Firearm Behavioral Practices and Suicide Risk in U.S. Army Soldiers and Veterans

美国陆军士兵和退伍军人的枪支行为习惯和自杀风险

• 批准号: 10268926
• 负责人: Catherine L Dempsey
• 金额: $ 35万
• 依托单位: HENRY M. JACKSON FDN FOR THE ADV MIL/MED
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-30 至 2022-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10268926
• 关键词: Firearm; Behavioral; Practices; Suicide; Risk

Abstract In the US, firearms are the most common method of suicide. Veterans bear a disproportionate share of this burden, representing over 69.4% of firearm mediated suicides. Suicide precipitates devastating impacts on service members and veterans' families and communities, in addition to reducing productivity and burdening the economy. The trauma of firearm mediated violence extends beyond decedents, with a majority of individuals who attempt suicide likely to survive with debilitating injuries, physical disabilities, and chronic mental health problems. Given that veterans are more likely than civilians to own firearms, carry them in public, and use them regularly, there is an unmet need to elucidate the relationship between firearm use and suicide, to identify veterans in need of suicide prevention strategies. Based on preliminary evidence linking gender, geography, personality traits, mental health, lifestyle, age, and other socio-demographic factors to firearm accessibility, we hypothesize that factors beyond firearm accessibility, storage and ownership influence firearm mediated suicide. Our objective is to improve the understanding of motivations for service members and veterans owning firearms, storing them in unsafe conditions and using them to hurt others or themselves. The study will comprise secondary analysis of data sets obtained from the Study to Assess Risk and Resilience in Servicemembers – Longitudinal Study (STARRS-LS), a longitudinal study of over 14,000 soldiers between 2015-2020. The specific aims of the study are to: 1) Identify factors firearms behavioral practices (e.g., firearm ownership, storage practices and firearms carrying practices) that may predict suicide deaths; 2) Establish if there is a relationship between geographic location and suicide, by examining military suicide rates by state and strength of gun laws within a state; 3) Identify the principal reasons for keeping a gun, and the degree to which identified reasons mediate suicide risk; and 4) Establish if there is a relationship between storage practices and personality characteristics (i.e. impulsivity, paranoia, aggression, etc.) or other mental health issues. A concentration of risk approach is expected to reveal interactions between firearm ownership, use and storage practices, and sociodemographic, cultural and geographical factors that influence firearm mediated suicide risk in veterans. The broader impact of this study is anticipated to be the development of a comprehensive understanding of risks contributing to firearm mediated suicide, thus improving risk identification capabilities. This study is proposed under `Objective One: Research to help inform the development of innovative and promising opportunities to enhance safety and prevent firearm-related injuries, deaths, and crime,' funded through Funding Option A.

摘要 在美国，枪支是最常见的自杀方式。退伍军人承担了不成比例的份额 这一负担，占枪支介导自杀的69.4%以上。自杀引发了毁灭性的 对服务人员和退伍军人家庭和社区的影响，除了减少 生产力和经济负担。枪支介导的暴力造成的创伤 死者，大多数试图自杀的人可能会在虚弱的伤害下幸存下来， 身体残疾和慢性精神健康问题。考虑到退伍军人比 平民拥有枪支，在公共场合携带枪支，并经常使用枪支，这一需求尚未得到满足， 阐明枪支使用与自杀之间的关系，以确定需要自杀的退伍军人 预防战略。基于初步证据，性别，地域，性格特征， 心理健康，生活方式，年龄和其他社会人口因素对枪支可及性的影响，我们 假设枪支可获得性、储存和所有权以外因素影响枪支 介导自杀我们的目标是提高对服务人员动机的理解 和退伍军人拥有枪支，将其储存在不安全的条件下，并使用它们来伤害他人， 自己本研究将包括对从研究中获得的数据集进行二次分析， 评估服役人员的风险和弹性-纵向研究（STARRS-LS），一项纵向研究， 2015年至2020年期间对14，000多名士兵进行了研究。本研究的具体目标是：1）确定 因素火器行为实践（例如，火器拥有、储存和携带 （2）确定是否存在地理因素之间的关系; 地点和自杀，通过检查军事自杀率的国家和实力的枪支法律内， （3）确定持有枪支的主要原因，以及确定的原因的程度 介导自杀风险;以及4）确定存储实践与 个性特征（即冲动、偏执、攻击性等）或其他心理健康问题。 预计风险集中的方法将揭示枪支拥有、使用和处置之间的相互作用。 以及影响枪支的社会人口、文化和地理因素 介导退伍军人的自杀风险。这项研究的更广泛影响预计将是 全面了解导致枪支介导自杀的风险，从而 提高风险识别能力。这项研究是在“目标一：研究以 帮助开发创新和有前途的机会，以加强安全和预防 与枪支有关的伤害，死亡和犯罪，“通过资金选项A资助。