Alcohol use disorder as a moderator of the relationship between posttraumatic stress disorder and suicidality among military personnel
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| Format: | Artículo Open Access |
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Wiley
2024
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| author | Thomas O. Walton Scott Graupensperger Denise D. Walker Debra Kaysen |
| author_facet | Thomas O. Walton Scott Graupensperger Denise D. Walker Debra Kaysen Thomas O. Walton Scott Graupensperger Denise D. Walker Debra Kaysen |
| collection | Wiley Open Access |
| contents | Alcohol use disorder as a moderator of the relationship between posttraumatic stress disorder and suicidality among military personnel Thomas O. Walton Scott Graupensperger Denise D. Walker Debra Kaysen Alcohol, Clinical and Experimental Research AbstractBackgroundAlcohol use disorder (AUD), posttraumatic stress disorder (PTSD), and suicide are substantial public health concerns among military service members, yet the nature of their relationships is not well understood. Here, we tested the hypothesis that AUD moderates the relationship between PTSD symptom severity and suicidal ideation.MethodsThis secondary analysis uses data collected at baseline for a randomized clinical trial. The sample consists of 160 active‐duty service members from three service branches (Army, Air Force, and Navy). All participants met diagnostic criteria for PTSD and were not engaged in evidence‐based PTSD treatment at the time of enrollment. Zero‐inflated Poisson generalized linear regression models were used to test the associations of PTSD and AUD symptom severity with the presence and severity of suicidal ideation.ResultsFindings suggest that AUD symptom severity moderates (i.e., amplifies) the relationship between PTSD symptoms and severity of suicidal ideation among military personnel with untreated PTSD. Among service members with mild or absent AUD, we found no significant association between PTSD symptoms and the severity of suicidal ideation. However, when AUD severity was average (i.e., sample mean) or high (mean + 1SD), PTSD symptoms were significantly positively associated with the severity of suicidal ideation.ConclusionsThis study highlights the importance of assessing AUD and PTSD as a part of suicide risk evaluations of veterans. The results also provide strong support for the maintenance and further development in the military health system of treatment programs that simultaneously address AUD and PTSD comorbidity. 10.1111/acer.15313 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| doi_str_mv | 10.1111/acer.15313 |
| format | Artículo Open Access |
| id | wiley_oa_10_1111_acer_15313 |
| institution | Wiley Open Access |
| license_str_mv | http://onlinelibrary.wiley.com/termsAndConditions#vor |
| publishDate | 2024 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | Alcohol use disorder as a moderator of the relationship between posttraumatic stress disorder and suicidality among military personnel Thomas O. Walton Scott Graupensperger Denise D. Walker Debra Kaysen Alcohol, Clinical and Experimental Research Alcohol use disorder as a moderator of the relationship between posttraumatic stress disorder and suicidality among military personnel Thomas O. Walton Scott Graupensperger Denise D. Walker Debra Kaysen Alcohol, Clinical and Experimental Research AbstractBackgroundAlcohol use disorder (AUD), posttraumatic stress disorder (PTSD), and suicide are substantial public health concerns among military service members, yet the nature of their relationships is not well understood. Here, we tested the hypothesis that AUD moderates the relationship between PTSD symptom severity and suicidal ideation.MethodsThis secondary analysis uses data collected at baseline for a randomized clinical trial. The sample consists of 160 active‐duty service members from three service branches (Army, Air Force, and Navy). All participants met diagnostic criteria for PTSD and were not engaged in evidence‐based PTSD treatment at the time of enrollment. Zero‐inflated Poisson generalized linear regression models were used to test the associations of PTSD and AUD symptom severity with the presence and severity of suicidal ideation.ResultsFindings suggest that AUD symptom severity moderates (i.e., amplifies) the relationship between PTSD symptoms and severity of suicidal ideation among military personnel with untreated PTSD. Among service members with mild or absent AUD, we found no significant association between PTSD symptoms and the severity of suicidal ideation. However, when AUD severity was average (i.e., sample mean) or high (mean + 1SD), PTSD symptoms were significantly positively associated with the severity of suicidal ideation.ConclusionsThis study highlights the importance of assessing AUD and PTSD as a part of suicide risk evaluations of veterans. The results also provide strong support for the maintenance and further development in the military health system of treatment programs that simultaneously address AUD and PTSD comorbidity. 10.1111/acer.15313 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| title | Alcohol use disorder as a moderator of the relationship between posttraumatic stress disorder and suicidality among military personnel |
| topic | Alcohol, Clinical and Experimental Research |
| url | https://onlinelibrary.wiley.com/doi/10.1111/acer.15313 |