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首页> 外文期刊>Psychiatry >Risk Factors and Timing of Suicide Attempts among US Army Reserve Component Soldiers during Deployment to the Afghanistan and Iraq Wars: Results from Army Study to Assess Risk and Resilience in Servicemembers
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Risk Factors and Timing of Suicide Attempts among US Army Reserve Component Soldiers during Deployment to the Afghanistan and Iraq Wars: Results from Army Study to Assess Risk and Resilience in Servicemembers

机译：在部署到阿富汗和伊拉克战争期间美国陆军预备队组件士兵自杀企图的危险因素和时间

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摘要

Objective: During the wars in Afghanistan and Iraq, suicidal behaviors increased among U.S. Army soldiers. Although Reserve Component (RC) soldiers (National Guard and Army Reserve) comprise approximately one third of those deployed in support of the wars, few studies have examined suicidal behaviors among these "citizen-soldiers". The objective of this study is to examine suicide attempt risk factors and timing among RC enlisted soldiers. Methods: This longitudinal, retrospective cohort study used individual-level person-month records from Army and Department of Defense administrative data systems to examine socio-demographic, service-related, and mental health predictors of medically documented suicide attempts among enlisted RC soldiers during deployment from 2004-2009. Data were analyzed using discrete-time survival models. Results: A total of 230 enlisted RC soldiers attempted suicide. Overall, the in-theater suicide attempt rate among RC soldiers was 81/100,000 person-years. Risk was highest in the fifth month of deployment (13.8 per 100,000 person-months). Suicide attempts were more likely among soldiers who were women (adjusted odds ratio, aOR = 2.5 [95% CI: 1.8-3.5]), less than high school educated (aOR = 1.8 [95% CI: 1.3-2.5]), in their first 2 years of service (aOR = 2.0 [95% CI: 1.2-3.4]), were currently married (aOR = 2.0 [95% CI: 1.5-2.7]), and had received a mental health diagnosis in the previous month (aOR = 24.7 [95% CI: 17.4-35.0]). Conclusions: Being female, early in service and currently married are associated with increased odds of suicide attempt in RC soldiers. Risk of suicide attempt was greatest at mid deployment. These predictors and the timing of suicide attempt for RC soldiers in-theater are largely consistent with those of deployed Active Component (Regular) soldiers. Results also reinforce and replicate the findings among Active Component soldiers related to the importance of a recent mental health diagnosis and the mid-deployment as a period of enhanced risk.
机译：目的：在阿富汗和伊拉克的战争期间，美国军队士兵中的自杀行为增加。虽然储备组成部分（RC）士兵（国民卫队和陆军储备）包括大约三分之一的部署战争，但很少有研究在这些“公民士兵”中审查了自杀行为。本研究的目的是研究自杀的危险因素和RC入伍士兵的时机。方法：这一纵向，回顾性队列研究使用军队和国防部行政数据系统的个人级人月记录来检查部署中征集RC士兵中的医学人口统计，与医学的自杀企图的心理健康预测因素。从2004-2009。使用离散时间生存模型进行分析数据。结果：共有230名入伍RC士兵试图自杀。总体而言，RC士兵的剧院自杀率为81 / 100,000人。在部署第五个月的风险最高（每10万人为每10万人）。妇女的士兵中的自杀企图更有可能（调整赔率比，AOR = 2.5 [95％CI：1.8-3.5]），低于高中教育（AOR = 1.8 [95％CI：1.3-2.5]）他们的前2年的服务（AOR = 2.0 [95％CI：1.2-3.4]）目前已婚（AOR = 2.0 [95％CI：1.5-2.7]），并在上个月内接受了心理健康诊断（AOR = 24.7 [95％CI：17.4-35.0]）。结论：女性，早期的服务，目前已婚与RC士兵的自杀企图的几率增加有关。自杀企图的风险在MID部署时最大。这些预测器和RC士兵在剧院的自杀企图的时间在很大程度上与部署的活动成分（常规）士兵的攻击性很大。结果还加强了与最近心理健康诊断的重要性和中期核对的重要性有关的活动成分士兵之间的调查结果。

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  • 来源
    《Psychiatry》 |2019年第3期|共16页
  • 作者

    Stokes Cara M.; Naifeh James A.; Kessler Ronald C.; Stein Murray B.; Fullerton Carol S.; Mash Holly B. Herberman; Riggs-Donovan Charlotte A.; Ng Tsz Hin Hinz; Aliaga Pablo A.; Wynn Gary H.; Dinh Hieu M.; Kao Tzu-Cheg; Gonzalez Oscar I.; Sampson Nancy A.; Ursano Robert J.;

  • 作者单位

    Uniformed Serv Univ Hlth Sci Dept Psychiat Ctr Study Traumat Stress Bethesda MD 20814 USA;

    Uniformed Serv Univ Hlth Sci Dept Psychiat Ctr Study Traumat Stress Bethesda MD 20814 USA;

    Harvard Med Sch Dept Hlth Care Policy Boston MA 02115 USA;

    Univ Calif San Diego Dept Psychiat La Jolla CA 92093 USA;

    Uniformed Serv Univ Hlth Sci Dept Psychiat Ctr Study Traumat Stress Bethesda MD 20814 USA;

    Uniformed Serv Univ Hlth Sci Dept Psychiat Ctr Study Traumat Stress Bethesda MD 20814 USA;

    Uniformed Serv Univ Hlth Sci Dept Psychiat Ctr Study Traumat Stress Bethesda MD 20814 USA;

    Uniformed Serv Univ Hlth Sci Dept Psychiat Ctr Study Traumat Stress Bethesda MD 20814 USA;

    Uniformed Serv Univ Hlth Sci Dept Psychiat Ctr Study Traumat Stress Bethesda MD 20814 USA;

    Uniformed Serv Univ Hlth Sci Dept Psychiat Ctr Study Traumat Stress Bethesda MD 20814 USA;

    Uniformed Serv Univ Hlth Sci Dept Psychiat Ctr Study Traumat Stress Bethesda MD 20814 USA;

    Uniformed Serv Univ Hlth Sci Dept Prevent Med &

    Biostat Bethesda MD 20814 USA;

    Uniformed Serv Univ Hlth Sci Dept Psychiat Ctr Study Traumat Stress Bethesda MD 20814 USA;

    Harvard Med Sch Dept Hlth Care Policy Boston MA 02115 USA;

    Uniformed Serv Univ Hlth Sci Dept Psychiat Ctr Study Traumat Stress Bethesda MD 20814 USA;

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  • 正文语种 eng
  • 中图分类 精神病学;
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