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Va Medical Center Collaboration With Coordinated Care Networks: Barriers And Benefits, Gilly Cantor, Zachary Bridgewater, Kimberly A. Hochstedler Webb, Kritee Gujral, Todd H. Wagner, Leslie R.M. Hausmann Apr 2026

Va Medical Center Collaboration With Coordinated Care Networks: Barriers And Benefits, Gilly Cantor, Zachary Bridgewater, Kimberly A. Hochstedler Webb, Kritee Gujral, Todd H. Wagner, Leslie R.M. Hausmann

Voices of Service Symposium

AmericaServes is a network approach for coordinating care among health and human service organizations to address the needs of the military-connected population. The IVMF and researchers with the Veterans Health Administration (VHA) partnered on two studies to explore the extent to which Veteran Affairs Medical Centers (VAMCs) participate in AmericaServes and the benefits of collaboration for veterans.

First, we conducted a convergent parallel mixed-methods pilot study. We interviewed staff from 7 AmericaServes coordination centers and VAMCs in those locations. We then categorized VAMC participation into levels of intensity and complexity, and identified barriers and facilitators to participation. We found that …


Va Wholehealth Approaches To Treatment Of Ptsd, Mackenna Murphy, Justin Hirschberg, Emily Rabinowitz, Joseph W. Ditre Apr 2026

Va Wholehealth Approaches To Treatment Of Ptsd, Mackenna Murphy, Justin Hirschberg, Emily Rabinowitz, Joseph W. Ditre

Voices of Service Symposium

The U.S. Department of Veterans Affairs has implemented the Veterans Health Administration Whole Health model as a system-wide transformation toward personalized, proactive, and patient-driven care. Whole Health emphasizes the integration of conventional medical treatment with complementary and integrative health (CIH) approaches, including mindfulness, yoga, meditation, tai chi, acupuncture, health coaching, and peer support. Given the high prevalence of posttraumatic stress disorder (PTSD), depression, anxiety, chronic pain, and substance use disorders among veterans, Whole Health programming may offer a non-stigmatizing and holistic pathway to mental health support.


My Old Dog, Jordan Ludwig Apr 2026

My Old Dog, Jordan Ludwig

SPARK Symposium Presentations

An essay about growing up in the aftermath of 9-11 and the impact of unarticulated grief on childhood memories.


Tunable Shock And Vibration Damping In Metal Laser Powder Bed Fusion Components Via Controlled Post-Print Compaction Of Particle Damper Cavities, Joud N. Stame, Yanzhou Fu, Samuel Roberts, Austin Downey, Tianyu Zhang, Lang Yuan, Daniel Kiracofe Apr 2026

Tunable Shock And Vibration Damping In Metal Laser Powder Bed Fusion Components Via Controlled Post-Print Compaction Of Particle Damper Cavities, Joud N. Stame, Yanzhou Fu, Samuel Roberts, Austin Downey, Tianyu Zhang, Lang Yuan, Daniel Kiracofe

Faculty Publications

Components manufactured by Laser Powder Bed Fusion (LPBF) can incorporate particle dampers (PDS) by retaining unfused powder within internal pockets, providing inherent vibration suppression without added mass or separate damping components. This study investigates the damping performance of such LPBF-integrated PDs through two complementary approaches: (1) quantifying the effect of post-printing volume compression on energy absorption by mechanically indenting the damper pocket, and (2) evaluating how variations in particle packing density influence the dynamic response under both sinusoidal and transient impulse excitation. Experimental results from shaker and shock testing demonstrate that increased packing density, whether by compression or tighter confinement, …


Connectivity, Classroom, And Contagion: An Ecological Analysis Of Testing Availability, Sex Education, And Sti Rates In The Upper Midwest, Macey M. Boerhave Apr 2026

Connectivity, Classroom, And Contagion: An Ecological Analysis Of Testing Availability, Sex Education, And Sti Rates In The Upper Midwest, Macey M. Boerhave

Honors Thesis

Rural and frontier communities in the Upper Midwest face unique challenges that shape how young people access sexual health information and testing. While sexually transmitted infection (STI) rates continue to rise nationally, less is known about how sexual health education, digital access, and geographic distance influence these trends at a county level. This study examines the relationship between broadband internet access rates, poverty rates, proximity to free or low-cost STI testing sites, and county-level STI rates among individuals aged 15-24 in selected counties across South Dakota, North Dakota, Minnesota, Iowa, and Nebraska. Using an ecological, cross-sectional design, county-level STI surveillance …


Utility Of Right Ventricular Mass Ratios In Recipients With Pulmonary Hypertension: A United Network For Organ-Sharing Database Analysis, Matthew P. Weber, Danial Ahmad, Howard J. Eisen, Eugene Storozynsky, René J. Alvarez, J. Eduardo Rame, Keshava Rajagopal, John W. Entwistle, Charles Hoopes, Vakhtang Tchantchaleishvili Apr 2026

Utility Of Right Ventricular Mass Ratios In Recipients With Pulmonary Hypertension: A United Network For Organ-Sharing Database Analysis, Matthew P. Weber, Danial Ahmad, Howard J. Eisen, Eugene Storozynsky, René J. Alvarez, J. Eduardo Rame, Keshava Rajagopal, John W. Entwistle, Charles Hoopes, Vakhtang Tchantchaleishvili

Division of Cardiology Faculty Papers

PURPOSE: There is a lack of data reviewing the role of predicted cardiac mass ratio (PCMR) in transplant recipients with pulmonary hypertension (PH). In particular, the right ventricular (RV) mass ratio (RVMR) is a component of PCMR not yet studied separately for this purpose. We aimed to review the relationship of PCMR and RVMR with PH in terms of post-transplant overall survival.

METHODS: The United Network for Organ-Sharing (UNOS) database was queried for primary heart transplant (HTx) patients from 2004 to 2023. Predicted RVMR was calculated for donors and recipients. A parsimonious multivariable model Cox model was formed for risk …


Supporting Commuter Students In Uk Higher Education: Opportunities To Enhance Policy And Practice, Rebecca Turner, Rao Namrata, Christie Pritchard, Oliver Webb, Pinn E, Asal Baharloo, Harriet Ball Apr 2026

Supporting Commuter Students In Uk Higher Education: Opportunities To Enhance Policy And Practice, Rebecca Turner, Rao Namrata, Christie Pritchard, Oliver Webb, Pinn E, Asal Baharloo, Harriet Ball

Professional Services

Commuter students represent a significant, yet often overlooked, demographic within English higher education (HE). Historically, national policy and institutional practice have failed to adequately acknowledge distinct challenges they face. Using a novel participatory mapping activity, and focus group discussions with 19 commuter students, this paper identifies how commuters are excluded by dominant models of university participation. We examine students’ interactions with campus, peers and staff. Findings reveal how structural norms—such as attendance expectations, financial support, and spatial assumptions—can marginalise learners who do not follow the residential model. Participants described feeling peripheral to university life, with their legitimacy as students sometimes …


Effects Of A Major Disruption On Mental Health Of Pregnant Women In South Carolina, Lizmarie Maldonado Apr 2026

Effects Of A Major Disruption On Mental Health Of Pregnant Women In South Carolina, Lizmarie Maldonado

MUSC Theses and Dissertations

Mental health conditions are a leading cause of death among pregnant and postpartum women, and untreated mental health conditions are associated with adverse maternal and birth outcomes. Major disruptions, such as pandemics, hurricanes, or wildfires, create unprecedented challenges and may impose additional stressors during an already vulnerable time. Community or medical care disruptions during such events may lead to adverse health outcomes. This dissertation seeks to characterize the impact of a recent major disruption on mental health outcomes among pregnant women using administrative claims data for all births in South Carolina in 2019 and 2020. By leveraging unique data sources, …


Suena Como Nosotros: A Spanish-English Storybook For Growing Voices, Stephanie Czajka Apr 2026

Suena Como Nosotros: A Spanish-English Storybook For Growing Voices, Stephanie Czajka

Undergraduate Theses

The purpose of this project is to address the lack of speech therapy resources available to bilingual Spanish-English-speaking children between the ages of four to six. It will target common speech and language difficulties observed in children during the critical language development period, between the ages of four and six. This book will provide an accessible, culturally relevant speech therapy resource that can be used in the comfort of the home. Through the creation of this book, equity in healthcare access will be promoted, and bilingual pride and identity will be supported. The objectives of this project include designing and …


Military And Veterans Law Society, Rebecca J. Lee, Elizabeth Kubala Apr 2026

Military And Veterans Law Society, Rebecca J. Lee, Elizabeth Kubala

Voices of Service Symposium

The Military and Veterans Law Society (MVLS) is a student organization at Syracuse University College of Law dedicated to providing legal support, community outreach, and policy research for the local veteran population. A flagship event, 'Cuse Vet Fest, drew over fifty Central New York veterans and offered free services including VA Healthcare enrollment, benefits claims, VA ID cards, and estate planning documents prepared by attorneys from Bond, Schoeneck & King. MVLS also partners annually with Tully Rinckey and Price Chopper/Market 32 to distribute over 100 free turkeys to local veterans each Thanksgiving. Additional highlights include co-hosting the Second National Military …


Psychological Distress, Hazardous Duty, And Alcohol Risk Among Student Veterans, Anna Lupardo, Emily Rabinowitz, Victoria E. Carlin, Dezarie Moskal, Stephen A. Maisto, Joseph W. Ditre Apr 2026

Psychological Distress, Hazardous Duty, And Alcohol Risk Among Student Veterans, Anna Lupardo, Emily Rabinowitz, Victoria E. Carlin, Dezarie Moskal, Stephen A. Maisto, Joseph W. Ditre

Voices of Service Symposium

Introduction: Military service and college environments are each associated with higher alcohol risk. Psychological distress is consistently linked to alcohol risk, and hazardous duty exposure is associated with both greater distress and problematic alcohol use. However, it remains unclear whether hazardous duty influences the relationship between psychological distress and alcohol risk among student service members. Clarifying this relationship is critical to informing targeted prevention and support efforts for veterans in higher education. Method: Participants included 3,258 current and former service members who responded to the American College Health Association 2023-2025 National College Health Assessment IIIb. Participants completed measures on alcohol …


Development Of The Veteran & Military Learning Scholars Program (Su-Vmlsp): An Immersive, Experiential Learning Community For Veteran & Military-Connected Students, Emily Rabinowitz, Dezarie Moskal, Ken Marfilius, Dessa Bergen-Cico, Stephen A. Maisto, Joseph W. Ditre Apr 2026

Development Of The Veteran & Military Learning Scholars Program (Su-Vmlsp): An Immersive, Experiential Learning Community For Veteran & Military-Connected Students, Emily Rabinowitz, Dezarie Moskal, Ken Marfilius, Dessa Bergen-Cico, Stephen A. Maisto, Joseph W. Ditre

Voices of Service Symposium

Introduction: The Syracuse University Veteran & Military Learning Scholars Program (SU-VMLSP) is an immersive, cohort-based initiative designed to expand access to veteran and military studies through experiential learning, structured mentorship, and community engagement. A collaborative effort of the Center for Health Behavior Research & Innovation and the IVMF Veteran & Military Behavioral Health Collaborative, SU-VMLSP supports and engages student veterans, military-connected students, and students with academic or professional interests in veteran and military populations. Methods: The program is structured around three core pillars: interactive seminars, immersive research engagement, and community-centered cohort development. Scholars participate in discussion-based seminars focused on veteran …


The Indiana Statesman, April 9, 2026, Indiana State University Apr 2026

The Indiana Statesman, April 9, 2026, Indiana State University

Student Newspaper

Give to Blue; U.S.-Iran ceasefire announced, some fighting continues


Guide To The International Pinot Noir Celebration (Ipnc) Collection, Linfield College Archives Apr 2026

Guide To The International Pinot Noir Celebration (Ipnc) Collection, Linfield College Archives

Linfield Archives Finding Aids

This collection contains documents, photographs, digital media, artifacts, and real objects of the IPNC from the beginning of the conference’s origins in 1987 through the present day. Included are invitations, newspaper articles, reviews, correspondence between IPNC and wineries, advertisements, magazines, letters, meeting summaries, photographs, negatives, posters, exhibition material, objects that relate to the IPNC, and CDs with digital content.


April 2026 Graduate Council Minutes, University Of Nebraska At Kearney Graduate Council Apr 2026

April 2026 Graduate Council Minutes, University Of Nebraska At Kearney Graduate Council

Graduate Council Minutes

No abstract provided.


Babies And Borders: Political Determinants Of Population Policies In The European Union, Lauren A. Mchenry Apr 2026

Babies And Borders: Political Determinants Of Population Policies In The European Union, Lauren A. Mchenry

FHSS Mentored Research Conference

This research examines the political conditions under which pronatalist policy and restrictive immigration policy are implemented. Using the Nationalism Populism Database and World Population Review data, I classify different countries based on levels of populism and nationalism and determine countries’ levels of immigration restriction and pronatalism. I use a Most Similar Systems Design case study to compare the different policy outcomes of Spain and Italy. I find that populism is predictive of immigration restriction, while nationalism is predictive of pronatalist policy.


Tax Avoidance And Esg Disclosure Mandates: International Evidence, Sadok El Ghoul, Omrane Guedhami, Yongtae Kim, Hyo Jin Yoon Apr 2026

Tax Avoidance And Esg Disclosure Mandates: International Evidence, Sadok El Ghoul, Omrane Guedhami, Yongtae Kim, Hyo Jin Yoon

Faculty Publications

This paper examines how regulations mandating environmental, social, and governance (ESG) disclosure affect corporate tax behavior. Using a difference-in-differences analysis on a sample of firms from 48 countries, we find that ESG disclosure mandates lead to significant reductions in tax avoidance, with stronger effects for mandates that include tax-relevant provisions. We identify increases in ESG information transparency and improvements in firms’ ESG performance as channels through which ESG disclosure mandates reduce tax avoidance. We further find that the decrease in tax avoidance following ESG disclosure mandates is more pronounced in countries with weaker financial disclosure requirements, legal and tax enforcement, …


The Death Penalty & State Executions In The Mountain West, 1976 - 2024, Mia Tschan, Sydney Mitchell, Yiselle Olivas Ruiz, Dre Boyd-Weatherly, Olivia K. Cheche, Kristian Thymianos, Caitlin J. Saladino, William E. Brown Jr. Apr 2026

The Death Penalty & State Executions In The Mountain West, 1976 - 2024, Mia Tschan, Sydney Mitchell, Yiselle Olivas Ruiz, Dre Boyd-Weatherly, Olivia K. Cheche, Kristian Thymianos, Caitlin J. Saladino, William E. Brown Jr.

Criminal Justice

This fact sheet presents 1976-2024 data on the death penalty and state executions in the five Mountain West states of Arizona, Colorado, New Mexico, Nevada, and Utah. The Death Penalty Information Center (DPIC) report, “State Execution Rates,” includes data on the 36 states that have conducted state executions and the 38 states, federal government, and military institutions that imposed the death penalty between 1976 and 2024. This fact sheet focuses on cumulative executions, executions per capita, and executions per death sentence in each Mountain West state.


Where Do Policy Demanders Come From? Protestants And Party Formation In The Antebellum Period, John W. Compton Apr 2026

Where Do Policy Demanders Come From? Protestants And Party Formation In The Antebellum Period, John W. Compton

Political Science Faculty Articles and Research

The early 1830s were years of intense religious fervor, when well-organized moral reform movements seemed destined to remake the political landscape. Curiously, however, the party system that emerged from this period was premised on the exclusion of moral issues from party politics. How did the early Jacksonian Democrats and Whigs manage to construct an essentially amoral party system during a decade marked by large-scale moral reform movements? And why did the resulting system unravel in the mid-1850s? Answering these questions requires shifting the focus from party activists and elected officials to organized religion. Specifically, I show that the nation's largest …


A Data Model For Coordinated Care, Zachary Bridgewater, Maggie Southwick, Billie Jo Lenning, Mary Rachel Keville, Gilly Cantor Apr 2026

A Data Model For Coordinated Care, Zachary Bridgewater, Maggie Southwick, Billie Jo Lenning, Mary Rachel Keville, Gilly Cantor

Voices of Service Symposium

Coordinated care is a service delivery paradigm that connects health and human service organizations via a shared referral platform managed by care navigators (i.e., coordinators). Referral technologies have proliferated to support this work, but the absence of data collection standards has produced a technology environment where platforms compete on not only their designs and features but on their underlying data models too. Understandably, these distinct data models arise from varying funder and customer pressures. The result, however, is a fragmented data landscape where users and creators of different platforms have different views of the issues faced by communities.

To address …


Ethics And Interventions In Substance Abuse Treatment For Military Service Members, Ken Marfilius, Allyson Donovan Apr 2026

Ethics And Interventions In Substance Abuse Treatment For Military Service Members, Ken Marfilius, Allyson Donovan

Voices of Service Symposium

Substance use disorders (SUDs) among military service members and veterans remain critically underdiagnosed. Ethical barriers such as stigma and fear of career repercussions contribute heavily to this gap in treatment-seeking behavior. Culturally informed, evidence-based interventions, such as Cognitive Behavioral Therapy and Motivational Interviewing, are essential to addressing SUDs within this population in an ethically grounded manner.


Hazardous Alcohol Use And Chronic Pain Co-Occurrence And Comorbidity Rates: A National Study Of Veterans Affairs Primary Care Patients, Dezarie Moskal, Jacob L. Scharer, Jennifer S. Funderburk, Joseph W. Ditre, Gregory P. Beehler Apr 2026

Hazardous Alcohol Use And Chronic Pain Co-Occurrence And Comorbidity Rates: A National Study Of Veterans Affairs Primary Care Patients, Dezarie Moskal, Jacob L. Scharer, Jennifer S. Funderburk, Joseph W. Ditre, Gregory P. Beehler

Voices of Service Symposium

Hazardous alcohol use (HAU) and chronic pain are each common among U.S. veterans and are associated with poorer health outcomes when they co-occur. Primary care plays a central role in the identification and management of both conditions. However, national estimates of their co-occurrence and related comorbidity burden are limited. Accordingly, this study aimed to estimate the prevalence of HAU and chronic pain and compared comorbidity patterns in a national Veterans Affairs (VA) primary care sample.

This national retrospective VA electronic health record study included 3,900,633 veterans aged 18+ seen in primary care between July 2022 and December 2023. HAU was …


Van Wey Named Fulbright Finalist, Communications And Marketing Apr 2026

Van Wey Named Fulbright Finalist, Communications And Marketing

Campus News Archive

No abstract provided.


Considerations For Statewide Coordination Of Veteran Services In New York, Zachary Bridgewater, Mary Rachel Keville, Vincent Delsignore, Gilly Cantor Apr 2026

Considerations For Statewide Coordination Of Veteran Services In New York, Zachary Bridgewater, Mary Rachel Keville, Vincent Delsignore, Gilly Cantor

Voices of Service Symposium

New York State (NYS)'s large military-connected population has faced challenges in accessing the plethora of post-service resources available from federal, state, and community agencies. A 2021 IVMF and Maxwell School landscape analysis of county veteran service officers found veterans navigating a fragmented system of care, unequal access to resources based on rurality, high demand for certain services, geographic funding inequities, and inconsistent service coordination. The report recommended a statewide, integrated system with a single entry point that harnesses existing resources, close gaps, and ensure access for all veterans across the state.

To advance this goal and other efforts enhancing coordinated …


Developing A Veteran Reintegration Ecosystem For Ukrainian Universities: Syracuse University As An Exemplar Model, Tetiana Pohorielova, Emily Rabinowitz, Ken Marfilius, Dessa Bergen-Cico, Stacy Hawkins, Joseph W. Ditre Apr 2026

Developing A Veteran Reintegration Ecosystem For Ukrainian Universities: Syracuse University As An Exemplar Model, Tetiana Pohorielova, Emily Rabinowitz, Ken Marfilius, Dessa Bergen-Cico, Stacy Hawkins, Joseph W. Ditre

Voices of Service Symposium

This poster outlines the development of a comprehensive Veteran Reintegration Ecosystem for Ukrainian universities, using Syracuse University as an exemplar. In collaboration with experts across public health, social work, and behavioral science, the project addresses the urgent need to support the influx of Ukrainian veterans through structured institutional frameworks. The proposed ecosystem focuses on three critical pillars: behavioral health and wellbeing, workforce and economic integration, and institutional capacity and coordination. This initiative aims to bridge the gap between military service and civilian life, fostering national resilience and postwar reconstruction in Ukraine.


Navigating High-Stakes Transition: An Interpretative Phenomenological Analysis Study Of The Information Experiences Among Green Berets During Military Transition, Christian Teodoro, Ken Marfilius Apr 2026

Navigating High-Stakes Transition: An Interpretative Phenomenological Analysis Study Of The Information Experiences Among Green Berets During Military Transition, Christian Teodoro, Ken Marfilius

Voices of Service Symposium

Transitioning Service members face a complex mix of challenges as they transition back to civilian life, including the need to make sense of career-related information while renegotiating identity, belonging, trust, and purpose. Often overlooked, however, is the informational side of that experience and how leaving the military, either voluntarily or involuntarily, impacts one's ability to judge relevance, evaluate credibility, and act on guidance when familiar military structures no longer exist. This is especially true for our nation's elite U.S. Army Special Forces soldiers. Special Forces are mission-driven and possess highly distinct character traits that allow them to perform effectively under …


Military Justice Meets Experiential Learning: The U.S. Air Force Court Of Criminal Appeals Outreach Project, Anna Lupardo, Elizabeth Kubala Apr 2026

Military Justice Meets Experiential Learning: The U.S. Air Force Court Of Criminal Appeals Outreach Project, Anna Lupardo, Elizabeth Kubala

Voices of Service Symposium

Syracuse University College of Law partnered with the U.S. Air Force Court of Criminal Appeals (AFCCA) to create an experiential learning opportunity for law students centered on a real military appellate case. The AFCCA, based at Andrews Air Force Base, reviews courts-martial convictions under the Uniform Code of Military Justice and can affirm, modify, or overturn sentences. The featured case, U.S. v. Reese, involved a USAF airman in Germany charged with offenses related to a vehicle accident and improper breathalyzer use. Two Veterans Legal Clinic students briefed the case as amici for the appellant--both of whom will go on to …


The Impact Of Traumatic Event Exposure On Ptsd, Depression, And Anxiety Among Veterans, Casie Daum, Emily Rabinowitz, Ken Marfilius, Joseph W. Ditre Apr 2026

The Impact Of Traumatic Event Exposure On Ptsd, Depression, And Anxiety Among Veterans, Casie Daum, Emily Rabinowitz, Ken Marfilius, Joseph W. Ditre

Voices of Service Symposium

Background: Psychiatric disorders including post-traumatic stress disorder (PTSD), depression, and anxiety are highly common and debilitating conditions among veterans. Exposure to potentially traumatic events (PTEs) such as active combat, blast exposure, close calls, and witnessing injury or death during military service may be a significant risk factor for the development and maintenance of psychiatric conditions. This analysis sought to examine the extent to which individuals with PTE exposure related to military service had different levels of psychiatric symptoms. Method: A sample of 266 veterans were recruited using Prolific, an online research panel service. Participants completed the Primary Care PTSD Screen …


Substance Use Disorder Severity And Suicide Risk Among U.S. Veterans: Evidence For A Severity-Based Risk Gradient, Hunter J. Pyke, Grant H. Ripley, Emily Rabinowitz, Victoria E. Carlin, Dezarie Moskal, Joseph W. Ditre, Ken Marfilius Apr 2026

Substance Use Disorder Severity And Suicide Risk Among U.S. Veterans: Evidence For A Severity-Based Risk Gradient, Hunter J. Pyke, Grant H. Ripley, Emily Rabinowitz, Victoria E. Carlin, Dezarie Moskal, Joseph W. Ditre, Ken Marfilius

Voices of Service Symposium

Background: U.S. Military veterans are at disproportionate risk for suicide. Substance use disorders (SUDs) are prevalent and are strongly associated with suicide risk among veterans, yet less is known about whether increasing SUD severity is associated with greater risk for suicidal thoughts and behaviors among veterans. Methods: Data were drawn from the National Survey on Drug Use and Health (NSDUH) 2021-2024 and included (n = 9,172) veterans. Analyses utilized survey weights to produce nationally representative estimates. Logistic regression tested associations between SUD severity (classified consistent with DSM-5 criteria for substances endorsed during the previous year; 0=no SUD (< 2 criteria), 1=mild (2-3 criteria), 2=moderate (2-5 criteria), 3=severe (≥ 6 criteria)) and odds of (1) past-year suicide ideation (SI), (2) suicide planning (SP), and (3) suicide attempt (SA), adjusted for age and sex. Results: Findings indicated that 3.7% of veterans endorsed SI, 1% SP, and 0.5% SA. Additionally, 10% endorsed symptoms consistent with mild SUD, 4% moderate SUD, and 3% severe SUD. The prevalence of SI increased from 2.4% among veterans without SUD to 16.7% among those with severe SUD. In adjusted models, compared to veterans without SUD, severe SUD was associated with higher odds of SI (AOR=6.00, 95% CI: 3.82–9.43, p < .001), SP (AOR=10.40, 95% CI: 5.06–21.37, p < .001), and SA (AOR=15.26, 95% CI: 6.22–37.42, p < .001). Discussion: SUD severity was associated with progressively greater odds of suicidal ideation, planning, and attempts among U.S. veterans. Suicidal thoughts and behaviors increased in a graded pattern across SUD severity levels. Future work should elucidate the temporality of such relations to identify whether SUD severity precedes suicidal thoughts and behaviors, or alternatively, if suicidal thoughts and behaviors may precede increases in SUD severity. Results support integrated screening and intervention efforts targeting substance use and suicidality among veterans.


Recent Alcohol Use Moderates The Relationship Between Psychological Distress And Daytime Sleepiness Among Military-Connected Students, Treston Pulley, Emily Rabinowitz, Grant H. Ripley, Qiuxi Huang, Stephen A. Maisto, Joseph W. Ditre Apr 2026

Recent Alcohol Use Moderates The Relationship Between Psychological Distress And Daytime Sleepiness Among Military-Connected Students, Treston Pulley, Emily Rabinowitz, Grant H. Ripley, Qiuxi Huang, Stephen A. Maisto, Joseph W. Ditre

Voices of Service Symposium

Introduction: Sleep difficulties are prevalent among college students and especially among veteran and military-connected students (VMCS), who face unique stressors related to military service and campus life. Alcohol use is common in both military and university settings, and many students use it as a sleep aid, especially when dealing with symptoms of psychological distress. However, alcohol use disrupts sleep quality and contributes to next-day fatigue. Research has shown that psychological distress is strongly linked to both alcohol use and sleep problems, although little research has examined how these factors jointly relate to sleep among VMCS. This study examined associations between …