Shame as a mediator between posttraumatic stress disorder symptoms and suicidal ideation among veterans.


Journal Article

BACKGROUND:Suicidal ideation is a problem that disproportionately affects veterans. Moreover, veterans with posttraumatic stress disorder (PTSD) appear to be at particularly high risk for suicide. OBJECTIVE:The purpose of the present research was to examine whether shame mediates the association between PTSD and suicidal ideation. METHODS:Secondary analyses were conducted in a sample of 201 veterans with PTSD seeking care through an outpatient Veterans Affairs specialty PTSD clinic. RESULTS:Path analysis revealed that shame fully accounted for the effects of PTSD on suicidal ideation, suggesting that shame may represent a key link between PTSD and suicidal ideation among veterans. LIMITATIONS:Although the reverse mediation effect was also examined, the present sample was cross-sectional and predominantly male. CONCLUSIONS:The present findings suggest that shame may be an effective point of treatment intervention to reduce suicidal ideation among veterans with PTSD; however, additional prospective research is still needed to delineate the precise nature of these associations over time.

Full Text

Duke Authors

Cited Authors

  • Cunningham, KC; LoSavio, ST; Dennis, PA; Farmer, C; Clancy, CP; Hertzberg, MA; Kimbrel, NA; Calhoun, PS; Beckham, JC

Published Date

  • January 2019

Published In

Volume / Issue

  • 243 /

Start / End Page

  • 216 - 219

PubMed ID

  • 30248631

Pubmed Central ID

  • 30248631

Electronic International Standard Serial Number (EISSN)

  • 1573-2517

International Standard Serial Number (ISSN)

  • 0165-0327

Digital Object Identifier (DOI)

  • 10.1016/j.jad.2018.09.040


  • eng