Mental Disorders, Comorbidity, and Pre-enlistment Suicidal Behavior Among New Soldiers in the US Army: Results from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS)
Mental Disorders, Comorbidity, and Pre-enlistment Suicidal Behavior Among New Soldiers in the US Army: Results from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS)
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DOI：
10.1111/sltb.12153
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发表时间：
2015-10-01
影响因子：
3.2
通讯作者：
Kessler, Ronald C.
中科院分区：
文献类型：
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作者：
Nock, Matthew K.;Ursano, Robert J.;Kessler, Ronald C.
我们使用来自陆军评估服役人员风险和弹性研究（陆军STARRS; N= 38，507）的新士兵研究（NSS）部分的数据，研究了新士兵中精神障碍和自杀行为（意念，计划和尝试）之间的关联。大多数新兵入伍前有自杀企图史报告有精神障碍（59.0%）。检查的每种疾病都与自杀行为的几率增加相关（OR =2.6-8.6）。只有PTSD和以易怒和冲动/攻击行为为特征的疾病（即，双相情感障碍、品行障碍、对立违抗性障碍和注意力缺陷/多动障碍）预测了构思者的计划外尝试。精神障碍是新兵入伍前自杀行为的重要预测因素，在自杀筛查和预防工作中应占突出地位。
We examined the associations between mental disorders and suicidal behavior (ideation, plans, and attempts) among new soldiers using data from the New Soldier Study (NSS) component of the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS; N=38,507). Most new soldiers with a pre-enlistment history of suicide attempt reported a prior mental disorder (59.0%). Each disorder examined was associated with increased odds of suicidal behavior (ORs=2.6-8.6). Only PTSD and disorders characterized by irritability and impulsive/aggressive behavior (i.e., bipolar disorder, conduct disorder, oppositional defiant disorder, and attention-deficit/hyperactivity disorder) predicted unplanned attempts among ideators. Mental disorders are important predictors of pre-enlistment suicidal behavior among new soldiers and should figure prominently in suicide screening and prevention efforts.