Risk Factors Associated With Suicide Completions Among US Enlisted Marines
Risk Factors Associated With Suicide Completions Among US Enlisted Marines
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DOI：
10.1093/aje/kwx117
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发表时间：
2017-09-15
影响因子：
5
通讯作者：
White, Martin R.
中科院分区：
文献类型：
--
作者：
Phillips, Christopher J.;LeardMann, Cynthia A.;White, Martin R.
美国海军陆战队士兵的自杀率大幅上升。我们试图确定2001年6月至2010年10月期间在加州圣地亚哥参加基础训练的男性海军陆战队员自杀完成的风险因素。在现役军人服役期间发生的自杀事件是从2001年6月1日到2012年6月30日统计的。共有108，930名男性海军陆战队队员（66，286名部署人员和42，644名从未部署人员）被跟踪了467，857人-年的现役服役时间。在790例死亡中，123例（15.6%）为自杀。在最终的多变量风险模型中，非高中毕业生（风险比（HR）= 2.17，95%置信区间（CI）：1.28，3.68）和入伍时吸烟者（HR = 1.91，95% CI：1.32，2.76）的职业特征与自杀完成的高风险显著相关。在服兵役期间被诊断为脑外伤（HR = 4.09，95%CI：2.08，8.05）、被诊断为抑郁（HR = 2.36，95%CI：1.22，4.58）和接受过关系咨询（HR = 3.71，95%CI：1.44，9.54）是自杀死亡的显著危险因素。单独展开与自杀死亡风险无显著相关性（HR = 0.53，95% CI：0.26，1.05）。
US enlisted Marines have experienced a substantial increase in suicide rates. We sought to identify risk factors for suicide completions among male Marines who entered basic training in San Diego, California, between June 2001 and October 2010. Suicides that occurred during active-duty military service were counted from June 1, 2001, through June 30, 2012. A total of 108,930 male Marines (66,286 deployers and 42,644 never deployed) were followed for 467,857 person-years of active-duty service time. Of the 790 deaths, 123 (15.6%) were suicides. In the final multivariate hazard model, preservice characteristics of not being a high-school graduate (hazard ratio (HR) = 2.17, 95% confidence interval (CI): 1.28, 3.68) and being a smoker at the time of enlistment (HR = 1.91, 95% CI: 1.32, 2.76) were significantly associated with a higher risk for suicide completion. Diagnosed with traumatic brain injury (HR = 4.09, 95% CI: 2.08, 8.05), diagnosed with depression (HR = 2.36, 95% CI: 1.22, 4.58), and received relationship counseling (HR = 3.71, 95% CI: 1.44, 9.54) during military service were significant risks for suicide death. Deployment alone was not significantly associated with a risk for suicide death (HR = 0.53, 95% CI: 0.26, 1.05).