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

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

Open Access
|Jul 2026

Figures & Tables

Table 1

Bivariate Correlations, Means and Standard Deviations of Subtypes of Depression, Suicidal Ideation, and Suicide Risk.

VARIABLE1234
1. PHQ-9: Affective.60**.15.46**
2. PHQ-9: Somatic.21*.27**
3. PHQ-9: SI.34**
4. Suicide Risk
M5.429.880.55
SD2.543.440.87

[i] Note. *p < .05 (two-tailed); **p < .01 (two-tailed); PHQ-9: Patient Health Questionnaire-9; SI: suicidal ideation; 1Suicide risk was dichotomized 0 = little or no risk indicated, 1 = risk indicated; M = mean; SD = standard deviation.

Table 2

Linear Regression Analysis of the Association Between Subtypes of Depression and Suicidal Ideation.

PREDICTORR2BSE Bβtp95% CI [LL, UL]
1. PHQ-9: Affective0.21**0.16.0350.474.60<.001**[0.09, 0.23]
2. PHQ-9: Somatic–.0010.03–.004–0.040.97[–0.05, 0.05]

[i] Note. **p < .01 (two-tailed); PHQ-9: Patient Health Questionnaire-9; B = unstandardized coefficient; SE B = standard error of unstandardized coefficient; β = standardized coefficient; CI = confidence interval; Multicollinearity concerns were not detected as all tolerance values exceeded .20 (minimum tolerance = .56) and VIF was below 5 (maximum VIF = 1.79).

Table 3

Multivariate Logistical Regression Analysis of the Association Between Subtypes of Depression and Suicide Risk.

PREDICTORBSEpWALDOR(Exp(B))95% CI [LL, UL]
PHQ-9: Affective0.040.10.70.151.04[0.86, 1.26]
PHQ-9: Somatic0.130.08.092.951.14[0.98, 1.32]

[i] Note. PHQ-9: Patient Health Questionnaire-9; B = unstandardized coefficient; SE = standard error; OR = odds ratio; CI = confidence interval.

Table 4

Multivariate Logistical Regression Analysis of the Association Between Subtypes of Depression and Suicidal Ideation with Suicide Risk as the Dependent Variable.

PREDICTORBSEpWALDOR (Exp(B))95% CI [LL, UL]
PHQ-9: SI0.820.27.003*9.082.27[1.33, 3.87]
PHQ-9: Affective–0.110.12.330.940.90[0.72, 1.12]
PHQ-9: Somatic0.150.08.053.751.17[1.00, 1.36]

[i] Note. *p < .01 (two-tailed); PHQ-9: Patient Health Questionnaire-9; SI: suicidal ideation; B = unstandardized coefficient; SE = standard error; OR = odds ratio; CI = confidence interval.

Table 5

Bivariate Correlations, Means and Standard Deviations of Specific Somatic Depression Symptoms and Suicide Risk.

VARIABLE123456
1. PHQ-9: Sleep.45**.43**.27**.26**.01
2. PHQ-9: Fatigue.52**.46**.40**.19*
3. PHQ-9: Appetite.43**.42**.23**
4. PHQ-9: Concentration.48**.12
5. PHQ-9: Psychomotor Disturbance.27**
6. Suicide Risk1
M2.392.311.811.931.48
SD0.860.811.010.991.08

[i] Note. *p < .05 (two-tailed); **p < .01 (two-tailed); PHQ-9: Patient Health Questionnaire-9; 1Suicide risk was dichotomized 0 = little or no risk indicated, 1 = risk indicated; M = mean; SD = standard deviation.

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

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