This study examined the effectiveness of an evidence‐based, community‐delivered adaptation couple relationship education ( CRE ) program (specifically, The Prevention and Relationship Enhancement Program [ PREP ]) delivered at two Army installations. is a randomized controlled trial with 2 years follow‐up examining marital quality stability. Sample composition was 662 married couples spouse in U.S. Army. Analyses yielded no evidence overall enduring intervention effects on quality, but...

Purpose: The aim was to examine social support and community connection as moderators of the relationship between discrimination suicidal ideation (SI) in transgender veterans. Methods: A national convenience sample 298 veterans completed an online cross-sectional survey from February May 2014. Hierarchical regressions using nonparametric bootstrapping assessed associations among gender-related within past year, two aspects (social support, connection) four sources (family, friends,...

Abstract Social support, including support from spouses, may buffer against posttraumatic stress disorder (PTSD) symptoms. The current study assessed whether the frequency of spousal communication during a recent deployment, potentially important source for soldiers, was related to postdeployment PTSD Data came 193 married male Army soldiers who returned military deployment within past year. For modalities conceptualized as delayed (i.e., letters, care packages, and e‐mails), greater...

Military deployments are stressful for service members and partners. Communication is an important factor in trying to maintain a relationship during these separations. This article presents brief overview of communication long-distance relationships context, then reviews articles on military deployments. review reveals that emerging technology has resulted increase the ability communicate deployment, although some studies suggest access such may vary. The few empirical examine new...

Recent advances in statistical methods and computing power have improved the ability to predict risks associated with mental illness more efficiency accuracy. However, integrating prediction into a clinical setting poses new challenges that need creative solutions. A case example explores innovations emerged at Department of Veterans Affairs hospital while implementing REACH VET (Recovery Engagement Coordination for Health-Veterans Enhanced Treatment), suicide prevention program is based on...

Abstract Romantic relationships can both attenuate and exacerbate suicide risk. Suicide prevention strategies in the United States have emphasized importance of healthy connections with others; however, efforts overwhelmingly continue to focus on individual‐level interventions. This presents a missed opportunity prevent through romantic relationship factors that are strongly associated suicidal thoughts behaviors. To identify underutilized or new avenues for improving prevention, current...

Objectives. To characterize housing instability among transgender veterans using Veterans Health Administration (VHA) health care in the United States.Methods. We used administrative data on screened for from 2013 to 2016; participants included 5717 and 17 133 cisgender veterans. defined by a positive screen or VHA Homeless Program use. identified gender medical records, reflecting either birth sex identity. identity through transgender-related International Classification of Diseases, Ninth...

Neurofibromatosis type 2 (NF2) is a rare, progressive and incurable genetic disorder associated with hearing loss eventual deafness. As group, patients NF report high levels of stress depressive symptoms. However, no studies have explored improvement in these symptoms after psychosocial interventions. We previously shown that mind-body program tailored to adults NF2 who are deaf (the Relaxation Response Resiliency Program for Deaf NF2, d3RP-NF2) improves quality life resiliency over above...

Objective: There is significant debate about the feasibility of using predictive models for suicide prevention. Although statistical considerations have received careful attention, patient perspectives not been examined. This study collected feedback from high-risk veterans U.S. Department Veterans Affairs (VA) prevention program called Recovery Engagement and Coordination Health–Veterans Enhanced Treatment (REACH VET). Methods: Anonymous questionnaires were obtained during their stay at a...

Military spouses often have concerns regarding the impact of their communication on soldiers during deployment. However, literature is mixed how between and may soldiers' self-reported work functioning deployment, suggesting need to evaluate moderating factors. In current study, 3 relationship factors (marital satisfaction, conflictual communication, proportion conversation focused problems) were tested as moderators frequency negative marriage-to-work spillover for soldiers. Whereas...

Objective: Transgender people are less likely to have health insurance, which has been associated with reduced utilization of care. In the current study, authors sought assess role insurance in mental care among transgender individuals. Methods: A total 4,334 adults who self-identified as or gender diverse (neither male nor female) participated 2017 Trans Lifeline Mental Health Survey, included self-report measures type and lifetime history having seen a therapist psychiatric provider....

To shield a romantic partner from potential distress due to stressors occurring during deployment, service members ( SM s) may engage in protective buffering, or withholding information concerns partner. This study utilized data 54 couples collected before, during, and after military deployment assess whether s engaged buffering while deployed the possible associations between psychological, relationship, contextual factors. Only 2% of indicated never engaging deployment. In bivariate...

Long-distance communication has been frequently identified as essential to military couples trying maintain their relationship during a deployment. Little quantitative research, however, assessed the types of topics discussed such and how those relate overall satisfaction. The current study draws on sample 56 Army who provided data through online surveys while service member was actively deployed. These information marital satisfaction, deployment (problem talk, friendship love talk), they...

Abstract To improve the identification and intervention of suicide risk, Veterans Health Administration implemented use electronic patient record flags (PRF) to indicate when a veteran is identified as high risk for increase clinical contacts made with veteran. The current study utilized an intersectional approach assess potential disparities in likelihood receiving PRF post‐PRF follow‐up care among veterans substance disorders (SUDs). Among 458,092 who received SUD diagnosis 2012, Black...

Caring Letters is a prevention program aimed at reducing suicide risk; however, clinical trials indicate mixed results among military and veteran samples. The present study to pilot new version of the intervention that was adapted culture in order emphasize peer support. supportive letters, traditionally sent from clinicians, were written by veterans (PVs) who volunteered local Veteran Service Organizations (VSOs). PVs (