Assessing and Reducing Post-Deployment Violence Risk

评估和减少部署后暴力风险

基本信息

批准号：
8043525
负责人：
ERIC B. ELBOGEN
金额：
$ 31.89万
依托单位：
UNIV OF NORTH CAROLINA CHAPEL HILL
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-06-05 至 2013-11-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8043525
关键词：
Affect Afghanistan Alcohol consumption Alcohol or Other Drugs use Applications Grants Attention Back Benchmarking Clinical Commit Communities Conflict (Psychology)Data Databases Diagnosis Education Employment Status Enrollment Ensure Event Face Family Family member Forensic Medicine Health Personnel Health Services Home environment Human Resources Incidence Individual Intervention Interview Iraq Knowledge Lead Life Link Literature Longitudinal Studies Mediating Medical center Mental Health Mental Health Services Mental disorders Military Personnel Modeling Physical aggression Population Positioning Attribute Post-Traumatic Stress Disorders Registries Research Research Infrastructure Research Personnel Risk Risk Assessment Risk Factors Sampling Screening procedure Services Societies Soldier Stress Substance abuse problem Surveys Traumatic Brain Injury Unconscious State Veterans Violence alcohol use disorder clinically relevant cohort combat cost design evidence base experience follow-up instrument meetings member physical conditioning prevent programs public health relevance tool

项目摘要

DESCRIPTION (provided by applicant): Broad public attention garnered by veterans who commit violent acts after returning to the U.S. from Iraq and Afghanistan demonstrates the urgent need to develop evidence-based approaches to assessing and reducing post-deployment violence risk. Little is known about veterans who have endured combat in Iraq and Afghanistan. Early data indicate many returning soldiers are being diagnosed with posttraumatic stress disorder or alcohol use disorder. Many have experienced traumatic brain injury, as well. Each of these conditions could elevate violence risk. There are no effective empirical tools for screening combat veterans and identifying those individuals at-risk in order to coordinate interventions and prevent these recurring tragedies. This R01 application aims to: 1) identify risk and protective factors empirically related to violent behavior among veterans who have returned from Iraq and Afghanistan; 2) examine the link between specific factors related to violence among veterans from previous conflicts and post-deployment violence risk among Iraq and Afghanistan veterans, especially posttraumatic stress disorder, alcohol use disorder, and traumatic brain injury; and 3) develop an evidence-based risk assessment instrument to administer to Iraq and Afghanistan veterans in order to identify those most in need of services. We propose to meet these aims employing two sampling frames. First, we will conduct survey at baseline and one year N=1000 nationally representative veterans who have returned from combat in Iraq or Afghanistan about violent behaviors and factors shown in previous literature to relate to violence among other veterans. Second, we will interview N=300 veterans and a member of their family at baseline and one-year about violence, substance use, family adjustment, posttraumatic stress disorder, and employment status, capitalizing on the infrastructure of the Mid Atlantic Mental Illness Research Education and Clinical Center (MIRECC) in which a registry of veteran, guard/reserve, and active duty personnel from the Iraq and Afghanistan was established at the Durham VA Medical Center in 2005. Risk and protective factors linked to violence in both approaches will be candidates for an actuarial violence risk assessment instrument, which we will develop and validate in a follow-up grant application. The research will yield unique and significant scientific data on the intricate interrelationships between physical aggression, environmental stress, and traumatic events. Further, by following a conceptual and methodological framework already successful for developing violence risk tools in civilian populations, we hope to develop an empirically-validated and clinically-relevant risk assessment instrument to help reduce chances of violence among the thousands of veterans now returning from Iraq and Afghanistan. Public Health Relevance: When veterans become violent, the costs to individuals, their families, their communities, and society are great. Tens of thousands of troops will be returning home from combat in Iraq and Afghanistan in the next few years and, given data showing high rates of post-deployment mental health problems, we urgently need theoretically sophisticated, evidence-based knowledge of which returning veterans are most prone to violence and how the risks they pose to themselves, their families, and others can be effectively managed. By following the guide of scientific literature on civilian risk assessment, the current application aims not only to understand the causes of veteran violence, but also to develop empirically validated and clinically useful tools to assist mental health providers and military staff assess and reduce violence risk among Iraq and Afghanistan veterans.

描述（由申请人提供）：从伊拉克和阿富汗返回美国后实施暴力行为的退伍军人引起了公众的广泛关注，这表明迫切需要制定基于证据的方法来评估和减少部署后暴力风险。人们对在伊拉克和阿富汗经历过战斗的退伍军人知之甚少。早期数据表明，许多返回的士兵被诊断患有创伤后应激障碍或酒精使用障碍。许多人也经历过脑外伤。所有这些情况都可能增加暴力风险。没有有效的经验工具来筛查退伍军人并识别那些处于危险中的人，以协调干预措施并防止这些悲剧再次发生。该 R01 应用程序旨在： 1) 根据经验确定与从伊拉克和阿富汗返回的退伍军人中的暴力行为相关的风险和保护因素； 2) 研究与以往冲突退伍军人暴力相关的具体因素与伊拉克和阿富汗退伍军人部署后暴力风险之间的联系，特别是创伤后应激障碍、酒精使用障碍和创伤性脑损伤； 3) 开发基于证据的风险评估工具来管理伊拉克和阿富汗退伍军人，以确定最需要服务的人。我们建议采用两个抽样框架来实现这些目标。首先，我们将对从伊拉克或阿富汗战斗归来的 N=1000 名具有全国代表性的退伍军人进行基线和一年调查，了解先前文献中显示的与其他退伍军人之间的暴力行为相关的暴力行为和因素。其次，我们将利用中大西洋精神疾病研究教育的基础设施，在基线和一年内采访 N=300 名退伍军人及其家庭成员，了解暴力、药物使用、家庭适应、创伤后应激障碍和就业状况和临床中心 (MIRECC)，其中 2005 年在达勒姆退伍军人医疗中心建立了来自伊拉克和阿富汗的退伍军人、警卫/预备役人员和现役人员登记册。这两种方法中与暴力相关的风险和保护因素将成为精算暴力风险评估工具的候选者，我们将在后续赠款申请中开发和验证该工具。该研究将产生关于身体攻击、环境压力和创伤事件之间错综复杂的相互关系的独特而重要的科学数据。此外，通过遵循已经成功开发平民暴力风险工具的概念和方法框架，我们希望开发一种经过经验验证和临床相关的风险评估工具，以帮助减少目前从伊拉克返回的数千名退伍军人中发生暴力的机会和阿富汗。公共卫生相关性：当退伍军人变得暴力时，个人、他们的家庭、社区和社会都会付出巨大的代价。未来几年，数以万计的士兵将从伊拉克和阿富汗的战斗中回国，鉴于数据显示部署后心理健康问题的发生率很高，我们迫切需要理论上复杂、基于证据的知识，了解回国退伍军人的情况最容易发生暴力的人以及如何有效管理他们对自己、家人和他人造成的风险。通过遵循有关平民风险评估的科学文献的指导，当前的应用程序不仅旨在了解退伍军人暴力的原因，而且还开发经过经验验证和临床有用的工具，以帮助心理健康提供者和军事人员评估和减少退伍军人暴力风险。伊拉克和阿富汗退伍军人。

项目成果

期刊论文数量（19）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

A 3-year longitudinal study examining the effect of resilience on suicidality in veterans.

一项为期三年的纵向研究考察了退伍军人的心理弹性对自杀的影响。

DOI：
发表时间：
2013
期刊：
Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists
影响因子：
0
作者：
Youssef,NagyA;Green,KimberlyT;Beckham,JeanC;Elbogen,EricB
通讯作者：
Elbogen,EricB

Food Insecurity and Suicidal Ideation: Results from a National Longitudinal Study of Military Veterans.

粮食不安全和自杀意念：全国退伍军人纵向研究的结果。

DOI：
10.1080/13811118.2023.2200795
发表时间：
2024
期刊：
Archives of suicide research : official journal of the International Academy for Suicide Research
影响因子：
0
作者：
Elbogen,EricB;Graziano,RobertC;LaRue,Gillian;Cohen,AliciaJ;Hooshyar,Dina;Wagner,HRyan;Tsai,Jack
通讯作者：
Tsai,Jack

PTSD symptoms and family versus stranger violence in Iraq and Afghanistan veterans.