An Examination of Potential Misclassification of Army Suicides: Results from the Army Study to Assess Risk and Resilience in Servicemembers.

An Examination of Potential Misclassification of Army Suicides: Results from the Army Study to Assess Risk and Resilience in Servicemembers.
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对军队自杀的潜在错误分类的检查:陆军研究的结果,以评估服务人员中的风险和韧性。

DOI:
10.1111/sltb.12280
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发表时间:
2017-06
影响因子:
3.2
通讯作者:
Army STARRS Collaborators
Army STARRS Collaborators
中科院分区:
医学2区
文献类型:
--
作者:
Cox KL;Nock MK;Biggs QM;Bornemann J;Colpe LJ;Dempsey CL;Heeringa SG;McCarroll JE;Ng TH;Schoenbaum M;Ursano RJ;Zhang BG;Benedek DM;Army STARRS Collaborators

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关于军队自杀报告准确性的争论仍在继续,因为人们担心一些自杀可能被归类为事故,以尽量减少耻辱并确保幸存者的福利。我们系统地审查了 998 例现役军人死亡记录(510 例自杀;488 例事故、他杀和不明死亡;2005-2009 年),并使用研究标准,将 8.2% 的非自杀病例重新分类为确定自杀 (1)、可能自杀 (4) 或可能自杀 (35)。重新分类为明确自杀的比率仅为 0.2% (1/488)。如此低的比率表明,对陆军死亡的公然错误分类并不常见,监测报告可能反映了陆军自杀的“真实”人口。
Debate continues about the accuracy of military suicide reporting due to concerns that some suicides may be classified as accidents to minimize stigma and ensure survivor benefits. We systematically reviewed records for 998 active duty Army deaths (510 suicides; 488 accident, homicide and undetermined deaths; 2005-2009) and, using research criteria, reclassified 8.2% of the non-suicide cases to definite suicide (1), suicide probable (4), or suicide possible (35). The reclassification rate to definite suicide was only 0.2% (1/488). This low rate suggests that flagrant misclassification of Army deaths is uncommon and surveillance reports likely reflect the “true” population of Army suicides.