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A 3-year longitudinal study examining the effect of resilience on suicidality in veterans

Nagy A. Youssef, MD

Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Mid-Atlantic Mental Illness Research, Education, and Clinical Center, Durham VA Medical Center, Durham, NC, USA

Kimberly T. Green, MS

Durham VA Medical Center, Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA

Jean C. Beckham, PhD

Mid-Atlantic Mental Illness Research, Education, and Clinical Center, Durham VA Medical Center, Department of Psychiatry and Behavioral Sciences Duke University Medical Center, Durham, NC, USA

Eric B. Elbogen, PhD

Mid-Atlantic Mental Illness Research, Education, and Clinical Center, Durham VA Medical Center, Durham, NC, USA, Department of Psychiatry, UNC-Chapel Hill School of Medicine, Chapel Hill, NC, USA

BACKGROUND: This study prospectively evaluated the correlation and role of resilience and resilience factors in predicting suicidal ideation and attempts in veterans.

METHODS: In this 3-year longitudinal study, 178 Iraq and Afghanistan war veterans were evaluated for a number of clinical and demographic variables. Longitudinal follow-up was performed at approximately 3 years.

RESULTS: Resilience at the initial assessment predicted lower suicidality at follow-up, controlling for suicidality at the initial assessment, suggesting a protective effect for resilience. With respect to specific domains of resilience, secure relationships and positive acceptance of change significantly predicted lower suicidality.

CONCLUSIONS: These findings have important implications for clinical care and for guiding future research efforts to increase resilience among returning soldiers.

KEYWORDS: suicidality, psychological resilience, veterans, resilience factors, secure relationships

ANNALS OF CLINICAL PSYCHIATRY 2013;25(1):59-66

CORRESPONDENCE: Nagy A. Youssef, MD 508 Fulton Street, MIRECC, Durham, NC 27705 USA, E-MAIL: nagy.youssef@duke.edu
Annals of Clinical Psychiatry ©2013 Quadrant HealthCom Inc.

 
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