Evidence map›Paper›PMID 34465200›Full record

ArticleThe American journal of psychiatry2021

Predictors of Suicide Attempt Within 30 Days After First Medically Documented Suicidal Ideation in U.S. Army Soldiers.

Holly B Herberman Mash, Robert J Ursano, Ronald C Kessler, James A Naifeh, Carol S Fullerton, Pablo A Aliaga, Charlotte A Riggs-Donovan, Hieu M Dinh, Mary C Vance, Gary H Wynn and 4 more

Open access · greenAbstract read
In one paragraph

Article in The American journal of psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 1 institution in 1 country.

Holly B Herberman MashCenter for the Study of Traumatic Stress, Department of Psychiatry (Mash, Ursano, Naifeh, Fullerton, Aliaga, Riggs-Donovan, Dinh, Vance, Wynn), and Department of Preventive Medicine and Biostatistics (Kao), Uniformed Services University of the Health Sciences, Bethesda, Md.; Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, Md. (Mash, Naifeh, Aliaga, Riggs-Donovan, Dinh, Vance); Department of Health Care Policy, Harvard Medical School, Boston (Kessler, Zaslavsky, Sampson); Departments of Psychiatry and Family Medicine and Public Health, University of California, San Diego, and VA San Diego Healthcare System, San Diego (Stein).
Robert J UrsanoCenter for the Study of Traumatic Stress, Department of Psychiatry (Mash, Ursano, Naifeh, Fullerton, Aliaga, Riggs-Donovan, Dinh, Vance, Wynn), and Department of Preventive Medicine and Biostatistics (Kao), Uniformed Services University of the Health Sciences, Bethesda, Md.; Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, Md. (Mash, Naifeh, Aliaga, Riggs-Donovan, Dinh, Vance); Department of Health Care Policy, Harvard Medical School, Boston (Kessler, Zaslavsky, Sampson); Departments of Psychiatry and Family Medicine and Public Health, University of California, San Diego, and VA San Diego Healthcare System, San Diego (Stein).
Ronald C KesslerCenter for the Study of Traumatic Stress, Department of Psychiatry (Mash, Ursano, Naifeh, Fullerton, Aliaga, Riggs-Donovan, Dinh, Vance, Wynn), and Department of Preventive Medicine and Biostatistics (Kao), Uniformed Services University of the Health Sciences, Bethesda, Md.; Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, Md. (Mash, Naifeh, Aliaga, Riggs-Donovan, Dinh, Vance); Department of Health Care Policy, Harvard Medical School, Boston (Kessler, Zaslavsky, Sampson); Departments of Psychiatry and Family Medicine and Public Health, University of California, San Diego, and VA San Diego Healthcare System, San Diego (Stein).
James A NaifehCenter for the Study of Traumatic Stress, Department of Psychiatry (Mash, Ursano, Naifeh, Fullerton, Aliaga, Riggs-Donovan, Dinh, Vance, Wynn), and Department of Preventive Medicine and Biostatistics (Kao), Uniformed Services University of the Health Sciences, Bethesda, Md.; Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, Md. (Mash, Naifeh, Aliaga, Riggs-Donovan, Dinh, Vance); Department of Health Care Policy, Harvard Medical School, Boston (Kessler, Zaslavsky, Sampson); Departments of Psychiatry and Family Medicine and Public Health, University of California, San Diego, and VA San Diego Healthcare System, San Diego (Stein).
Carol S FullertonCenter for the Study of Traumatic Stress, Department of Psychiatry (Mash, Ursano, Naifeh, Fullerton, Aliaga, Riggs-Donovan, Dinh, Vance, Wynn), and Department of Preventive Medicine and Biostatistics (Kao), Uniformed Services University of the Health Sciences, Bethesda, Md.; Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, Md. (Mash, Naifeh, Aliaga, Riggs-Donovan, Dinh, Vance); Department of Health Care Policy, Harvard Medical School, Boston (Kessler, Zaslavsky, Sampson); Departments of Psychiatry and Family Medicine and Public Health, University of California, San Diego, and VA San Diego Healthcare System, San Diego (Stein).
Pablo A AliagaCenter for the Study of Traumatic Stress, Department of Psychiatry (Mash, Ursano, Naifeh, Fullerton, Aliaga, Riggs-Donovan, Dinh, Vance, Wynn), and Department of Preventive Medicine and Biostatistics (Kao), Uniformed Services University of the Health Sciences, Bethesda, Md.; Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, Md. (Mash, Naifeh, Aliaga, Riggs-Donovan, Dinh, Vance); Department of Health Care Policy, Harvard Medical School, Boston (Kessler, Zaslavsky, Sampson); Departments of Psychiatry and Family Medicine and Public Health, University of California, San Diego, and VA San Diego Healthcare System, San Diego (Stein).
Charlotte A Riggs-DonovanCenter for the Study of Traumatic Stress, Department of Psychiatry (Mash, Ursano, Naifeh, Fullerton, Aliaga, Riggs-Donovan, Dinh, Vance, Wynn), and Department of Preventive Medicine and Biostatistics (Kao), Uniformed Services University of the Health Sciences, Bethesda, Md.; Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, Md. (Mash, Naifeh, Aliaga, Riggs-Donovan, Dinh, Vance); Department of Health Care Policy, Harvard Medical School, Boston (Kessler, Zaslavsky, Sampson); Departments of Psychiatry and Family Medicine and Public Health, University of California, San Diego, and VA San Diego Healthcare System, San Diego (Stein).
Hieu M DinhCenter for the Study of Traumatic Stress, Department of Psychiatry (Mash, Ursano, Naifeh, Fullerton, Aliaga, Riggs-Donovan, Dinh, Vance, Wynn), and Department of Preventive Medicine and Biostatistics (Kao), Uniformed Services University of the Health Sciences, Bethesda, Md.; Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, Md. (Mash, Naifeh, Aliaga, Riggs-Donovan, Dinh, Vance); Department of Health Care Policy, Harvard Medical School, Boston (Kessler, Zaslavsky, Sampson); Departments of Psychiatry and Family Medicine and Public Health, University of California, San Diego, and VA San Diego Healthcare System, San Diego (Stein).
Mary C VanceCenter for the Study of Traumatic Stress, Department of Psychiatry (Mash, Ursano, Naifeh, Fullerton, Aliaga, Riggs-Donovan, Dinh, Vance, Wynn), and Department of Preventive Medicine and Biostatistics (Kao), Uniformed Services University of the Health Sciences, Bethesda, Md.; Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, Md. (Mash, Naifeh, Aliaga, Riggs-Donovan, Dinh, Vance); Department of Health Care Policy, Harvard Medical School, Boston (Kessler, Zaslavsky, Sampson); Departments of Psychiatry and Family Medicine and Public Health, University of California, San Diego, and VA San Diego Healthcare System, San Diego (Stein).
Gary H WynnCenter for the Study of Traumatic Stress, Department of Psychiatry (Mash, Ursano, Naifeh, Fullerton, Aliaga, Riggs-Donovan, Dinh, Vance, Wynn), and Department of Preventive Medicine and Biostatistics (Kao), Uniformed Services University of the Health Sciences, Bethesda, Md.; Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, Md. (Mash, Naifeh, Aliaga, Riggs-Donovan, Dinh, Vance); Department of Health Care Policy, Harvard Medical School, Boston (Kessler, Zaslavsky, Sampson); Departments of Psychiatry and Family Medicine and Public Health, University of California, San Diego, and VA San Diego Healthcare System, San Diego (Stein).
Alan M ZaslavskyCenter for the Study of Traumatic Stress, Department of Psychiatry (Mash, Ursano, Naifeh, Fullerton, Aliaga, Riggs-Donovan, Dinh, Vance, Wynn), and Department of Preventive Medicine and Biostatistics (Kao), Uniformed Services University of the Health Sciences, Bethesda, Md.; Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, Md. (Mash, Naifeh, Aliaga, Riggs-Donovan, Dinh, Vance); Department of Health Care Policy, Harvard Medical School, Boston (Kessler, Zaslavsky, Sampson); Departments of Psychiatry and Family Medicine and Public Health, University of California, San Diego, and VA San Diego Healthcare System, San Diego (Stein).
Nancy A SampsonCenter for the Study of Traumatic Stress, Department of Psychiatry (Mash, Ursano, Naifeh, Fullerton, Aliaga, Riggs-Donovan, Dinh, Vance, Wynn), and Department of Preventive Medicine and Biostatistics (Kao), Uniformed Services University of the Health Sciences, Bethesda, Md.; Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, Md. (Mash, Naifeh, Aliaga, Riggs-Donovan, Dinh, Vance); Department of Health Care Policy, Harvard Medical School, Boston (Kessler, Zaslavsky, Sampson); Departments of Psychiatry and Family Medicine and Public Health, University of California, San Diego, and VA San Diego Healthcare System, San Diego (Stein).
Tzu-Cheg KaoCenter for the Study of Traumatic Stress, Department of Psychiatry (Mash, Ursano, Naifeh, Fullerton, Aliaga, Riggs-Donovan, Dinh, Vance, Wynn), and Department of Preventive Medicine and Biostatistics (Kao), Uniformed Services University of the Health Sciences, Bethesda, Md.; Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, Md. (Mash, Naifeh, Aliaga, Riggs-Donovan, Dinh, Vance); Department of Health Care Policy, Harvard Medical School, Boston (Kessler, Zaslavsky, Sampson); Departments of Psychiatry and Family Medicine and Public Health, University of California, San Diego, and VA San Diego Healthcare System, San Diego (Stein).
Murray B SteinCenter for the Study of Traumatic Stress, Department of Psychiatry (Mash, Ursano, Naifeh, Fullerton, Aliaga, Riggs-Donovan, Dinh, Vance, Wynn), and Department of Preventive Medicine and Biostatistics (Kao), Uniformed Services University of the Health Sciences, Bethesda, Md.; Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, Md. (Mash, Naifeh, Aliaga, Riggs-Donovan, Dinh, Vance); Department of Health Care Policy, Harvard Medical School, Boston (Kessler, Zaslavsky, Sampson); Departments of Psychiatry and Family Medicine and Public Health, University of California, San Diego, and VA San Diego Healthcare System, San Diego (Stein).
Henry M. Jackson Foundation · US

Funding

Modifiable Risk and Protective Factors for Suicidal Behaviors in the US ArmyU01MH087981 · NIMH · HENRY M. JACKSON FDN FOR THE ADV MIL/MED · PI STEIN, MURRAY B., URSANO, ROBERT J. · 2009 to 2013
$65.0M
NIMH NIH HHS U01 MH087981
6 · The paper itself

Abstract

objectiveThe authors sought to identify predictors of imminent suicide attempt (within 30 days) among U.S. Army soldiers following their first documented suicidal ideation.

methodsUsing administrative data from the Army Study to Assess Risk and Resilience in Servicemembers, the authors identified 11,178 active-duty Regular Army enlisted soldiers (2006-2009) with medically documented suicidal ideation and no prior medically documented suicide attempts. The authors examined risk factors for suicide attempt within 30 days of first suicidal ideation using logistic regression analyses, including sociodemographic and service-related characteristics, psychiatric diagnoses, physical health care visits, injuries, and history of family violence or crime perpetration or victimization.

resultsAmong soldiers with first documented suicidal ideation, 830 (7.4%) attempted suicide, 46.3% of whom (N=387) attempted suicide within 30 days (rate, 35.4 per 1,000 soldiers). Following a series of multivariate analyses, the final model identified females (odds ratio=1.3, 95% CI=1.0, 1.8), combat medics (odds ratio=1.6, 95% CI=1.1, 2.2), individuals with an anxiety disorder diagnosis prior to suicidal ideation (odds ratio=1.3, 95% CI=1.0, 1.6), and those who received a sleep disorder diagnosis on the same day as the recorded suicidal ideation (odds ratio=2.3, 95% CI=1.1, 4.6) as being more likely to attempt suicide within 30 days. Black soldiers (odds ratio=0.6, 95% CI=0.4, 0.9) and those who received an anxiety disorder diagnosis on the same day as suicidal ideation (odds ratio=0.7, 95% CI=0.5, 0.9) were less likely.

conclusionsSuicide attempt risk is highest in the first 30 days following ideation diagnosis and is more likely among women, combat medics, and soldiers with an anxiety disorder diagnosis before suicidal ideation and a same-day sleep disorder diagnosis. Black soldiers and those with a same-day anxiety disorder diagnosis were at decreased risk. These factors may help identify soldiers at imminent risk of suicide attempt.

Indexed as

Anxiety DisordersExposure to ViolenceMilitary PersonnelSuicidal IdeationSuicide, AttemptedAdultDemographyFemaleHumansMaleMedical History TakingMilitary PsychiatryResilience, PsychologicalRisk AssessmentSociological FactorsUnited StatesMilitarySuicidal BehaviorSuicidal IdeationSuicide Attempt

Identifiers

PMID34465200
PMCPMC8570995
OpenAlexW3197845874

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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.