ArticleBMC psychiatry2017
Suicide attempts in U.S. Army combat arms, special forces and combat medics.
Article in BMC psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 31 citations in OpenAlex.
- Suicidal Behavior in US Army Special Operations Forces.JAMA network open · 2025Article
- Predictors of suicide attempt within 30 days of first medically documented major depression diagnosis in U.S. army soldiers with no prior suicidal ideation.BMC psychiatry · 2023Article
- 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
- Article
- Predictors of Suicide Attempt Within 30 Days After First Medically Documented Suicidal Ideation in U.S. Army Soldiers.The American journal of psychiatry · 2021Article
- Early First Deployment and Risk of Suicide Attempt Among First-term Enlisted Soldiers in the U.S. Army.Suicide & life-threatening behavior · 2020Article
- Pre-deployment predictors of suicide attempt during and after combat deployment: Results from the Army Study to Assess Risk and Resilience in Servicemembers.Journal of psychiatric research · 2020Article
- Suicide attempts among activated soldiers in the U.S. Army reserve components.BMC psychiatry · 2019Article
- The Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS): progress toward understanding suicide among soldiers.Molecular psychiatry · 2019Review
- Risk Factors Associated With Attempted Suicide Among US Army Soldiers Without a History of Mental Health Diagnosis.JAMA psychiatry · 2018Article
- Associations of Time-Related Deployment Variables With Risk of Suicide Attempt Among Soldiers: Results From the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS).JAMA psychiatry · 2018Article
- Documented family violence and risk of suicide attempt among U.S. Army soldiers.Psychiatry research · 2018Article
- Nonfatal Suicidal Behaviors in the Administrative Records of Activated U.S. Army National Guard and Army Reserve Soldiers, 2004-2009.Psychiatry · 2018Article
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Authors and funding
16 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundThe U.S. Army suicide attempt rate increased sharply during the wars in Iraq and Afghanistan. Risk may vary according to occupation, which significantly influences the stressors that soldiers experience.
methodsUsing administrative data from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS), we identified person-month records for all active duty Regular Army enlisted soldiers who had a medically documented suicide attempt from 2004 through 2009 (n = 9650) and an equal-probability sample of control person-months (n = 153,528). Logistic regression analyses examined the association of combat occupation (combat arms [CA], special forces [SF], combat medic [CM]) with suicide attempt, adjusting for socio-demographics, service-related characteristics, and prior mental health diagnosis.
resultsIn adjusted models, the odds of attempting suicide were higher in CA (OR = 1.2 [95% CI: 1.1-1.2]) and CM (OR = 1.4 [95% CI: 1.3-1.5]), but lower in SF (OR = 0.3 [95% CI: 0.2-0.5]) compared to all other occupations. CA and CM had higher odds of suicide attempt than other occupations if never deployed (ORs = 1.1-1.5) or previously deployed (ORs = 1.2-1.3), but not when currently deployed. Occupation was associated with suicide attempt in the first ten years of service, but not beyond. In the first year of service, primarily a time of training, CM had higher odds of suicide attempt than both CA (OR = 1.4 [95% CI: 1.2-1.6]) and other occupations (OR = 1.5 [95% CI: 1.3-1.7]). Discrete-time hazard functions revealed that these occupations had distinct patterns of monthly risk during the first year of service.
conclusionsMilitary occupation can inform the understanding suicide attempt risk among soldiers.
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