Predictors of suicide and accident death in the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS): results from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS).
Predictors of suicide and accident death in the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS): results from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS).
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DOI：
10.1001/jamapsychiatry.2013.4417
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发表时间：
2014-05
期刊：
影响因子：
25.8
通讯作者：
Cox, Kenneth L.
中科院分区：
文献类型：
--
作者：
Schoenbaum, Michael;Kessler, Ronald C.;Gilman, Stephen E.;Colpe, Lisa J.;Heeringa, Steven G.;Stein, Murray B.;Ursano, Robert J.;Cox, Kenneth L.
陆军评估军人风险和复原力的研究(陆军STARRS)是一项多组成部分的研究，旨在产生可行的建议，以减少陆军自杀人数，并增加对自杀风险和复原力因素的了解。提供2004年1月1日至2009年12月31日期间现役正规军士兵自杀和事故死亡的流行率、趋势以及基本社会人口学和陆军经历的相关数据，从而为未来陆军STARRS调查奠定基础。使用陆军和国防部行政数据系统分析自杀和意外死亡的趋势和预测因素。参与者都是2004至2009年间任何时候服役的美国正规军成员。在现役陆军服役期间自杀或意外死亡。2004至2009年间，从未部署过以及目前和以前部署过的正规陆军士兵的自杀率上升。在目前部署的士兵中，事故死亡率急剧下降，在以前部署的士兵中保持不变，在从未部署的士兵中呈上升趋势。自杀风险的增加与男性(或部署期间的女性)、白人种族/民族、初级应征军衔、最近降级以及当前或以前的部署有关。社会人口学和军队经历对自杀和事故死亡的预测通常是相似的。这些预测因素的时间趋势以及陆军越来越多地使用加入豁免(放宽了对新兵的一些资格)并不能解释陆军自杀率的上升。对陆军自杀的预测与其他地方对平民的预测基本相似，尽管出现了一些与军队服役截然不同的预测因素，值得进行更深入的分析。从未部署的士兵中自杀风险存在时间趋势，这间接地驳斥了以下观点，即暴露在与战斗有关的创伤中是军队自杀人数增加的唯一原因。
The Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS) is a multicomponent study designed to generate actionable recommendations to reduce Army suicides and increase knowledge of risk and resilience factors for suicidality. To present data on prevalence, trends, and basic sociodemographic and Army experience correlates of suicides and accident deaths among active duty Regular Army soldiers between January 1, 2004, and December 31, 2009, and thereby establish a foundation for future Army STARRS investigations. Analysis of trends and predictors of suicide and accident deaths using Army and Department of Defense administrative data systems. Participants were all members of the US Regular Army serving at any time between 2004 and 2009. Death by suicide or accident during active Army service. The suicide rate rose between 2004 and 2009 among never deployed and currently and previously deployed Regular Army soldiers. The accident death rate fell sharply among currently deployed soldiers, remained constant among the previously deployed, and trended upward among the never deployed. Increased suicide risk was associated with being a man (or a woman during deployment), white race/ethnicity, junior enlisted rank, recent demotion, and current or previous deployment. Sociodemographic and Army experience predictors were generally similar for suicides and accident deaths. Time trends in these predictors and in the Army’s increased use of accession waivers (which relaxed some qualifications for new soldiers) do not explain the rise in Army suicides. Predictors of Army suicides were largely similar to those reported elsewhere for civilians, although some predictors distinct to Army service emerged that deserve more in-depth analysis. The existence of a time trend in suicide risk among never-deployed soldiers argues indirectly against the view that exposure to combat-related trauma is the exclusive cause of the increase in Army suicides.
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影响因子：
5.4
作者：
Braswell, Harold;Kushner, Howard I.
通讯作者：
Kushner, Howard I.
影响因子：
120.7
作者：
LeardMann, Cynthia A.;Powell, Teresa M.;Hoge, Charles W.
通讯作者：
Hoge, Charles W.
影响因子：
2.4
作者：
Nock MK;Deming CA;Fullerton CS;Gilman SE;Goldenberg M;Kessler RC;McCarroll JE;McLaughlin KA;Peterson C;Schoenbaum M;Stanley B;Ursano RJ
通讯作者：
Ursano RJ
影响因子：
1.1
作者：
Black, Sandra A.;Gallaway, M. Shayne;Ritchie, Elspeth C.
通讯作者：
Ritchie, Elspeth C.
影响因子：
3.1
作者：
Kessler, Ronald C.;Colpe, Lisa J.;Heeringa, Steven G.
通讯作者：
Heeringa, Steven G.