ABSTRACT
AIMS: Evaluate the social determinants of health (SDOH) associated with suicidality among female Service Members and Veterans (SMV) in Arizona. METHODS: Used data from a statewide Arizona Veteran Survey (n = 1,134) to analyze SDOH associated with suicidality (any self-report of suicidal ideation, suicide attempt, or calling a crisis line). Response data were cross-tabulated and analyzed for statistical significance using a chi-square test with a p-value of p < 0.05. RESULTS: Depression, disability, barriers to treatment, housing instability, feelings of loneliness, and more were associated with increased suicidality among respondents. Substance use within the last 30 days, social support, and Veteran social support were not found to be significantly associated with suicidality. CONCLUSIONS: Female SMV populations experiencing social, economic, and health disparities appear to be at higher risk for suicide. These findings suggest that future suicide prevention efforts may be more effective if tailored towards populations in need of additional support and social services.
ABSTRACT
The Appraisal-Disruption Model (ADM) suggests that individuals use alcohol as a means of dampening negative self-talk. Relationship-contingent self-esteem (RCSE) emerges from validating one's self-esteem depending on one's romantic relationship(s) and is known to predict alcohol-related problems. We hypothesized that RCSE indirectly predicts drinking outcomes through the mediating mechanism(s) of stress and impaired control over alcohol (IC; drinking to excess beyond one's own intentions). We fit a multiple-group structural equation model with self-report survey data from 479 college students. We used a 20,000 bootstrap technique to examine possible mediated pathways. Consistent with evolutionary theory, our model was moderated by sex: more variance in alcohol-related problems was explained for women (R2 = 0.479) than for men (R2 = 0.280). RCSE was directly linked to more stress. Furthermore, higher levels of RCSE were indirectly linked to more IC through increased stress, and in turn, more heavy episodic drinking and alcohol-related problems for both men and women. Consistent with the ADM, those with higher levels of RCSE experienced more stress and, in turn, more IC and subsequent adverse alcohol outcomes. Thus, therapists targeting alcohol use disorders (AUDs) may wish to determine if their client's self-esteem changes dramatically based on their moment-to-moment appraisal of their intimate relationships.
ABSTRACT
Hypercompetitiveness reflects the need to compete and win at all costs as a means of maintaining or enhancing one's own self-worth (Horney, 1937; Ryckman, Hammer, Kaczor, & Gold, 1990). This need to win at any cost is linked to expressions of verbal and physical aggression, which may take a toll on important relationships (Hibbard & Buhrmester, 2010). We sought to explore whether parental bonds with mothers and fathers (i.e., care, rejection, autonomy, and overprotection) were indirectly linked to aggression via the mediating mechanisms of hypercompetitiveness and feelings of anger. A sample of 581 university students (316 females; 265 males) were used to examine a multiple-group structural equation model. Tests of structural invariance revealed clear moderation by gender. For instance, the pathway from verbal to physical aggression was stronger for males compared to females. For females only, higher levels of father care were indirectly linked to fewer acts of physical aggression. For both genders, higher levels of mother overprotection were indirectly linked to more acts of physical aggression through increased hypercompetitiveness and, in turn, more feelings of anger. Findings regarding maternal overprotection are consistent with both Evolutionary and Social Learning theories of behavior.
