ArticleThe Journal of clinical psychiatry
Childhood Maltreatment and Lifetime Suicidal Behaviors Among New Soldiers in the US Army: Results From the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS).
Article in The Journal of clinical psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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Who cites it
27 citing papers in PubMed, 41 citations in OpenAlex.
- Trial
- Differential Associations of Childhood Abuse and Neglect with Neural Responses to Social Reward and Punishment in Adults with Anxiety or Depression.Research square · 2025Article
- The associations of childhood adversities and mental disorders with suicidal thoughts and behaviors - Results from the World Mental Health International College Student Initiative.Psychiatry research · 2025Article
- Direct and indirect associations of childhood adversities with functional impairment and life stress among military personnel.Psychological medicine · 2025Article
- Latent profile analysis of five childhood maltreatment subtypes and its associations with smartphone addiction among Chinese adolescents.Scientific reports · 2025Article
- Article
- The influence of childhood trauma and chronotype on suicide attempts in Chinese emerging adults with severe depressive symptoms.BMC psychology · 2024Article
- Genetic, environmental, and behavioral correlates of lifetime suicide attempt: Analysis of additive and interactive effects in two cohorts of US Army soldiers.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 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
- Applying polyvictimization theory to veterans: Associations with substance use and mental health.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2022Article
- Association between neurocognitive functioning and suicide attempts in U.S. Army Soldiers.Journal of psychiatric research · 2022Article
- Predictors of Suicide Attempt Within 30 Days After First Medically Documented Suicidal Ideation in U.S. Army Soldiers.The American journal of psychiatry · 2021Article
- Cohort profile: the Ohio Army National Guard Mental Health Initiative (OHARNG-MHI).Social psychiatry and psychiatric epidemiology · 2021Article
- Distinguishing veterans with suicidal ideation from suicide attempt history: The role of emotion reactivity.Suicide & life-threatening behavior · 2021Article
- Self-injurious thoughts and behaviors that differentiate soldiers who attempt suicide from those with recent suicide ideation.Depression and anxiety · 2020Article
- The Relationship between Trauma Exposure and Psychiatric Hospitalization for Suicide Ideation or Suicide Attempt among Patients Admitted to a Military Treatment Setting.International journal of environmental research and public health · 2020Article
- Factors Associated With Suicide Ideation in US Army Soldiers During Deployment in Afghanistan.JAMA network open · 2020Article
- Psychological Problems among 12th-Grade Students Predicting Military Enlistment: Findings from the Monitoring the Future Survey.Psychiatry · 2020Article
- Transition to suicide attempt from recent suicide ideation in U.S. Army soldiers: Results from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS).Depression and anxiety · 2019Article
- Nicotine Dependence and Pre-Enlistment Suicidal Behavior Among U.S. Army Soldiers.American journal of preventive medicine · 2019Article
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Authors and funding
14 authors at 6 institutions in 1 country.
Funding
Abstract
objectiveUnderstanding suicide risk is a priority for the US military. We aimed to estimate associations of childhood maltreatment with pre-enlistment suicidal behaviors in new Army soldiers.
methodsCross-sectional survey data from 38,237 soldiers reporting for basic training from April 2011 through November 2012 were analyzed. Scales assessing retrospectively reported childhood abuse and neglect were derived and subjected to latent class analysis, which yielded 5 profiles: No Maltreatment, Episodic Emotional Maltreatment, Frequent Emotional/Physical Maltreatment, Episodic Emotional/Sexual Abuse, and Frequent Emotional/Physical/Sexual Maltreatment. Discrete-time survival analysis was used to estimate associations of maltreatment profiles with suicidal behaviors (assessed with a modified Columbia-Suicide Severity Rating Scale), adjusting for sociodemographics and mental disorders.
resultsNearly 1 in 5 new soldiers was classified as experiencing childhood maltreatment. Relative to No Maltreatment, all multivariate maltreatment profiles were associated (P values < .001) with elevated odds of lifetime suicidal ideation (adjusted odds ratios [AORs] = 3.10-4.93), plan (AORs = 3.75-10.77), attempt (AORs = 3.60-15.95), and onset of plan among those with ideation (AORs = 1.40-3.10). Several profiles also predicted attempts among those with plans (AORs = 2.01-2.47), and Frequent Emotional/Physical/Sexual Maltreatment predicted unplanned attempts among ideators (AOR = 5.32). Adjustment for mental disorders attenuated but did not eliminate these associations.
conclusionsChildhood maltreatment is strongly associated with suicidal behavior among new soldiers, even after adjusting for intervening mental disorders. Among soldiers with lifetime ideation, certain maltreatment profiles are associated with elevated odds of subsequently planning and/or attempting suicide. Focus on childhood maltreatment might reveal avenues for risk reduction among new soldiers.
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