Prior Mental Disorders and Lifetime Suicidal Behaviors Among US Army Soldiers in the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS).

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Title: Prior Mental Disorders and Lifetime Suicidal Behaviors Among US Army Soldiers in the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS).
Authors: Millner, Alexander J.1 (AUTHOR), Ursano, Robert J.2 (AUTHOR), Hwang, Irving3 (AUTHOR), J. King, Andrew3 (AUTHOR), Naifeh, James A.2 (AUTHOR), Sampson, Nancy A.3 (AUTHOR), Zaslavsky, Alan M.3 (AUTHOR), Stein, Murray B.4,5 (AUTHOR), Kessler, Ronald C.3 (AUTHOR), Nock, Matthew K.1 (AUTHOR) nock@wjh.harvard.edu, Heeringa, Steven (AUTHOR), Colpe, Lisa J. (AUTHOR), Schoenbaum, Michael (AUTHOR), Cersovsky, Steven (AUTHOR), Cox, Kenneth (AUTHOR), Aliaga, Pablo A. (AUTHOR), Benedek, David M. (AUTHOR), Benevides, K. Nikki (AUTHOR), Bliese, Paul D. (AUTHOR), Borja, Susan (AUTHOR)
Source: Suicide & Life-Threatening Behavior. Feb2019, Vol. 49 Issue 1, p3-22. 20p. 4 Charts.
Subject Terms: *Comparative studies, *Research methodology, *Research, *Psychological resilience, *Self-evaluation, *Evaluation research, *Retrospective studies, Suicidal behavior, Pathological psychology, Suicide victims, Diseases, Human life cycle, Psychiatric diagnosis, Psychiatric epidemiology, Mental illness, Medical cooperation, Questionnaires, Research funding, Risk assessment, Military personnel, Psychology of military personnel, Suicidal ideation, Psychology
Geographic Terms: United States
Abstract: We report on associations of retrospectively reported temporally prior mental disorders and Army career characteristics with subsequent first onset of suicidal behaviors in a large, representative sample of US Army soldiers who participated in the Consolidated All-Army Survey of the Army Study to Assess Risk and Resilience in Servicemembers (N = 29,982). Results reveal that among men and women, all self-reported lifetime disorders measured (some assessed with screening scales) are associated with subsequent onset of suicide ideation. Among men, three disorders characterized by agitation and impulsiveness (intermittent explosive disorder, panic disorder, and substance disorders) predict the transition from suicide ideation to attempt. For both men and women, being in the Regular Army (vs. National Guard or Army Reserve) predicts suicide attempts in the total sample. For men, a history of deployment and junior rank are predictors of suicide attempts after adjusting for preenlistment disorders but not accounting for pre- and postenlistment disorders, suggesting that postenlistment disorders account for some of the increased suicide risk among these career characteristics. Overall, these results highlight associations between mental disorders and suicidal behaviors, but underscore limitations predicting which people with ideation attempt suicide. [ABSTRACT FROM AUTHOR]
Copyright of Suicide & Life-Threatening Behavior is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Prior Mental Disorders and Lifetime Suicidal Behaviors Among US Army Soldiers in the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS).
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  Data: We report on associations of retrospectively reported temporally prior mental disorders and Army career characteristics with subsequent first onset of suicidal behaviors in a large, representative sample of US Army soldiers who participated in the Consolidated All-Army Survey of the Army Study to Assess Risk and Resilience in Servicemembers (N = 29,982). Results reveal that among men and women, all self-reported lifetime disorders measured (some assessed with screening scales) are associated with subsequent onset of suicide ideation. Among men, three disorders characterized by agitation and impulsiveness (intermittent explosive disorder, panic disorder, and substance disorders) predict the transition from suicide ideation to attempt. For both men and women, being in the Regular Army (vs. National Guard or Army Reserve) predicts suicide attempts in the total sample. For men, a history of deployment and junior rank are predictors of suicide attempts after adjusting for preenlistment disorders but not accounting for pre- and postenlistment disorders, suggesting that postenlistment disorders account for some of the increased suicide risk among these career characteristics. Overall, these results highlight associations between mental disorders and suicidal behaviors, but underscore limitations predicting which people with ideation attempt suicide. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Suicide & Life-Threatening Behavior is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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