ArticleJAMA psychiatry2014
Predictors of suicide and accident death in the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS): results from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS).
Article in JAMA psychiatry, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 100 papers, 1 of them a synthesis that pooled it.
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Who cites it
100 citing papers in PubMed, 1 synthesis or guideline pooled it, 292 citations in OpenAlex.
- Improving Suicide Prevention Through Evidence-Based Strategies: A Systematic Review.The American journal of psychiatry · 2021Pooled it
- Risk Model-Guided Clinical Decision Support for Suicide Screening: A Randomized Clinical Trial.JAMA network open · 2025Trial
- Using Machine Learning to Predict Suicide Attempts in Military Personnel.Psychiatry research · 2020Trial
- Trends in unintentional injury death among post-9/11 Army Veterans who do and do not use Veteran Health Administration services.Injury epidemiology · 2026Article
- The Prevention of Suicide in Older Military Veterans.Behavioral sciences (Basel, Switzerland) · 2025Review
- Exploring heterogeneity in PTSD symptoms and associated predictors and outcomes in Afghanistan veterans: A latent profile analysis.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2025Article
- The Impact of Relationships Within Combat Units on Post-Deployment Suicide Risk.Behavioral sciences (Basel, Switzerland) · 2024Review
- Review
- Mental health of Canadian Armed Forces Veterans: Review of population studies.Journal of military, veteran and family health · 2024Review
- Divergent trends in accidental deaths since return from an Afghanistan/Iraq deployment among army soldiers.Annals of epidemiology · 2024Article
- The role of military service in preventing depression in China: evidence from a nationally representative longitudinal survey.BMC public health · 2023Article
- Associations between DSM-5 posttraumatic stress disorder Criterion E2 endorsement and selected self-destructive behaviors in recent-era veterans: A focus on disordered eating.Journal of traumatic stress · 2023Article
- Suicide after leaving the UK Armed Forces 1996-2018: A cohort study.PLoS medicine · 2023Article
- Do the American guideline-based leisure time physical activity levels for civilians benefit the mental health of military personnel?Frontiers in psychiatry · 2023Article
- Risk Factors Explaining Military Deaths From Suicide, 2008-2017:A Latent Class Analysis.Armed forces and society · 2023Article
- Associations among child abuse history, deployment-related traumatic events, mental disorders, and suicidal behaviors in Canadian Regular Force personnel.Journal of traumatic stress · 2022Article
- Suicide Among Veterans: Veterans' Issues in Focus.Rand health quarterly · 2022Article
- Association of emotion reactivity and distress intolerance with suicide attempts in U.S. Army soldiers.Suicide & life-threatening behavior · 2022Article
- Risk of suicide attempt in reserve versus active component soldiers during deployment to the wars in Iraq and Afghanistan.Suicide & life-threatening behavior · 2022Article
- Suicidal ideation, suicide attempts, and suicide death among Veterans and service members: A comprehensive meta-analysis of risk factors.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2022Article
40 more citing papers are in PubMed but not listed here.
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Authors and funding
9 authors at 6 institutions in 1 country.
Funding
Abstract
importanceThe Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS) is a multicomponent study designed to generate actionable recommendations to reduce Army suicides and increase knowledge of risk and resilience factors for suicidality.
objectivesTo present data on prevalence, trends, and basic sociodemographic and Army experience correlates of suicides and accident deaths among active duty Regular Army soldiers between January 1, 2004, and December 31, 2009, and thereby establish a foundation for future Army STARRS investigations. DESIGN, SETTING, AND
participantsAnalysis of trends and predictors of suicide and accident deaths using Army and Department of Defense administrative data systems. Participants were all members of the US Regular Army serving at any time between 2004 and 2009. MAIN OUTCOMES AND MEASURES: Death by suicide or accident during active Army service.
resultsThe suicide rate rose between 2004 and 2009 among never deployed and currently and previously deployed Regular Army soldiers. The accident death rate fell sharply among currently deployed soldiers, remained constant among the previously deployed, and trended upward among the never deployed. Increased suicide risk was associated with being a man (or a woman during deployment), white race/ethnicity, junior enlisted rank, recent demotion, and current or previous deployment. Sociodemographic and Army experience predictors were generally similar for suicides and accident deaths. Time trends in these predictors and in the Army's increased use of accession waivers (which relaxed some qualifications for new soldiers) do not explain the rise in Army suicides. CONCLUSIONS AND RELEVANCE: Predictors of Army suicides were largely similar to those reported elsewhere for civilians, although some predictors distinct to Army service emerged that deserve more in-depth analysis. The existence of a time trend in suicide risk among never-deployed soldiers argues indirectly against the view that exposure to combat-related trauma is the exclusive cause of the increase in Army suicides.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.