Studies of justice system involvement (JSI) among U.S. military veterans have yielded mixed results regarding both prevalence and correlates due in part to sampling variability and limitations. The present study examined factors associated with lifetime JSI in a nationally representative sample of 4,049 U.S. veterans. Bivariate and multivariate analyses indicate that JSI was associated with racial/ethnic minority, lower income/education, combat, and other lifetime traumas. Relative importance analysis revealed that lifetime substance use disorders, cumulative trauma, adverse childhood experiences, and male sex accounted for the majority of variance in predicting JSI. JSI was also independently associated with current substance use, suicidal ideation, and psychiatric treatment utilization. The study provides population-based findings that extend previous studies. Results underscore the need for informed identification, prevention, and intervention for veterans in the community who are at increased for JSI.
AndrewsD. A.BontaA. J.HogeR. D. (1990). Classification for effective rehabilitation: Rediscovering psychology. Criminal Justice and Behavior, 17(1), 19–52. https://doi.org/10.1177/0093854890017001004
2.
BackhausA.GholizadehS.GodfreyK. M.PittmanJ.AfariN. (2016). The many wounds of war: The association of service-related and clinical characteristics with problems with the law in Iraq and Afghanistan veterans. International Journal of Law and Psychiatry, 49, 205–213. https://doi.org/10.1016/j.ijlp.2016.10.007
BarnertE. S.SchlichteL. M.TolliverD. G.La ChariteJ.BielyC.DudovitzR.LeifheitK.RussS.SastryN.YamaC.SlavichG. M.SchickedanzA. (2023). Parents’ adverse and positive childhood experiences and offspring involvement with the criminal legal system. JAMA Network Open, 6(10), Article e2339648. https://doi.org/10.1001/jamanetworkopen.2023.39648
5.
BarnesJ. C.JorgensenC.BeaverK. M.BoutwellB. B.WrightJ. P. (2015). Arrest prevalence in a national sample of adults: The role of sex and race/ethnicity. American Journal of Criminal Justice, 40, 457–465. https://doi.org/10.1007/s12103-014-9273-3
6.
BeckermanA.FontanaL. (1989). Vietnam veterans and the criminal justice system: A selected review. Criminal Justice and Behavior, 16(4), 412–428. https://doi.org/10.1177/0093854889016004002
7.
BennettD. C.MorrisD. H.SextonM. B.BonarE. E.ChermackS. T. (2018). Associations between posttraumatic stress and legal charges among substance using veterans. Law and Human Behavior, 42(2), 135–144. https://doi.org/10.1037/lhb0000268
8.
BlackD. W.CarneyC. P.PelosoP. M.WoolsonR. F.LetuchyE.DoebbelingB. N. (2005). Incarceration and veterans of the first Gulf War. Military Medicine, 170(7), 612–618. https://doi.org/10.7205/MILMED.170.7.612
9.
BlevinsC. A.WeathersF. W.DavisM. T.WitteT. K.DominoJ. L. (2015). The posttraumatic stress disorder checklist for DSM-5 (PCL-5): Development and initial psychometric evaluation. Journal of Traumatic Stress, 28(6), 489–498. https://doi.org/10.1002/jts.22059
10.
BlodgettJ. C.AvoundjianT.FinlayA. K.RosenthalJ.AschS. M.MaiselN. C.MidboeA. M. (2015). Prevalence of mental health disorders among justice-involved veterans. Epidemiologic Reviews, 37(1), 163–176. https://doi.org/10.1093/epirev/mxu003
11.
BlonigenD. M.ShafferP. M.BaldwinN.SmelsonD. (2023). Disentangling the relationship between posttraumatic stress disorder, criminogenic risk, and criminal history among veterans. Law and Human Behavior, 47(5), 579–590. https://doi.org/10.1037/lhb0000542
BuckleyP. F. (2006). Prevalence and consequences of the dual diagnosis of substance abuse and severe mental illness. Journal of Clinical Psychiatry, 67(Suppl. 7), 5–9. https://www.psychiatrist.com/read-pdf/15384/
14.
CalhounP. S.MaleskyL. A.BosworthH. B.BeckhamJ. C. (2005). Severity of posttraumatic stress disorder and involvement with the criminal justice system. Journal of Trauma Practice, 3(3), 1–16. https://doi.org/10.1300/J189v03n03_01
15.
CoidJ. W.KallisC.DoyleM.ShawJ.UllrichS. (2015). Identifying causal risk factors for violence among discharged patients. PLOS ONE, 10(11), Article e0142493. https://doi.org/10.1371/journal.pone.0142493
16.
DaweS.LoxtonN. J. (2004). The role of impulsivity in the development of substance use and eating disorders. Neuroscience & Biobehavioral Reviews, 28(3), 343–351. https://doi.org/10.1016/j.neubiorev.2004.03.007
17.
DesaiA.HollidayR.BorgesL. M. (2023). Racial, ethnic, and sex differences in psychiatric diagnosis, mental health sequelae, and VHA service utilization among justice involved veterans. Law & Human Behavior, 47(1), 260–274. https://doi.org/10.1037/lhb0000511
18.
DowlingN. A.MerkourisS. S.DiasS.RoddaS. N.ManningV.YoussefG. J.VolbergR. A. (2019). The diagnostic accuracy of brief screening instruments for problem gambling: A systematic review and meta-analysis. Clinical Psychology Review, 74, 101784. https://10.1016/j.cpr.2019.101784
19.
EdalatiH.NichollsT. L.CrockerA. G.RoyL.SomersJ. M.PattersonM. L. (2017). Adverse childhood experiences and the risk of criminal justice involvement and victimization among homeless adults with mental illness. Psychiatric Services, 68(12), 1288–1295. https://doi.org/10.1176/appi.ps.201600330
20.
EdwardsE. R.EpshteynG.ConnellyB.ReddenC.MoussaC. E. H.BlonigenD. M.StimmelM.HollidayR.OsterbergT. (2023). Understanding criminogenic risk factors among United States military veterans: An updated literature review. Criminal Justice Review, 49(4), 495–518. https://doi.org/10.1177/07340168231160
21.
ElbogenE.JohnsonS.NewtonV.Straits-TrosterK.VasterlingJ.WagnerH.BeckhamJ. (2012). Criminal justice involvement, trauma, and negative affect in Iraq and Afghanistan war era veterans. Journal of Counseling and Clinical Psychology, 80(6), 1097–1102. https://doi.org/10.1037/a0029967
22.
ElbogenE. B.DuBoisC. M.FinlayA. K.ClarkS.KoisL. E.WagnerH. R.TsaiJ. (2023). How often does homelessness precede criminal arrest in veterans? Results from the U.S. survey of prison inmates. American Journal of Orthopsychiatry, 93(6), 486–793. https://doi.org/10.1037/ort0000693
23.
FelittiV. J.AndaR. F.NordenbergD.WilliamsonD. F.SpitzA. M.EdwardsV.KossM. P.MarksJ. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) study. American Journal of Preventive Medicine, 14(4), 245–258. https://doi.org/10.1016/S0749-3797(98)00017-8
24.
FinlayA. K.SmelsonD.SawhL.McGuireJ.RosenthalJ.Blue-HowellsJ.HarrisA. H. S. (2016). U.S. Department of Veterans Affairs veterans justice outreach program: Connecting justice-involved veterans with mental health and substance use disorder treatment. Criminal Justice Policy Review, 27(2), 203–222. https://doi.org/10.1177/0887403414562
25.
HeathertonT. F.KozlowskiL. T.FreckerR. C.FagerstromK. O. (1991). The Fagerström test for nicotine dependence: A revision of the Fagerström Tolerance Questionnaire. British Journal of Addiction, 86(9), 1119–1127. https://doi.org/10.1111/j.1360-0443.1991.tb01879.x
26.
HummerD.ByrneJ. M.RapisardaS. S.SociaK. M.KrasK. R. (2023). No veteran left behind? Perspectives on VTC eligibility criteria for justice-involved veterans in multiple jurisdictions across the United States. Victims & Offenders, 19(1), 59–79. https://doi.org/10.1080/15564886.2023.2288963
27.
JacobsenL. K.SouthwickS. M.KostenT. R. (2001). Substance use disorders in patients with posttraumatic stress disorder: A review of the literature. American Journal of Psychiatry, 158(8), 1184–1190. https://doi.org/10.1176/appi.ajp.158.8.1184
28.
KeltonK.Van VoorheesE. E.ElbogenE. B.WorkgroupV. M. A. M.DillonK. H. (2023). Correlates of incarceration history among military veterans. Military Psychology, 35(6), 577–589. https://doi.org/10.1080/08995605.2022.2141049
29.
KimJ. H.ChoiY. (2020). Influence of childhood trauma and post-traumatic stress symptoms on impulsivity: Focusing on differences according to the dimensions of impulsivity. European Journal of Psychotraumatology, 11(1), 1–10. https://doi.org/10.1080/20008198.2020.1796276
30.
KimerlingR.GimaK.SmithM. W.StreetA.FrayneS. (2007). The Veterans Health Administration and military sexual trauma. American Journal of Public Health, 97(12), 2160–2166. https://doi.org/2160-2166.10.2105/AJPH.2006.092999
31.
KlineA. C.PanzaK. E.NichterB.TsaiJ.Harpaz-RotemI.NormanS. B.PietrzakR. H. (2022). Mental health care use among U.S. military veterans: Results from the 2019-2020 National Health and Resilience in Veterans Study. Psychiatric Services, 73(6), 628–635. https://doi.org/10.1176/appi.ps.202100112
32.
KroenkeK.SpitzerR. L.WilliamsJ. B. W.LöweB. (2009). An ultra-brief screening scale for anxiety and depression: The PHQ-4. Psychosomatics, 50(6), 613–621. https://doi.org/10.1016/S0033-3182(09)70864-3
33.
LaiH. M. X.ClearyM.SitharthanT.HuntG. E. (2015). Prevalence of comorbid substance use, anxiety and mood disorders in epidemiological surveys, 1990–2014: A systematic review and meta-analysis. Drug and Alcohol Dependence, 154, 1–13. https://doi.org/10.1016/j.drugalcdep.2015.05.031
34.
LarsonG. E.Highfill-McRoyR. M.Booth-KewleyS. (2008). Psychiatric diagnoses in historic and contemporary military cohorts: Combat deployment and the Healthy Warrior Effect. American Journal of Epidemiology, 167(11), 1269–1276. https://doi.org/10.1093/aje/kwn084
35.
LucasK. T.MarcumC. D.LucasP. A.BlalockJ. (2022). Military veteran involvement with the criminal justice system: A systematic review. Aggression and Violent Behavior, 66, 101721. https://doi.org/10.1016/j.avb.2022.101721
36.
McGuireJ.RosenheckR. A.KasprowW. J. (2003). Health status, service use and costs among veterans receiving outreach services in jail or community settings. Psychiatric Services, 54(2), 201–207. https://doi.org/10.1176/appi.ps.54.2.201
37.
MeffertB. N.MorabitoD. M.SawickiD. A.HausmanC.SouthwickS. M.PietrzakR. H.HeinzA. J. (2019). US veterans who do and do not utilize veterans affairs health care services: Demographic, military, medical, and psychosocial characteristics. The primary care companion for CNS disorders, 21(1), 26992. https://doi.org/10.4088/PCC.18m02350
38.
MeislerA. W. (1996). Trauma, PTSD, and Substance Abuse. PTSD Research Quarterly, 7(4), 1–6.
39.
MeldrumR. C.Campion YoungB.SoorS.HayC.CoppJ. E.TraceM.Smith-DardenJ. P.KernsmithP. D. (2020). Are adverse childhood experiences associated with deficits in self-control? A test among two independent samples of youth. Criminal Justice and Behavior, 47(2), 166–186. https://doi.org/10.1177/0093854819879741
40.
NockM. K.FavazzaA. R. (2009). Nonsuicidal self-injury: Definition and classification. In NockM. K. (Ed.), Understanding nonsuicidal self-injury: Origins, assessment, and treatment (pp. 9–18). American Psychological Association. https://doi.org/10.1037/11875-001
41.
OgloffJ. R.TalevskiD.LemphersA.WoodM.SimmonsM. (2015). Co-occurring mental illness, substance use disorders, and antisocial personality disorder among clients of forensic mental health services. Psychiatric Rehabilitation Journal, 38(1), 16–23. https://doi.org/10.1037/prj0000088
OsmanA.BaggeC. L.GutierrezP. M.KonickL. C.KopperB. A.BarriosF. X. (2001). The Suicidal Behaviors Questionnaire-Revised (SBQ-R): Validation with clinical and nonclinical samples. Assessment, 8(4), 443–454. https://doi.org/10.1177/107319110100800409
44.
PetersonJ.SkeemJ. L.HartE.VidalS.KeithF. (2010). Analyzing offense patterns as a function of mental illness to test the criminalization hypothesis. Psychiatric Services, 61(12), 1217–1222. https://doi.org/10.1176/ps.2010.61.12.1217
45.
PetrakisI. L.RosenheckR.DesaiR. (2011). Substance use comorbidity among veterans with posttraumatic stress disorder and other psychiatric illness. The American Journal on Addictions, 20(3), 185–189. https://doi.org/10.1111/j.1521-0391.2011.00126.x
46.
RaktM. V. D.MurrayJ.NieuwbeertaP. (2012). The long-term effects of paternal imprisonment on criminal trajectories of children. Journal of Research in Crime and Delinquency, 49(1), 81–108. https://doi.org/10.1177/0022427810393018
47.
SadehN.McNielD. E. (2015). Posttraumatic stress disorder increases risk of criminal recidivism among justice-involved persons with mental disorders. Criminal Justice and Behavior, 42(6), 573–586. https://doi.org/10.1177/0093854814556880
48.
SaundersJ. B.AaslandO. G.BaborT. F.De la FuenteJ. R.GrantM. (1993). Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption-II. Addiction, 88(6), 791–804. https://doi.org/10.1111/j.1360-0443.1993.tb02093.x
49.
SaxonA. J.DavisT. M.SloanK. L.McKnightK. M.McFallM. E.KivlahanD. R. (2001). Trauma, symptoms of posttraumatic stress disorder and associated problems among incarcerated veterans. Psychiatric Services, 527(7), 959–964. https://doi.org/10.1176/appi.ps.52.7.959
SheehanD. V. (2014). The mini-international neuropsychiatric interview, version 7.0 for DSM-5 (MINI 7.0). Medical Outcomes Systems.
52.
SnowdenD. L.OhS.Salas-WrightC. P.VaughnM. G.KingE. (2017). Military service and crime: New evidence. Social Psychiatry and Psychiatric Epidemiology, 52, 605–615. https://doi.org/10.1007/s00127-017-1342-8
53.
TaylorE. N.TimkoC.NashA.OwensM. D.HarrisA. H. S.FinlayA. K. (2020). Posttraumatic stress disorder and justice involvement among military veterans: A systematic review and meta-analysis. Journal of Traumatic Stress, 33(5), 804–812. https://doi.org/10.1002/jts.22526
54.
TietQ. Q.LeyvaY. E.MoosR. H.FrayneS. M.OsterbergL.SmithB. (2015). Screen of drug use: Diagnostic accuracy of a new brief tool for primary care. JAMA Internal Medicine, 175(8), 1371–1377. https://doi.org/10.1001/jamainternmed.2015.2438
55.
TonidandelS.LeBretonJ. M. (2010). Determining the relative importance of predictors in logistic regression: An extension of relative weight analysis. Organizational Research Methods, 13(4), 767–781. https://doi.org/10.1177/1094428109341993
56.
TsaiJ.KeltonK.BlonigenD. M.Keith McinnesD.ClarkS.Blue-HowellsJ.HooshyarD. (2024). A research agenda for criminal justice involvement among U.S. veterans. Military Medicine, 189(3-4), e481–e485.
57.
TsaiJ.MitchellL.NakashimaJ.Blue-HowellsJ. (2023). Unmet needs of homeless U.S. veterans by gender and race/ethnicity: Data from five annual surveys. Psychological Services, 20(1), 149–156. https://doi.org/10.1037/ser0000557
58.
TsaiJ.PietrzakR. H.SzymkowiakD. (2021). The problem of veteran homelessness: An update for the new decade. American Journal of Preventive Medicine, 60(6), 774–780. https://doi.org/10.1016/j.amepre.2020.12.012
59.
TsaiJ.RosenheckR. A.KasprowW. J.McGuireJ. F. (2013). Risk of incarceration and other characteristics of Iraq and Afghanistan era veterans in state and federal prisons. Psychiatric Services, 64(1), 36–43. https://doi.org/10.1176/appi.ps.201200188
VaughanC. A.SchellT. L.TanjelianT.JaycoxL. H.MarshallG. N. (2014). Prevalence of mental health problems among Iraq and Afghanistan veterans who have and have not received VA services. Psychiatric Services, 65(6), 833–835. https://doi.org/10.1176/appi.ps.201300111
62.
WagnerT. H.HarrisK. M.FedermanB.DaL.LunaY.HumphreysK. (2007). Prevalence of substance use disorders among veterans and comparable nonveterans from the National Survey on Drug Use and Health. Psychological Services, 4(3), 149–157. https://doi.org/10.1037/1541-1559.4.3.149
WhiteM. D.MulveyP.FoxA. M.ChoateD. (2012). A hero’s welcome? Exploring the prevalence and problems of military veterans in the arrestee population. Justice Quarterly, 29(2), 258–286. https://doi.org/10.1080/07418825.2011.560890
66.
WickeF. S.KrakauL.LöweB.BeutelM. E.BrählerE. (2022). Update of the standardization of the Patient Health Questionnaire-4 (PHQ-4) in the general population. Journal of Affective Disorders, 312, 310–314. https://doi.org/10.1016/j.jad.2022.06.054
