Combat experience and the acquired capability for suicide
Abstract
Rising suicide rates are an increasing concern among military personnel. The interpersonal-psychological theory of suicide proposes that three necessary factors are needed to die by suicide: feelings that one does not belong with other people, feelings that one is a burden on others or society, and an acquired capability to overcome the fear and pain associated with suicide. The current study tests the theory's proposal that acquired capability may be particularly influenced by military experience, because combat exposure may cause habituation to fear of painful experiences such as suicide. Utilizing clinical and nonclinical samples of military personnel deployed to Iraq, results of the current study indicate that a greater range of combat experiences predicts acquired capability above and beyond depression and post-traumatic stress disorder symptoms, previous suicidality, and other common risk factors for suicide. Combat experiences did not, however, predict perceived burdensomeness or thwarted belongingness. The authors discuss how combat experiences might serve as a mechanism for elevating suicide risk and implications for clinical interventions and suicide prevention efforts.
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The authors' findings partially supported the hypothesis that suicidal thoughts and behaviors are more strongly correlated with perceived burdensomeness than with thwarted belongingness.
“our findings partially supported this hypothesis.”
From The interpersonal theory of suicide: A systematic review and meta-analysis of a decade of cross-national research. (2017) · cites this paper as Bryan et al., 2010
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- Authors
- Bryan, C. J., Cukrowicz, K. C., West, C. L., & Morrow, C. E.
- Affiliations
- The University of Texas at San Antonio Health Science Center (US)
- Texas Tech University (US)
- Maxwell Air Force Base (US)
- Corresponding author
- Bryan, Craig J.
- ORCID
- Bryan, Craig J.
- Venue
- Journal of Clinical Psychology
- Publisher
- Wiley
- Published
- 2010-08-31
- Volume
- 66
- Issue
- 10
- Pages
- 1044-1056
- ISSN
- 0021-9762 (ISSN-L)
- 1097-4679
- OpenAlex
- W2073673478
- Cited by
- 186
- References
- 27
- Citations by year
- 2026: 4 · 2025: 9 · 2024: 3 · 2023: 6 · 2022: 2 · 2021: 10 · 2020: 12 · 2019: 15 · 2018: 13 · 2017: 11 · 2016: 21 · 2015: 17 · 2014: 23 · 2013: 16 · 2012: 15
- FWCI
- 14.08
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Social Psychology › Death Anxiety and Social Exclusion
- Keywords
- suicide, acquired capability for suicide, combat exposure, military personnel, interpersonal theory of suicide, perceived burdensomeness, thwarted belongingness, post-traumatic stress disorder, depression, Iraq deployment, suicide prevention
- MeSH terms
- Adaptation, Psychological, Female, Humans, Male, Military Personnel, Surveys and Questionnaires, Social Desirability, Stress Disorders, Post-Traumatic, Suicide, Warfare, Linear Models, Occupational Exposure, Iraq War, 2003-2011
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