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James A. Naifeh PhD Matthew K. Nock PhD Robert J. Ursano MD Patti L. Vegella MS Pablo A. Aliaga MS Carol S. Fullerton PhD Ronald C. Kessler PhD Christina L. Wryter BA Steven G. Heeringa PhD Murray B. Stein MD MPH the Army STARRS Collaborators 《Suicide & life-threatening behavior》2017,47(5):589-602
This prospective cohort study used administrative data from the Army Study to Assess Risk and Resilience in Servicemembers to examine associations between neurocognitive functioning and subsequent suicidal events among Regular Army enlisted soldiers during the years 2004–2009. Cases were all soldiers who completed the Army's Automated Neuropsychological Assessment Metrics (ANAM) computerized testing battery prior to documented suicide attempt (n = 607), ideation (n = 955), or death (n = 57). Controls were an equal‐probability sample of 9,893 person‐months from other soldiers. Exploratory factor analysis of five ANAM tests identified a general neurocognitive factor that excluded the mathematic processing test (MTH). When examined separately in logistic regression analyses that controlled for sociodemographics and prior mental health diagnosis, both the general neurocognitive factor (logit [β] = ?.197 to ?.521; p < .01) and MTH (β = ?.024 to ?.064; p < .05) were associated with all outcomes. When both predictors were examined simultaneously, the general neurocognitive factor continued to be associated with all outcomes (β = ?.164 to ?.417; p < .05) and MTH continued to be associated with suicide attempt (β = ?.015; p = .046) and ideation (β = ?.014; p = .018). These small but robust associations suggest that future research must continue to examine the extent to which objective neurocognitive tests may enhance understanding and prediction of suicide risk. 相似文献
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The vocation of clergy life can be a hazardous journey. Stress and burnout are issues, which are increasingly reported by
clerics. Burnout is defined by a constellation of work related symptoms (Doolittle, Mental Health, Religion & Culture,10(1),
31–38, 2007), with emotional exhaustion recognised as a core component. Despite this recognition the research has not focused on factors
which lead to this state of emotional exhaustion in particular secondary traumatization. The purpose of this article is threefold.
Firstly, it presents the theoretical framework of secondary trauma. Secondly it reviews the literature aligning clergy and
trauma work and thirdly it discuses the emotional and physical toll upon clergy from this aspect of their role. 相似文献
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Laura A. Novak MS MPS Jessica M. LaCroix PhD Kanchana U. Perera MSc Max Stivers MA Natasha A. Schvey PhD Jeffrey L. Goodie PhD ABPP Cara Olsen PhD Tracy Sbrocco PhD David B. Goldston PhD Alyssa Soumoff MD Jennifer Weaver MD Marjan Ghahramanlou-Holloway PhD 《Suicide & life-threatening behavior》2023,53(1):75-88
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