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Alexander J. Millner Robert J. Ursano Irving Hwang Andrew J. King James A. Naifeh Nancy A. Sampson Alan M. Zaslavsky Murray B. Stein Ronald C. Kessler Matthew K. Nock 《Suicide & life-threatening behavior》2019,49(1):3-22
We report on associations of retrospectively reported temporally prior mental disorders and Army career characteristics with subsequent first onset of suicidal behaviors in a large, representative sample of US Army soldiers who participated in the Consolidated All‐Army Survey of the Army Study to Assess Risk and Resilience in Servicemembers (N = 29,982). Results reveal that among men and women, all self‐reported lifetime disorders measured (some assessed with screening scales) are associated with subsequent onset of suicide ideation. Among men, three disorders characterized by agitation and impulsiveness (intermittent explosive disorder, panic disorder, and substance disorders) predict the transition from suicide ideation to attempt. For both men and women, being in the Regular Army (vs. National Guard or Army Reserve) predicts suicide attempts in the total sample. For men, a history of deployment and junior rank are predictors of suicide attempts after adjusting for preenlistment disorders but not accounting for pre‐ and postenlistment disorders, suggesting that postenlistment disorders account for some of the increased suicide risk among these career characteristics. Overall, these results highlight associations between mental disorders and suicidal behaviors, but underscore limitations predicting which people with ideation attempt suicide. 相似文献
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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
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Sheila Kessler 《Journal of counseling and development : JCD》1979,58(3):194-196