A national cohort study of the association between the polytrauma clinical triad and suicide-related behavior among US veterans who served in Iraq and Afghanistan

E.P. Finley, M. Bollinger, P.H. Noël, M.E. Amuan, L.A. Copeland, J.A. Pugh, A. Dassori, R. Palmer, C. Bryan and M.J.V. Pugh

American Journal of Public Health, 2015, vol. 105, issue 2, 380-387

Abstract: Objectives. We examined the association of posttraumatic stress disorder (PTSD), traumatic brain injury, and chronic pain-the polytrauma clinical triad (PCT)-independently and with other conditions, with suicide-related behavior (SRB) risk among Operation Enduring Freedom (OEF; Afghanistan) and Operation Iraqi Freedom (OIF) veterans. Methods. We used Department of Veterans Affairs (VA) administrative data to identify OEF and OIF veterans receiving VA care in fiscal years 2009-2011; we used International Classification of Diseases, Ninth Revision, Clinical Modification codes to characterize 211 652 cohort members. Descriptive statistics were followed by multinomial logistic regression analyses predicting SRB. Results. Co-occurrence of PCT conditions was associated with significant increase in suicide ideation risk (odds ratio [OR] = 1.9; 95% confidence interval [CI] = 1.5, 2.4) or attempt and ideation (OR = 2.6; 95% CI = 1.5, 4.6), but did not exceed increased risk with PTSD alone (ideation: OR = 2.3; 95% CI = 2.0, 2.6; attempt: OR = 2.0; 95% CI = 1.4, 2.9; ideation and attempt: OR = 1.8; 95% CI = 1.2, 2.8). Ideation risk was significantly elevated when PTSD was comorbid with depression (OR = 4.2; 95% CI = 3.6, 4.8) or substance abuse (OR = 4.7; 95% CI = 3.9, 5.6). Conclusions. Although PCT was a moderate SRB predictor, interactions among PCT conditions, particularly PTSD, and depression or substance abuse had larger risk increases.

Keywords: adolescent; adult; Brain Injuries; chronic pain; comorbidity; complication; depression; female; human; male; middle aged; psychology; retrospective study; risk factor; statistics and numerical data; Stress Disorders, Post-Traumatic; Substance-Related Disorders; suicidal ideation; suicide; suicide attempt; United States; veteran; war; young adult, Adolescent; Adult; Afghan Campaign 2001-; Brain Injuries; Chronic Pain; Comorbidity; Depression; Female; Humans; Iraq War, 2003-2011; Male; Middle Aged; Retrospective Studies; Risk Factors; Stress Disorders, Post-Traumatic; Substance-Related Disorders; Suicidal Ideation; Suicide; Suicide, Attempted; United States; Veterans; Young Adult (search for similar items in EconPapers)
Date: 2015
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2014.301957_4

DOI: 10.2105/AJPH.2014.301957

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