Beliefs about mental health treatment, treatment initiation, and suicidal behaviors among veterans and service members at-risk for suicide and not in treatment.

health care utilization military suicide veterans

Journal

Suicide & life-threatening behavior
ISSN: 1943-278X
Titre abrégé: Suicide Life Threat Behav
Pays: England
ID NLM: 7608054

Informations de publication

Date de publication:
15 Jul 2024
Historique:
revised: 21 06 2024
received: 16 01 2024
accepted: 30 06 2024
medline: 15 7 2024
pubmed: 15 7 2024
entrez: 15 7 2024
Statut: aheadofprint

Résumé

Previous research has identified a variety of barriers to mental health care among military personnel and veterans, despite high rates of mental health symptoms. The current study is the first to examine beliefs about mental health treatment barriers among post-9/11 military personnel and veterans at elevated suicide risk not involved in treatment and whether these beliefs are associated with treatment initiation, engagement, or suicidal behaviors. Four hundred and twenty-two participants reported on beliefs about treatment during a cognitive behavioral treatment session and responded to follow-up questionnaires on mental health treatment initiation, engagement, and suicidal behaviors over 12 months. Beliefs identified in the therapy session were coded thematically, and rates of treatment initiation, engagement, and suicidal behavior were examined by belief category. Nine belief themes emerged. Participants reporting logistical barriers and preferences about treatment type were least likely to initiate mental health treatment and participated in the fewest number of sessions, respectively. Participants endorsing beliefs about stigma or using other ways to cope were most likely to engage in suicidal behavior. The current findings point to specific beliefs that may identify individuals who would benefit from systemic and individual interventions for mental health treatment engagement.

Identifiants

pubmed: 39007700
doi: 10.1111/sltb.13113
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : U.S. Department of Defense
ID : W81XWH-13-2-0032
Organisme : NIDA NIH HHS
ID : K23DA054299
Pays : United States

Informations de copyright

© 2024 American Association of Suicidology.

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Auteurs

Nicole A Short (NA)

Department of Psychology, University of Nevada, Las Vegas, Nevada, USA.

Nicholas P Allan (NP)

Department of Psychiatry, Ohio State University, Columbus, Ohio, USA.
Veterans Affairs Center of Excellence for Suicide Prevention, Veterans Affairs Finger Lakes Health Care System, Canandaigua, New York, United States.

Lisham Ashrafioun (L)

Veterans Affairs Center of Excellence for Suicide Prevention, Veterans Affairs Finger Lakes Health Care System, Canandaigua, New York, United States.
Department of Psychiatry, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA.

Tracy Stecker (T)

Veterans Affairs Center of Excellence for Suicide Prevention, Veterans Affairs Finger Lakes Health Care System, Canandaigua, New York, United States.
College of Nursing, Medical University of South Carolina, Charleston, South Carolina, USA.

Classifications MeSH