Risk Factors Associated With Attempted Suicide Among US Army Soldiers Without a History of Mental Health Diagnosis

JAMA Psychiatry
Robert J UrsanoMurray B Stein

Abstract

The US Army suicide attempt rate increased sharply during the wars in Afghanistan and Iraq. Although soldiers with a prior mental health diagnosis (MH-Dx) are known to be at risk, little is known about risk among those with no history of diagnosis. To examine risk factors for suicide attempt among soldiers without a previous MH-Dx. In this retrospective longitudinal cohort study using administrative data from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS), person-month records were identified for all active-duty Regular Army enlisted soldiers who had a medically documented suicide attempt from January 1, 2004, through December 31, 2009 (n = 9650), and an equal-probability sample of control person-months (n = 153 528). Data analysis in our study was from September 16, 2017, to June 6, 2018. In a stratified sample, it was examined whether risk factors for suicide attempt varied by history of MH-Dx. Suicide attempts were identified using Department of Defense Suicide Event Report records and International Classification of Diseases, Ninth Revision, Clinical Modification E95 × diagnostic codes. Mental health diagnoses and related codes, as well as sociodemographic, service-related, physical health care...Continue Reading

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Citations

Dec 19, 2019·Journal of Neuropathology and Experimental Neurology·Diego IaconoDaniel P Perl
Jan 30, 2020·JAMA Network Open·Robert J UrsanoMurray B Stein
May 14, 2020·JAMA Psychiatry·Myrna M Weissman
Mar 29, 2020·Journal of General Internal Medicine·Joseph A SimonettiRanak Trivedi
Jul 16, 2020·Current Psychiatry Reports·J D DragonettiM S Yang
Jan 14, 2021·Medical Care·James A NaifehRobert J Ursano
Mar 18, 2021·The Australian and New Zealand Journal of Psychiatry·Nicole SadlerAlexander McFarlane
Nov 17, 2020·Journal of Psychiatric Research·Samantha N HoffmanMurray B Stein
Sep 2, 2021·The American Journal of Psychiatry·Holly B Herberman MashMurray B Stein
Oct 6, 2021·JAAPA : Official Journal of the American Academy of Physician Assistants·Chris GilletteSonia Crandall
Dec 7, 2021·Suicide & Life-threatening Behavior·James A NaifehRobert J Ursano
Jan 18, 2022·Psychological Medicine·Shira MaguenAaron I Schneiderman

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