed medical records of 184 men in residential treatment for SUDs who completed cross-sectional measures of shame, CSB, dispositional mindfulness, and substance use problems. Results demonstrated a significant interaction between CSB and dispositional mindfulness such that CSB positively related to shame at low, but not mean or high, levels of dispositional mindfulness. These results support and extend previous mindfulness and CSB treatment research. Findings suggested that intervention efforts for CSB may benefit from increasing dispositional mindfulness in an effort to reduce shame-related cognitions.

A Longitudinal Examination of Alcohol Problems and Cyber, Psychological, and Physical Dating Abuse: The Moderating Role of Emotion Dysregulation

Given the prevalence of technology, cyber dating abuse (DA) emerged as an important area of empirical inquiry. Cross-sectional data linked cyber DA perpetration to alcohol problems and psychological and physical DA perpetration. However, the longitudinal relations among these constructs are unknown. DA theory and research suggested that higher levels of aggressogenic traits (e.g., emotion dysregulation) increased the likelihood that alcohol problems and DA co-occur; this conceptual model may extend to cyber DA. We collected self-report data from 578 college students at baseline (T1) and 3 months later (T2) to test the hypothesis that T1 alcohol problems would predict T2 psychological, physical, and cyber DA for students with high, but not low, emotion dysregulation. We also hypothesized that T1 cyber DA would predict T2 psychological and physical DA. We conducted path analyses in Mplus and used the Johnson-Neyman technique to probe significant interactions. Results indicated that alcohol problems predicted psychological and physical DA for college students with high and average emotion dysregulation only. Alcohol problems did not predict cyber DA independently or in conjunction with emotion dysregulation. Cyber DA predicted psychological and physical DA. Results extend DA conceptualizations and highlight the importance of targeting emotion dysregulation in college DA intervention programs.

Does experiential avoidance explain the relationships between shame, PTSD symptoms, and compulsive sexual behaviour among women in substance use treatment?

OBJECTIVE

Untreated compulsive sexual behaviour (CSB) poses a risk to efficacious substance use disorder (SUD) treatment. Yet the ways in which CSB manifests in women with SUDs remains poorly understood. Shame and trauma exposure are well-documented correlates for women's CSB. Prior theory suggested women with shame and trauma-related symptoms may engage in CSB in an effort to escape aversive internal experiences. Thus, the present study examined experiential avoidance as a mediator of the relationship between defectiveness/shame beliefs, post-traumatic stress disorder symptoms, and CSB in a sample of women with SUDs.

METHOD

Cross-sectional, self-report data were collected from 446 women (M age = 37.40) in residential treatment for SUDs.

RESULTS

Experiential avoidance partially mediated the relationship between both post-traumatic stress disorder symptoms and defectiveness/shame beliefs and CSB.

CONCLUSIONS

These results extend theoretical conceptualizations of women's CSB to a treatment population. CSB intervention efforts may benefit from targeting women's avoidance of painful experiences.

Experiential Avoidance as a Mediator of the Relationship between Dispositional Mindfulness and Compulsive Sexual Behaviors among Men in Residential Substance Use Treatment

The present study sought to extend compulsive sexual behavior (CSB) and mindfulness research by testing whether dispositional mindfulness negatively related to CSB among men with substance use disorders (SUD) through experiential avoidance. Dispositional mindfulness is believed to decrease experiential avoidance, a correlate of CSB. We therefore hypothesized that dispositional mindfulness would relate to CSB indirectly through experiential avoidance. We reviewed medical records from 175 men in residential treatment for SUD. Results revealed significant indirect effects of dispositional mindfulness on CSB through experiential avoidance. Results provided preliminary support for developing mindfulness-based CSB interventions that target experiential avoidance.

The temporal association between energy drink and alcohol use among adolescents: A short communication

PURPOSE

To investigate the temporal relation between energy drink and alcohol use among adolescents.

METHODS

Data were collected from adolescents attending public high schools in two waves (n=894).

RESULTS

Path analysis indicated that energy drink use at baseline was positively associated with the number of drinking days but not binge drinking or average drinks per drinking day over the past 30 days at follow-up. This relation remained while controlling for race, age, gender, previous alcohol use, and impulsivity.

CONCLUSIONS

Alcohol use prevention efforts should consider energy drink use as risk factors for adolescent alcohol use.

Alcohol Use and Problems as a Potential Mediator of the Relationship between Emotion Dysregulation and IPV Perpetration

OBJECTIVE

Alcohol use/problems and emotion dysregulation are associated with increased intimate partner violence (IPV) perpetration. Additionally, alcohol use is an overt coping mechanism for dysregulated emotion. While past research has examined alcohol use/problems as a mediator between emotion dysregulation and IPV, research is limited within clinical samples. The current study sought to fill this gap by examining a theoretical model by which emotion dysregulation and alcohol use/problems influence IPV perpetration in a sample of men arrested for domestic violence. Consistent with prior research, it was hypothesized that alcohol use/problems would mediate the relationship between emotion dysregulation and psychological aggression. Additionally, we hypothesized that emotion dysregulation would positively associate with increased alcohol use/problems, which would relate to increased physical assault perpetration through psychological aggression perpetration.

METHOD

Using a cross-sectional sample of 391 men arrested for domestic violence and court-referred to Batterer Intervention Programs (BIP), the present study used structural equation modeling to examine proposed pathways from emotion dysregulation to IPV perpetration directly and indirectly through alcohol use/problems.

RESULTS

Alcohol use/problems explained the relation between emotion dysregulation and psychological aggression perpetration. In addition, emotion dysregulation related to psychological aggression which explained the relation between alcohol use/problems and physical assault perpetration.

CONCLUSIONS

These findings underline the importance of assessing and addressing emotion dysregulation and alcohol use/problems as risk factors for IPV in existing BIP as well as within theoretical models.

Associations of Emotional Abuse Types with Suicide Ideation among Dating Couples

Numerous studies have demonstrated that coercive control is more strongly associated with suicidal ideation than other forms of intimate partner violence. However, a majority of these studies focused on samples of help-seeking women. This study examined whether coercive control remains the form of intimate partner violence most strongly associated with suicidal ideation within a sample of nonclinical dating couples. This cross-sectional, survey study on 104 dating couples examined the associations of coercive control (i.e., dominance/intimidation and restrictive engulfment) with suicidal ideation, while controlling for other forms of emotional abuse (i.e., hostile withdrawal and denigration), physical assault, and depressive symptoms. As expected, dominance/intimidation and depressive symptoms, but not denigration and physical assault, were associated with suicidal ideation. Contrary to our hypothesis, hostile withdrawal, but not restrictive engulfment, was associated with suicidal ideation. This study suggests that dominance/intimidation and hostile withdrawal are forms of emotional abuse that are pertinent to suicidal ideation in nonclinical dating couples.

A test of the interpersonal-psychological theory of suicide among arrested domestic violence offenders

Little is known about risk factors for suicide ideation and attempts among domestic violence offenders. Guided by the interpersonal-psychological theory of suicide, this cross-sectional study examined risk factors for suicide ideation and attempts among 312 men and 84 women arrested for domestic violence and mandated to attend batterer intervention programs. Men reported greater capability for suicide, but no gender differences were found in perceived burdensomeness and thwarted belongingness. After controlling for correlates of suicide ideation, perceived burdensomeness-but not thwarted belongingness or its interaction with perceived burdensomeness-associated with suicide ideation. Suicide attempters exhibited greater perceived burdensomeness, drug use and problems, borderline personality disorder symptoms, depressive symptoms, and suicide ideation, but not capability for suicide, than nonattempters. Gender did not moderate the associations of the IPTS constructs with suicide ideation and attempts. These findings parallel tests of the interpersonal-psychological theory in other samples. Additional work is needed to identify factors that distinguish risk for suicide ideation from risk for suicide attempts among domestic violence offenders.

Exploring Gender Differences in the Relationship between Dispositional Mindfulness and Compulsive Sexual Behavior among Adults in Residential Substance Use Treatment

Objectives

Compulsive sexual behavior (CSB) is overrepresented among adults with substance use disorders (SUD), yet there is no empirically supported CSB treatment for this population. Cross-sectional and single case designs supported dispositional mindfulness as a potential CSB intervention target. However, the relations between CSB and each of the five dispositional mindfulness facets remain unknown.

Methods

Extending prior research to inform intervention efforts, we reviewed medical records for 1993 adults (77.6% male) in residential treatment for SUD to examine gender differences in the relations between dispositional mindfulness facets (acting with awareness, observation of experience, describing with words, non-judging of inner experience, and non-reactivity to inner experience) and five CSB indicators (loss of control, relationship disturbance, preoccupation, affect disturbance, and internet problems).

Results

For men, path analyses revealed that acting with awareness, nonjudging of inner experience, describing with words, non-reactivity to inner experience, alcohol/drug use and problems, and depression and anxiety symptoms related to CSB (p range: .00-.04). For women, acting with awareness, non-judging of inner experience, alcohol/drug use and problems, and depression symptoms related to several CSB indicators (p range: .00-.04).

Conclusions

Mindfulness-based CSB interventions should evaluate the benefit of increasing intentional responses towards present-moment experiences among adults with SUD. Targeting alcohol/drug misuse, negative affect, and judgement towards thoughts and emotions may be beneficial.

Dispositional Mindfulness as a Moderator of the Relationship Between Perceived Partner Infidelity and Women's Dating Violence Perpetration

Mindfulness gained increased attention as it relates to aggressive behavior, including dating violence. However, no known studies examined how the combined influences of dispositional mindfulness and perceived partner infidelity, a well-documented correlate of dating violence, relate to women's dating violence perpetration. Using a sample of college women ( N = 203), we examined the relationship between perceived partner infidelity and physical dating violence perpetration at varying levels of dispositional mindfulness, controlling for the influence of alcohol use. Results indicated perceived partner infidelity and dating violence perpetration were positively related for women with low and mean dispositional mindfulness, but not for women with high dispositional mindfulness. These results further support the applicability of mindfulness theory in the context of dating violence. Implications of the present findings provide preliminary support for mindfulness intervention in relationships characterized by infidelity concerns.

Relationships Among Dispositional Mindfulness, Distress Tolerance, and Women's Dating Violence Perpetration: A Path Analysis

Scant research examined mechanisms underlying the relationship between dispositional mindfulness and dating violence (DV) perpetration. Using a cross-sectional design with 203 college women, we examined whether distress tolerance mediated the relationship between dispositional mindfulness and DV perpetration (i.e., psychological aggression and physical assault). Path analyses results revealed indirect effects of mindfulness facets nonjudging of inner experiences and nonreactivity to inner experiences on both psychological aggression and physical assault through distress tolerance. Mindfulness facets observing, describing, and acting with awareness were not linked to DV perpetration through distress tolerance. Results suggest that women who allow internal experiences to come and go without assigning criticism or avoidance are better able to tolerate transient distress and less likely to abuse a dating partner. Future research may examine distress tolerance and dispositional mindfulness facets as potential intervention targets for women who abuse dating partners.

Alcohol Problems, Jealousy, and Cyber Dating Abuse Perpetration Among Men and Women: Toward a Conceptual Model

Investigations of alcohol use in relation to cyber dating abuse (CDA) remain underdeveloped relative to alcohol-related face-to-face dating abuse research. A critical step toward advancing this area of research would include examining the applicability of alcohol-related partner abuse models to CDA perpetration. Existing models of alcohol-related partner abuse suggested that alcohol and partner abuse are more likely to co-occur in the presence of aggressogenic distal traits. We propose that this model may extend to CDA perpetration. Toward this end, the present study collected cross-sectional data from college students (N = 258; 56.2% male) to investigate whether trait romantic jealousy moderated the association between alcohol problems and CDA perpetration, controlling for face-to-face dating abuse perpetration. We hypothesized that alcohol problems would positively relate to CDA perpetration among college students with high, but not low, romantic jealousy. We explored whether the interactive effect varied by sex. Results revealed a significant three-way interaction; the moderating role of romantic jealousy in the relation between alcohol problems and CDA perpetration varied by sex. Alcohol problems positively related to CDA perpetration for women with high, but not low, romantic jealousy. Alcohol problems did not relate to CDA perpetration regardless of men's level of romantic jealousy. These preliminary results suggested that alcohol-related partner abuse models may be useful for conceptualizing CDA perpetration and identifying CDA intervention components.

Trait Jealousy Moderates the Relationship Between Alcohol Problems and Intimate Partner Violence Among Men in Batterer Intervention Programs

Informed by alcohol myopia theory and Leonard's heuristic model of intimate partner violence (IPV), we hypothesized that alcohol problems would positively relate to IPV among men with high, but not low, trait jealousy. We collected cross-sectional, self-report data from 74 men arrested for domestic violence and court-ordered to batterer intervention programs (BIP). Alcohol problems positively related to physical and sexual IPV among men with high, but not low, trait jealousy. Results provide preliminary support for the need for BIP to target both jealousy-related cognitions and alcohol problems. Future research should investigate jealousy in relation to alcohol-related IPV.

Prevalence, Severity, and Correlates of Suicidal Ideation Among Men and Women in Batterer Intervention Programs

Despite the robust association found between intimate partner violence perpetration and suicidal ideation (Ilgen et al., 2009), the understanding of the development of suicidal ideation among men and women court-mandated to attend batterer intervention programs is limited. Guided by the alcohol myopia model (Josephs & Steele, 1990) and escape theory of suicide (Baumeister, 1990), this cross-sectional study examined the prevalence and severity of suicidal ideation and whether alcohol problems strengthen the relationship between depressive symptoms and suicidal ideation. Surveys were administered to 470 men and women court-mandated to attend batterer intervention programs. Results indicated that 33% of the sample experienced suicidal ideation (15% active ideation) during the 2 weeks prior to batterer intervention program entry. Moderation analyses indicated that as alcohol problems increased, the relationship between depressive symptoms and suicidal ideation strengthened. This work aids practitioners in assessing suicidal ideation in batterer intervention settings.