Design of the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS)

Design of the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS)
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DOI:
10.1002/mpr.1401
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发表时间:
2013-12-01
影响因子:
3.1
通讯作者:
Heeringa, Steven G.
Heeringa, Steven G.
中科院分区:
医学3区
文献类型:
--
作者:
Kessler, Ronald C.;Colpe, Lisa J.;Heeringa, Steven G.

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陆军研究评估军人的风险和复原力(陆军STARRS)是一项由多个流行病学和神经生物学成分组成的研究,旨在产生基于证据的可行建议,以减少美国陆军自杀,并增加关于自杀决定因素的基本知识。这份报告概述了陆军STARRS的六个组成部分的设计。这些研究包括:对历史管理数据研究(HADS)的综合分析,旨在提供2004-2009年160多万现役士兵自杀的重要行政预测因素的数据;对自杀企图和死亡的回顾性病例对照研究;对新士兵(即刚刚开始基本战斗训练的士兵,他们完成了自我管理问卷和神经认知测试,并提供血样)和不包括BCT士兵(完成SAQS的士兵)进行的单独的大规模横断面研究;随后对即将部署到阿富汗的三个旅战斗小组的士兵进行了部署前研究(他们完成了SAQ并提供了血液样本);以及一个跟踪陆军STARRS参与者的平台,这些参与者已重返平民生活。国防部/陆军行政数据记录与SAQ数据相关联,以检查自我报告与随后自杀之间的预期联系。报告最后讨论了跨构成部分协调的方法优势。版权所有(C)2013 John Wiley&Sons,Ltd.
The Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS) is a multi-component epidemiological and neurobiological study designed to generate actionable evidence-based recommendations to reduce US Army suicides and increase basic knowledge about the determinants of suicidality. This report presents an overview of the designs of the six components of the Army STARRS. These include: an integrated analysis of the Historical Administrative Data Study (HADS) designed to provide data on significant administrative predictors of suicides among the more than 1.6 million soldiers on active duty in 2004-2009; retrospective case-control studies of suicide attempts and fatalities; separate large-scale cross-sectional studies of new soldiers (i.e. those just beginning Basic Combat Training [BCT], who completed self-administered questionnaires [SAQs] and neurocognitive tests and provided blood samples) and soldiers exclusive of those in BCT (who completed SAQs); a pre-post deployment study of soldiers in three Brigade Combat Teams about to deploy to Afghanistan (who completed SAQs and provided blood samples) followed multiple times after returning from deployment; and a platform for following up Army STARRS participants who have returned to civilian life. Department of Defense/Army administrative data records are linked with SAQ data to examine prospective associations between self-reports and subsequent suicidality. The presentation closes with a discussion of the methodological advantages of cross-component coordination. Copyright (c) 2013 John Wiley & Sons, Ltd.