Suicidal Ideation and Suicide Risk: Differential Associations of Affective and Depressive Symptoms in Veterans Seeking Treatment for Posttraumatic Stress Disorder

G. Mitchell Mazzone; Ursula S. Myers

doi:10.21061/jvs.v12i1.883

Suicidal Ideation and Suicide Risk: Differential Associations of Affective and Depressive Symptoms in Veterans Seeking Treatment for Posttraumatic Stress Disorder

Journal of Veterans Studies

Volume 12 (2026): Issue 1

By: G. Mitchell Mazzone and Ursula S. Myers

Open Access

|Jul 2026

Abstract

Compared to their civilian counterparts, veterans report elevated rates of suicidal thoughts and behaviors and are more likely to die by suicide. There are many contributing risk factors to suicide including posttraumatic stress disorder (PTSD) and depression symptoms. The current study examined the associations of distinct depression symptoms (i.e., affective, somatic), suicide risk—as determined by archival data from veterans’ electronic health record, and self-reported suicidal ideation among veterans presenting for PTSD treatment (N = 128; 79.7% male; M_age = 41.06). Results indicated affective depressive symptoms were associated with suicidal ideation and somatic depressive symptoms trended towards statistical significance to increase the odds of suicide risk, after accounting for suicidal ideation. Results suggest somatic depressive symptoms may be a unique risk factor of suicide risk above and beyond self-reported suicidal ideation among veterans reporting PTSD symptoms.

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Articles in this issue

DOI: https://doi.org/10.21061/jvs.v12i1.883 | Journal eISSN: 2470-4768

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Language: English

Page range: 172 - 184

Submitted on: Mar 20, 2026

Accepted on: Jun 16, 2026

Published on: Jul 27, 2026

Published by: Virginia Tech Publishing

In partnership with: Paradigm Publishing Services

Keywords:

affective depression,

posttraumatic stress disorder,

somatic depression,

suicide,

veterans

© 2026 G. Mitchell Mazzone, Ursula S. Myers, published by Virginia Tech Publishing
This work is licensed under the Creative Commons Attribution 4.0 License.

Volume 12 (2026): Issue 1