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This study aimed to examine associations among suicide exposure, suicidal ideation (SI), and psychological symptoms in a clinical sample of service members (<jats:italic>N<\/jats:italic> = 1,565, 64.4% suicide\u2010exposed) and identify how one's relationship with the deceased impacts suicidality and psychological health in exposed individuals. A secondary analysis of cross\u2010sectional survey data was conducted. Generalized linear regression analyses were used to identify associations between suicide exposure and both current SI and psychological symptoms among all participants; the associations between suicide exposure characteristics and psychological symptoms were only examined among exposed individuals. Exposure was not significantly associated with higher SI, \u03b2 = .007, <jats:italic>SE<\/jats:italic> = .16, <jats:italic>p<\/jats:italic> = .965, but was associated with PTSD, \u03b2 = 1.60, <jats:italic>SE<\/jats:italic> = 0.49, <jats:italic>p<\/jats:italic> = .001; anxiety, \u03b2 = .68, <jats:italic>SE<\/jats:italic> = .31, <jats:italic>p<\/jats:italic> = .031; and insomnia symptoms, \u03b2 = .98, <jats:italic>SE<\/jats:italic> = .25, <jats:italic>p<\/jats:italic> &lt; .001. Among participants who had been exposed, high\/long impact of exposure was positively associated with SI, \u03b2 = 0.94, <jats:italic>SE<\/jats:italic> = .26, <jats:italic>p<\/jats:italic> &lt; .001, and psychological symptoms, PTSD: \u03b2 = 2.32, <jats:italic>SE<\/jats:italic> = .77, <jats:italic>p<\/jats:italic> = .002; anxiety: \u03b2 = 1.39, <jats:italic>SE<\/jats:italic> = .50, <jats:italic>p<\/jats:italic> = .005; insomnia: \u03b2 = .96, <jats:italic>SE<\/jats:italic> = .39, <jats:italic>p<\/jats:italic> = .015. Results illustrate the significant issue of suicide exposure within the military and show consideration of suicide exposure as a potential risk factor for adverse psychological outcomes is warranted.<\/jats:p>","DOI":"10.1002\/jts.22909","type":"journal-article","created":{"date-parts":[[2023,2,2]],"date-time":"2023-02-02T15:59:53Z","timestamp":1675353593000},"page":"310-324","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Investigating the effects of suicide exposure among a clinical sample of active duty service members"],"prefix":"10.1002","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8512-4026","authenticated-orcid":false,"given":"Emily A.","family":"Schmied","sequence":"first","affiliation":[{"name":"School of Public Health San Diego State University  San Diego California USA"},{"name":"Institute for Behavioral and Community Health San Diego State University  San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hee\u2010Jin","family":"Jun","sequence":"additional","affiliation":[{"name":"School of Public Health San Diego State University  San Diego California USA"},{"name":"Institute for Behavioral and Community Health San Diego State University  San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa H.","family":"Glassman","sequence":"additional","affiliation":[{"name":"Leidos, Inc.  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