Prior Mental Disorders and Lifetime Suicidal Behaviors Among US Army Soldiers in the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS)

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.     

Pleasure and displeasure from the body: Perspectives from exercise

We investigated some types of triggers of embarrassment and their personality correlates. A total of 161 undergraduates indicated how embarrassed they would be in a variety of situations classified a priori into three types. The types were based on the kind of trigger they embodied and were derived in part from current theories of embarrassment. Several analytic techniques, including factor analysis, suggested that there are at least three sorts of situations people find embarrassing: committing a faux pas, being the centre of attention, and threatening another's social identity. We created a subscale for each subtype of trigger. Embarrassibility on each subscale was correlated with embarrassibility on the others, but the reliabilities of the subscales substantially exceeded their intercorrelations. Some personality variables, for example, Neuroticism (Eysenck & Eysenck, 1975) correlated with all subscales, whereas other personality variables correlated differentially, for example, Revised Self-Monitoring (Lennox & Wolf, 1984), Interaction Anxiousness (Leary, 1983), and Rejection Sensitivity (Downey & Feldman, 1996). We believe, contrary to previous suggestions (Edelmann & McCusker, 1986), that there are subtypes of triggers of embarrassment and they they roughly correspond to the different causes of embarrassment as proposed by various theorists. We discuss the implications of our results for theories of embarrassment.     

Medically Documented Suicide Ideation Among U.S. Army Soldiers

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.