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411.
Robert J. Ursano MD Ronald C. Kessler PhD Murray B. Stein MD MPH James A. Naifeh PhD Matthew K. Nock PhD Pablo A. Aliaga MS Carol S. Fullerton PhD Gary H. Wynn MD Tsz Hin Hinz Ng MPH Hieu M. Dinh BS Nancy A. Sampson BA Tzu‐Cheg Kao PhD Michael Schoenbaum PhD James E. McCarroll PhD MPH Kenneth L. Cox MD MPH Steven G. Heeringa PhD the Army STARRS collaborators 《Suicide & life-threatening behavior》2017,47(5):612-628
We used administrative data to examine predictors of medically documented suicide ideation (SI) among Regular Army soldiers from 2006 through 2009 (N = 10,466 ideators, 124,959 control person‐months). Enlisted ideators (97.8% of all cases) were more likely than controls to be female, younger, older when entering service, less educated, never or previously deployed, and have a recent mental health diagnosis. Officer ideators were more likely than controls to be female, younger, younger when entering service, never married, and have a recent mental health diagnosis. Risk among enlisted soldiers peaked in the second month of service and declined steadily, whereas risk among officers remained relatively stable over time. Risk of SI is highest among enlisted soldiers early in Army service, females, and those with a recent mental health diagnosis. 相似文献
412.
So Close,Yet So Far: Why Solutions to the Closeness Problem for the Doctrine of Double Effect Fall Short
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According to the classical Doctrine of Double Effect (DDE), there is a morally significant difference between intending harm and merely foreseeing harm. Versions of DDE have been defended in a variety of creative ways, but there is one difficulty, the so‐called “closeness problem”, that continues to bedevil all of them. The problem is that an agent's intention can always be identified in such a fine‐grained way as to eliminate an intention to harm from almost any situation, including those that have been taken to be paradigmatic instances in which DDE applies to intended harm. In this paper, we consider and reject a number of recent attempts to solve the closeness problem. We argue that the failure of these proposals strongly suggests that the closeness problem is intractable, and that the distinction between intending harm and merely foreseeing harm is not morally significant. Further, we argue that there may be a deeper reason why such attempts must fail: the rationale that makes the best fit with DDE, namely, an imperative not to aim at evil, is itself irredeemably flawed. While we believe that these observations should lead us to abandon further attempts to solve the closeness problem for DDE, we also conclude by showing how a related principle that is supported by a distinct rationale and avoids facing the closeness problem altogether nevertheless shares with DDE its most important features, including an intuitive explanation of a number of cases and a commitment to the relevance of intentions. 相似文献
413.
Amelia E. Talley PhD Sarah L. Brown BA Kelly Cukrowicz PhD Courtney L. Bagge PhD 《Suicide & life-threatening behavior》2016,46(2):127-140
Mechanisms (i.e., thwarted belongingness, perceived burdensomeness, hopelessness) derived from the interpersonal theory of suicide which are hypothesized to account for the relation between sexual orientation self‐concept ambiguity and active suicide ideation were examined. Participants included 349 women, among whom 42% currently self‐ascribed a non‐exclusively heterosexual sexual identity. Among women reporting higher levels of sexual self‐concept ambiguity, greater risk for active suicide ideation is found when perceptions of burden and feelings of thwarted belonging co‐occur with feelings of hopelessness. Results support relevant theory useful for understanding suicide risk among sexual minority women who acknowledge ambiguity with regard to their sexual orientation. 相似文献
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Elizabeth A. Schilling PhD Martha Lawless BA Laurel Buchanan MA Robert H. Aseltine Jr PhD 《Suicide & life-threatening behavior》2014,44(6):653-667
Although the Signs of Suicide (SOS) suicide prevention program has been implemented at both the middle and high school levels, its efficacy has been demonstrated previously only among high school students. The current study evaluated SOS implemented in high military impact middle schools. Compared to controls, SOS participants demonstrated improved knowledge about suicide and suicide prevention, and participants with pretest ideation reported fewer suicidal behaviors at posttest than controls with pretest ideation. These results provide preliminary evidence for SOS's efficacy as a suicide prevention program for middle school students. 相似文献
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Monica M. Matthieu PhD LCWS Benjamin Welch MSW Nancy Morrow‐Howell PhD Enola Proctor PhD Frank J. Bruno Michael Nickel BA Jessica Navarro MSW Alyson Moon BA 《Suicide & life-threatening behavior》2010,40(2):125-132
Given recent policy initiatives to address suicide risk among older persons and veterans, community‐based elder serving agencies may serve an important role in identifying and referring individuals at risk for suicide. A review of state‐level long‐term assessment instruments was conducted to determine whether veteran status and suicide are assessed. Data from forty‐three state's Units on Aging instruments were content analyzed. Results indicate that over two thirds of the states in this review included questions about suicide and veterans in their assessments, 69.8% and 67.4% respectively. Suicide risk among elders and veterans must be addressed at local, state, and federal levels so that concerted attention and oversight can be provided for matching elders to the services they need. 相似文献
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