Perceived changes in social interactions following military psychiatric hospitalization for a suicidal crisis

Mil Psychol. 2021 Apr 13;34(3):296-304. doi: 10.1080/08995605.2021.1902182. eCollection 2022.

Abstract

Introduction Changes in social interactions following psychiatric hospitalization, a period characterized by heightened suicide risk, are important to understand.

Objective: We qualitatively explored perceived changes in social interactions one month after inpatient psychiatric discharge following a suicidal crisis.

Methods: A total of 113 United States Service members, recruited in the context of a psychotherapy randomized controlled trial, described the extent to which social interactions with family members, peers, and military commanders had changed.

Results: Most participants (82.3%) reported at least some change in social interactions, conveying six common themes. Showing more care and checking in more were frequently reported for family (24.8%, 20.4%), commanders (23.0%, 16.8%), and by peers (12.4%, 10.6%). Showing more concern was most frequently reported for family (13.3%) followed by peers (6.2%) and commanders (6.2%). Participants reported showing more caution from peers (14.2%), commanders (13.3%) and family (6.2%). Acting more distant was reported from commanders (7.1%), peers (7.1%), and family (5.3%). Showing negative reaction(s) was reported from commanders (8.0%), family (3.5%) and rarely for peers (0.9%).

Conclusion: Inpatient providers are encouraged to prepare patients for potential changes in social interactions following psychiatric discharge and how to best respond to these changes.

Keywords: Suicide; military; psychiatric treatment; social interactions.

Grants and funding

Funding support for the preparation of this manuscript has been provided to Dr. Ghahramanlou-Holloway by the Department of Defense, Congressionally Directed Medical Research Program (CDMRP) [W81XWH-08-2-0172]; Military Operational Medicine Research Program (MOMRP) [W81XWH-11-2-0106]; and the National Alliance for Research on Schizophrenia and Depression (NARSAD) [15219]. CDMRP, MOMRP, and NARSAD did not have any role in the study’s design or analysis.