Military Sexual Trauma and Suicide Mortality
Military Sexual Trauma and Suicide Mortality
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DOI：
10.1016/j.amepre.2015.10.019
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发表时间：
2016-06-01
影响因子：
5.5
通讯作者：
McCarthy, John F.
中科院分区：
文献类型：
--
作者：
Kimerling, Rachel;Makin-Byrd, Kerry;McCarthy, John F.
简介：退伍军人健康管理局的卫生系统在医疗记录中使用临床提示来筛查军事性创伤。对于超过600万退伍军人，本研究评估了军事性创伤筛查结果与随后的自杀死亡率之间的关联。（5，991，080名男性; 360，774名女性），比例风险回归评估了军事性创伤和自杀风险之间的关联。模型进行了调整的年龄，农村居住，医疗发病率，精神状况，从医疗记录中获得的军事性创伤筛查发生的一年。结果：军队性创伤的男性报告率为1.1%，女性报告率为21.2%。在随访期间，共有9，017名退伍军人完成了自杀。男性和女性的军事性创伤风险比分别为1.69（95% CI=1.45，1.97）和2.27（95% CI=1.76，2.94）。调整models.Conclusions：研究结果是第一个以人口为基础的调查，以记录性创伤作为自杀死亡率的危险因素。军事性创伤是退伍军人健康管理局预防自杀的临床指标。结果表明，军事性创伤和自杀风险的持续评估和军事性创伤相关的项目和自杀预防工作之间的合作的重要性。此外，军事性创伤应考虑自杀预防策略，即使在个人没有记录的精神疾病。爱思唯尔公司出版美国预防医学杂志（American Journal of Preventive Medicine）
Introduction: The Veterans Health Administration health system uses a clinical reminder in the medical record to screen for military sexual trauma. For more than 6 million Veterans, this study assessed associations between military sexual trauma screen results and subsequent suicide mortality.Methods: For Veterans who received Veterans Health Administration services in fiscal years 20072011 and were screened for military sexual trauma (5,991,080 men; 360,774 women), proportional hazards regressions evaluated associations between military sexually trauma and suicide risk. Models were adjusted for age, rural residence, medical morbidity, and psychiatric conditions, obtained from medical records at the year military sexual trauma screening occurred. Analyses were conducted in 2014.Results: Military sexual trauma was reported by 1.1% of men and 21.2% of women. A total of 9,017 Veterans completed suicide during the follow-up period. Hazard ratios for military sexual trauma were 1.69 (95% CI=1.45, 1.97) among men and 2.27 (95% CI=1.76, 2.94) among women. Suicide risk associated with military sexual trauma remained significantly elevated in adjusted models.Conclusions: Study results are among the first population-based investigations to document sexual trauma as a risk factor for suicide mortality. Military sexual trauma represents a clinical indicator for suicide prevention in the Veterans Health Administration. Results suggest the importance of continued assessments regarding military sexual trauma and suicide risks and of collaboration between military sexual trauma-related programs and suicide prevention efforts. Moreover, military sexual trauma should be considered in suicide prevention strategies even among individuals without documented psychiatric morbidity. Published by Elsevier Inc. on behalf of American Journal of Preventive Medicine