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Marital Status, Social Integration, and Suicidal Thoughts and Behaviors in the Military Health and Well‐Being Project

Bibliographic Data

ID22410951
AuthorsKatherine Musacchio Schafer (0000-0002-3744-1518, Department of Biomedical Informatics Vanderbilt University Medical Center Nashville Tennessee USA, corresponding author), Sean P Dougherty (Orlando VA Medical Center Orlando Florida USA), Marie Campione (Florida State University Tallahassee Florida USA), Ruth Melia (0000-0002-1152-5510, Florida State University Tallahassee Florida USA), Emma Wilson‐Lemoine (Florida State University Tallahassee Florida USA), Thomas E Joiner (0000-0001-6798-9085, Florida State University Tallahassee Florida USA), Thomas Joiner (Florida State University)
Year2026
Volume82
Issue4
Pages573-584
Publication date2026-04-01
Open AccessYes
TypeARTICLE
VenueJournal of Clinical Psychology (JOURNAL)
Journal identifiersISSN: 0021-9762 • E-ISSN: 1097-4679
PublisherWiley (PUBLISHER • GB)
DOI10.1002/jclp.70093
PMID41557963
OpenAlexW7125217009
LanguageEN
References cited47

Suicidal thoughts and behaviors (STBs) are a public health concern, particularly among Veterans, who experience elevated rates of STBs. Social integration is negatively associated with STBs, such that high social integration is correlated with low rates of STBs. Much of the literature has studied marital status as a social relationship that may protect individuals from STBs. Although largely unstudied, it has long been assumed that social integration moderates the link between marital status and STBs. Thus, in a sample of Veterans ( N = 1469; Military Health and Well‐Being Project), we tested our hypotheses that (1) social integration varies by marital status (single vs. married vs. domestic partnership vs. divorced vs. widowed), (2) social integration is negatively associated with STBs (i.e., lifetime suicidal ideation, past year suicidal ideation, suicidal ideation communication, and likelihood of suicide attempt), (3) STBs vary based on marital status, and (4) social integration moderates the cross‐sectional link between marital status and STBs. Results indicated that (1) marital status was associated with social integration, such that married people reported greater social integration than people who were single; (2) social integration was negatively associated with all four STBs ( r's p

General partnership · Marital status · Poison control · Public health · Social integration · Social support · Suicidal ideation · Suicide prevention · Health disparities and outcomes · Mental Health Research Topics · Suicide and Self-Harm Studies

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