A Qualitative Study of Potential Suicide Risk Factors Among Operation Iraqi Freedom/Operation Enduring Freedom Soldiers Returning to the Continental United States (CONUS)

J Clin Psychol. 2015 Sep;71(9):843-55. doi: 10.1002/jclp.22164. Epub 2015 Mar 10.

Abstract

Objective: A qualitative study among Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) Soldiers was conducted to explore potential constructs underlying suicide according to the interpersonal-psychological theory of suicide (IPTS); these include burdensomeness, failed belonging, and acquired capability.

Methods: Qualitative semistructured interviews were conducted with 68 Soldiers at 3 months post-OEF/OIF deployment. Soldiers were asked about changes in their experiences of pain, burdensomeness, and lack of belonging. The methodology employed was descriptive phenomenological.

Results: Transcripts were reviewed and themes related to the IPTS constructs emerged. Soldiers' postdeployment transition experiences included higher pain tolerance, chronic pain, emotional reactivity, emotional numbing and distancing, changes in physical functioning, combat guilt, discomfort with care seeking, and difficulties reintegrating into family and society.

Conclusions: Findings highlight the utility of the IPTS in understanding precursors to suicide associated with transition from deployment, as well as treatment strategies that may reduce risk in Soldiers during reintegration.

Keywords: IPTS; OEF/OIF; Qualitative; Soldiers; Suicide; postdeployment.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adaptation, Psychological
  • Adolescent
  • Adult
  • Afghan Campaign 2001-
  • Female
  • Humans
  • Interviews as Topic
  • Iraq War, 2003-2011
  • Male
  • Middle Aged
  • Military Personnel / psychology*
  • Pain / psychology
  • Pain Measurement
  • Qualitative Research
  • Risk Factors
  • Social Support
  • Stress Disorders, Post-Traumatic / psychology*
  • Suicide / psychology*
  • United States
  • Veterans / psychology*
  • Young Adult