Disrupted interoception in Military Service Members and Veterans with a history of suicidality

Author:

Smith April R.1,Witte Tracy K.1ORCID,Grunewald William1ORCID,Kinkel‐Ram Shruti2,Santivasci Celeste3,Crosby Eric1,Williams Tammy4,Esche Aaron5,Tubman David5,Dretsch Michael6

Affiliation:

1. Department of Psychological Sciences Auburn University Auburn Alabama USA

2. Department of Psychology Miami University Oxford Ohio USA

3. Department of Psychology University at Buffalo Buffalo New York USA

4. Madigan Army Medical Center Joint Base Lewis‐McChord Washington USA

5. Wright‐Patterson Medical Center Wright‐Patterson Airforce Base Ohio USA

6. US Army Medical Research Directorate‐West, Walter Reed Army Institute of Research Joint Base Lewis‐McChord Washington USA

Abstract

AbstractIntroductionThis project tested whether Service Members (SM) and Veterans with current suicidal ideation or a history of suicide attempt had greater interoceptive dysfunction than SM and Veterans with past or no suicidal ideation.MethodParticipants (N = 195; 69% male) were SM (62%) and Veterans (38%) who completed measures of suicidal thoughts and behaviors and subjective and objective interoceptive dysfunction. Participants were split into the following suicide groups: no suicidality, lifetime ideation, current ideation, and past attempt. Planned orthogonal contrasts tested for differences.ResultsThe combined suicidality group (lifetime ideation, current ideation, or past attempt) had worse body trust relative to the no suicidality group, and the current ideation group had worse body trust relative to those with lifetime ideation. Those with a history of suicide attempt had worse body appreciation than the combined group of ideators, and those with current ideation had worse body appreciation relative to those with lifetime ideation. The groups did not differ on objective interoception.ConclusionInteroception is disrupted among individuals with suicidality histories within a predominantly male‐identified military sample. Individuals with current suicidal ideation had both worse body trust and appreciation relative to those with past ideation. Suicide risk assessments may benefit from including questions related to body trust.

Funder

U.S. Department of Defense

Publisher

Wiley

Subject

Psychiatry and Mental health,Public Health, Environmental and Occupational Health,Clinical Psychology

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