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Nonfatal Suicidal Behaviors in U.S. Army Administrative Records, 2004-2009: Results from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS).

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Title: Nonfatal Suicidal Behaviors in U.S. Army Administrative Records, 2004-2009: Results from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS).
Authors: Ursano, Robert J. (AUTHOR), Kessler, Ronald C. (AUTHOR), Heeringa, Steven G. (AUTHOR), Cox, Kenneth L. (AUTHOR), Naifeh, James A. (AUTHOR), Fullerton, Carol S. (AUTHOR), Sampson, Nancy A. (AUTHOR), Kao, Tzu-Cheg (AUTHOR), Aliaga, Pablo A. (AUTHOR), Vegella, Patti (AUTHOR), Mash, Holly Herberman (AUTHOR), Buckley, Christina (AUTHOR), Colpe, Lisa J. (AUTHOR), Schoenbaum, Michael (AUTHOR), Stein, Murray B. (AUTHOR), on behalf of the Army STARRS collaborators (AUTHOR)
Source: Psychiatry: Interpersonal & Biological Processes. Winter2015, Vol. 78 Issue 1, p1-21. 21p. 5 Charts.
Subjects: Suicide risk factors, Risk factors of self-injurious behavior, Chi-squared test, Confidence intervals, Research funding, Psychological resilience, Risk assessment, Self-injurious behavior, Psychology of military personnel, Suicidal behavior, United States. Army, Logistic regression analysis, Suicidal ideation, Descriptive statistics, Odds ratio
Geographic Terms: United States
Abstract: Objective: Although the U.S. Army suicide rate is known to have risen sharply over the past decade, information about medically documented, nonfatal suicidal behaviors is far more limited. Here we examine trends and sociodemographic correlates of suicide attempts, suspicious injuries, and suicide ideation among regular Army soldiers. Methods: Data come from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS) Historical Administrative Data Study (HADS), which integrates administrative records for all soldiers on active duty during the years 2004 through 2009 (n = 1.66 million). Results: We identified 21,740 unique regular Army soldiers with a nonfatal suicidal event documented at some point during the HADS study period. There were substantial increases in the annual incidence rates of suicide attempts (179–400/100,000 person-years) and suicide ideation (557–830/100,000 person-years), but not suspicious injuries. Using hierarchical classification rules to identify the first instance of each soldier's most severe behavior, we found increased risk of all outcomes among those who were female, non-Hispanic White, never married, lower-ranking enlisted, less educated, and of younger age when entering Army service. These sociodemographic associations significantly differed across outcomes, despite some patterns that appear similar. Conclusion: Results provide a broad overview of nonfatal suicidal trends in the U.S. Army during 2004 through 2009 and demonstrate that integration of multiple administrative data systems enriches analysis of the predictors of such events. [ABSTRACT FROM AUTHOR]
Copyright of Psychiatry: Interpersonal & Biological Processes is the property of Taylor & Francis Ltd 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: Psychology and Behavioral Sciences Collection
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  Data: Nonfatal Suicidal Behaviors in U.S. Army Administrative Records, 2004-2009: Results from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS).
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  Data: <searchLink fieldCode="JN" term="%22Psychiatry%3A+Interpersonal+%26+Biological+Processes%22">Psychiatry: Interpersonal & Biological Processes</searchLink>. Winter2015, Vol. 78 Issue 1, p1-21. 21p. 5 Charts.
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  Data: Objective: Although the U.S. Army suicide rate is known to have risen sharply over the past decade, information about medically documented, nonfatal suicidal behaviors is far more limited. Here we examine trends and sociodemographic correlates of suicide attempts, suspicious injuries, and suicide ideation among regular Army soldiers. Methods: Data come from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS) Historical Administrative Data Study (HADS), which integrates administrative records for all soldiers on active duty during the years 2004 through 2009 (n = 1.66 million). Results: We identified 21,740 unique regular Army soldiers with a nonfatal suicidal event documented at some point during the HADS study period. There were substantial increases in the annual incidence rates of suicide attempts (179–400/100,000 person-years) and suicide ideation (557–830/100,000 person-years), but not suspicious injuries. Using hierarchical classification rules to identify the first instance of each soldier's most severe behavior, we found increased risk of all outcomes among those who were female, non-Hispanic White, never married, lower-ranking enlisted, less educated, and of younger age when entering Army service. These sociodemographic associations significantly differed across outcomes, despite some patterns that appear similar. Conclusion: Results provide a broad overview of nonfatal suicidal trends in the U.S. Army during 2004 through 2009 and demonstrate that integration of multiple administrative data systems enriches analysis of the predictors of such events. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Psychiatry: Interpersonal & Biological Processes is the property of Taylor & Francis Ltd 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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RecordInfo BibRecord:
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        Value: 10.1080/00332747.2015.1006512
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        Text: English
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      – SubjectFull: Suicide risk factors
        Type: general
      – SubjectFull: Risk factors of self-injurious behavior
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      – SubjectFull: Chi-squared test
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      – SubjectFull: Confidence intervals
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      – SubjectFull: Psychological resilience
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      – SubjectFull: Risk assessment
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      – SubjectFull: Self-injurious behavior
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      – SubjectFull: Suicidal behavior
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      – SubjectFull: United States. Army
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      – SubjectFull: Logistic regression analysis
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      – SubjectFull: United States
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      – TitleFull: Nonfatal Suicidal Behaviors in U.S. Army Administrative Records, 2004-2009: Results from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS).
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