Psychological autopsy study comparing suicide decedents, suicide ideators, and propensity score matched controls: results from the study to assess risk and resilience in service members (Army STARRS)

Psychological Medicine
M K NockD Benedek

Abstract

The suicide rate has increased significantly among US Army soldiers over the past decade. Here we report the first results from a large psychological autopsy study using two control groups designed to reveal risk factors for suicide death among soldiers beyond known sociodemographic factors and the presence of suicide ideation. Informants were next-of-kin and Army supervisors for: 135 suicide cases, 137 control soldiers propensity-score-matched on known sociodemographic risk factors for suicide and Army history variables, and 118 control soldiers who reported suicide ideation in the past year. Results revealed that most (79.3%) soldiers who died by suicide have a prior mental disorder; mental disorders in the prior 30-days were especially strong risk factors for suicide death. Approximately half of suicide decedents tell someone that they are considering suicide. Virtually all of the risk factors identified in this study differed between suicide cases and propensity-score-matched controls, but did not significantly differ between suicide cases and suicide ideators. The most striking difference between suicides and ideators was the presence in the former of an internalizing disorder (especially depression) and multi-morbidity (i...Continue Reading

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Citations

Jun 15, 2018·Suicide & Life-threatening Behavior·Colette RamseySiobhan O'Neill
Oct 31, 2018·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Krista BruckerJeffrey A Kline
Feb 14, 2019·JAMA Psychiatry·Murray B SteinRobert J Ursano
Mar 28, 2019·JAMA Psychiatry·Elizabeth D BallardKathleen Ries Merikangas
Feb 20, 2018·Industrial Psychiatry Journal·Priti ArunBir Singh Chavan
Feb 6, 2019·Child and Adolescent Psychiatry and Mental Health·Lauritz Rudolf Floribert MüllerJohanna Unterhitzenberger
Jul 10, 2019·European Psychiatry : the Journal of the Association of European Psychiatrists·Leah ShelefGil Zalsman
Jan 30, 2020·JAMA Network Open·Robert J UrsanoMurray B Stein
Aug 20, 2020·The Psychiatric Quarterly·Luciana de Avila QuevedoRicardo Tavares Pinheiro
Dec 1, 2020·Archives of Suicide Research : Official Journal of the International Academy for Suicide Research·Amanda M RainesTracy Stecker
Sep 2, 2021·The American Journal of Psychiatry·Holly B Herberman MashMurray B Stein
Jul 2, 2021·Suicide & Life-threatening Behavior·Catherine L DempseyRobert J Ursano

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