Perceptions of Institutional Betrayal Predict Suicidal Self-Directed Violence Among Veterans Exposed to Military Sexual Trauma
Objectives We examined perceptions of institutional betrayal among Veterans exposed to military sexual trauma (MST) and whether perceptions of institutional betrayal are associated with symptoms of posttraumatic stress disorder (PTSD), depression, and suicidal ideation and attempt after MST. Method...
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Published in | Journal of clinical psychology Vol. 72; no. 7; pp. 743 - 755 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
United States
Blackwell Publishing Ltd
01.07.2016
Wiley Periodicals Inc |
Subjects | |
Online Access | Get full text |
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Summary: | Objectives
We examined perceptions of institutional betrayal among Veterans exposed to military sexual trauma (MST) and whether perceptions of institutional betrayal are associated with symptoms of posttraumatic stress disorder (PTSD), depression, and suicidal ideation and attempt after MST.
Method
A total of 49 Veterans with MST completed self‐report measures and interviews in a Veterans Health Administration setting.
Results
Many participants reported perceptions that a military institution created an environment in which MST seemed common, likely to occur, and did not proactively prevent such experiences. Many participants expressed difficulty reporting MST and indicated that the institutional response to reporting was inadequate. Over two‐thirds perceived that the institution had created an environment in which they no longer felt valued or in which continued membership was difficult. Perceptions of institutional betrayal were associated with PTSD symptoms, depressive symptoms, and increased odds of attempting suicide after MST. In contrast, perceptions of institutional betrayal were not associated with post‐MST suicidal ideation. Among the subsample of Veterans exposed to military sexual assault, the association between institutional betrayal and PTSD symptoms approached significance.
Conclusions
Perceptions regarding institutional betrayal appear to be highly relevant to MST and its sequelae. These findings underscore the importance of Veterans’ perceptions of the military institution's efforts to prevent and respond to MST to individual recovery from sexual trauma. Additional research regarding the association between institutional betrayal and health‐related outcomes is needed. |
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Bibliography: | ark:/67375/WNG-2VBQKQ6P-3 istex:F0E213C55506CE36A18E26EB96217254C81D3088 ArticleID:JCLP22292 We would like to thank Lacey Brown for assisting with screening, enrollment, and data entry, Emma Genco for database management, and the Rocky Mountain MIRECC Recruitment Core for assisting with participant recruitment. This material is based upon work supported in part by the Department of Veterans Affairs and the Rocky Mountain MIRECC. The views expressed are those of the authors and do not necessarily represent the views of the Department of Veterans Affairs or the United States Government. ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 0021-9762 1097-4679 |
DOI: | 10.1002/jclp.22292 |