Evidence map›Paper›PMID 38185289›Full record

ArticleAnnals of epidemiology2024

Divergent trends in accidental deaths since return from an Afghanistan/Iraq deployment among army soldiers.

Rachel Sayko Adams, Jeri E Forster, Jaimie L Gradus, Claire A Hoffmire, Trisha A Hostetter, Mary Jo Larson, Alexandra A Smith, Colin G Walsh, Lisa A Brenner

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Annals of epidemiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
3.4field-weighted citation impact, top 10% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
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

9 authors at 4 institutions in 1 country.

Rachel Sayko AdamsBoston University School of Public Health, Department of Health Law, Policy and Management, Boston, MA, USA; Brandeis University, The Heller School for Social Policy and Management, Institute for Behavioral Health, Waltham, MA, USA; Veterans Affairs Rocky Mountain Mental Illness Research Education and Clinical Center, Aurora, CO, USA. Electronic address: adamsr@bu.edu.
Jeri E ForsterVeterans Affairs Rocky Mountain Mental Illness Research Education and Clinical Center, Aurora, CO, USA; University of Colorado, Department of Physical Medicine and Rehabilitation, Anschutz Medical Campus, Aurora, CO, USA.
Jaimie L GradusBoston University School of Public Health, Department of Epidemiology, Boston, MA, USA.
Claire A HoffmireVeterans Affairs Rocky Mountain Mental Illness Research Education and Clinical Center, Aurora, CO, USA; University of Colorado, Department of Physical Medicine and Rehabilitation, Anschutz Medical Campus, Aurora, CO, USA.
Trisha A HostetterVeterans Affairs Rocky Mountain Mental Illness Research Education and Clinical Center, Aurora, CO, USA.
Mary Jo LarsonBrandeis University, The Heller School for Social Policy and Management, Institute for Behavioral Health, Waltham, MA, USA.
Alexandra A SmithVeterans Affairs Rocky Mountain Mental Illness Research Education and Clinical Center, Aurora, CO, USA.
Colin G WalshVanderbilt University Medical Center, Departments of Biomedical Informatics, Medicine, and Psychiatry, Nashville, TN, USA.
Lisa A BrennerVeterans Affairs Rocky Mountain Mental Illness Research Education and Clinical Center, Aurora, CO, USA; University of Colorado, Department of Physical Medicine and Rehabilitation, Anschutz Medical Campus, Aurora, CO, USA; University of Colorado, Departments of Psychiatry and Neurology, Anschutz Medical Campus, Aurora, CO, USA.
Mental Illness Research, Education and Clinical Centers · USBoston University · USBrandeis University · USVanderbilt University Medical Center · US

Funding

Trajectories of non-pharmacologic and opioid health services for pain management in association with military readiness and health status outcomes: SUPIC renewalR01AT008404 · NCCIH · BRANDEIS UNIVERSITY · PI ADAMS, RACHEL SAYKO, LARSON, MARY JO · 2014 to 2023
$7.2M
First Longitudinal Study of Missed Treatment Opportunities Using DOD and VA DataR01DA030150 · NIDA · BRANDEIS UNIVERSITY · PI LARSON, MARY JO · 2010 to 2013
$1.9M
Integrating signals of suicide risk from DoD and VHA data to improve upon suicide risk prevention strategies for combat VeteransR01MH120122 · NIMH · UNIVERSITY OF COLORADO DENVER · PI ADAMS, RACHEL SAYKO, BRENNER, LISA A · 2019 to 2022
$1.9M
NCCIH NIH HHS R01 AT008404NIDA NIH HHS R01 DA030150NIMH NIH HHS R01 MH120122Wellcome Trust
6 · The paper itself

Abstract

purposeAccidental death is a leading cause of mortality among military members and Veterans; however, knowledge is limited regarding time-dependent risk following deployment and if there are differences by type of accidental death.

methodsLongitudinal cohort study (N = 860,930) of soldiers returning from Afghanistan/Iraq deployments in fiscal years 2008-2014. Accidental deaths (i.e., motor vehicle accidents [MVA], accidental overdose, other accidental deaths), were identified through 2018. Crude and age-adjusted mortality rates, rate ratios, time-dependent hazard rates and trends postdeployment were compared across demographic and military characteristics.

resultsDuring the postdeployment observation period, over one-third of deaths were accidental; most were MVA (46.0 %) or overdoses (37.9 %). Across accidental mortality categories (all, MVA, overdose), younger soldiers (18-24, 25-29) were at higher risk compared to older soldiers (40+), and females at lower risk than males. MVA death rates were highest immediately postdeployment, with a significant decreasing hazard rate over time (annual percent change [APC]: -6.5 %). Conversely, accidental overdose death rates were lowest immediately following deployment, with a significant increasing hazard rate over time (APC: 9.9 %).

conclusionsObserved divergent trends in risk for the most common types of accidental deaths provide essential information to inform prevention and intervention planning for the immediate postdeployment transition and long-term.

Indexed as

Military PersonnelVeteransAfghanistanFemaleHumansIraqIraq War, 2003-2011Longitudinal StudiesMaleAccidental deathDeploymentMilitaryMotor vehicle accidentsOverdoseVeterans

Identifiers

PMID38185289
PMCPMC10973698
OpenAlexW4390619180

What OpenQuestion holds

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Registered trials

None linked

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.