Evidence map›Paper›PMID 40173374›Full record

ArticleMSMR2025

Non-medical risk factors influencing health and association with suicidal ideation or attempt, U.S. active component, 2018-2022.

Evan Finlay, Saixia Ying, Sithembile L Mabila, Shauna L Stahlman

Abstract read
In one paragraph

Article in MSMR, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Evan FinlayUniformed Services University of the Health Sciences, Bethesda, MD.
Saixia YingEpidemiology and Analysis Branch, Armed Forces Health Surveillance Division, Public Health Directorate, Defense Health Agency, Silver Spring, MD.
Sithembile L MabilaEpidemiology and Analysis Branch, Armed Forces Health Surveillance Division, Public Health Directorate, Defense Health Agency, Silver Spring, MD.
Shauna L StahlmanEpidemiology and Analysis Branch, Armed Forces Health Surveillance Division, Public Health Directorate, Defense Health Agency, Silver Spring, MD.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study documents, for the first time, the frequency of diagnosis for non-medical risk factors influencing health among U.S. active component service members. An association is identified between non-medical risk factors and suicide ideation or attempt within 1 year following diagnosis of the risk factor. This study reports the prevalence of non-medical risk factors, also known as social determinants of health, among active component service members and assesses the relationship between these factors and suicide ideation or attempts between 2018 and 2022. This analysis was performed to determine if there is opportunity to prevent suicide ideation or attempt among service members indicated for these non-medical risk factors. The findings reveal differences between demographic variables, emphasizing the disproportionate impacts of non-medical risk factors within the military population. For example, non-Hispanic Black service members had higher frequencies of diagnoses for all factors. After controlling for age, sex, service branch, race, and year of entry into military service, odds of suicidal ideation or attempt were elevated for service members with a recent diagnosis for factors related to abuse (odds ratio [OR] 13.7), family upbringing (OR 10.9), other psychosocial issues (OR 7.5), social environment (OR 7.4), lifestyle (OR 5.4), and life management (OR 5.3). This finding persisted even after excluding individuals with any prior mental health diagnosis. The results of this study suggest a need for a more comprehensive understanding of non-medical risk factors in shaping health outcomes and informing interventions to mitigate their effects.

Indexed as

Military PersonnelSocial Determinants of HealthSuicidal IdeationSuicide, AttemptedAdultFemaleHumansMaleMiddle AgedRisk FactorsUnited StatesYoung Adultarmed forcesattempattemptedfactorshealthideationmental healthmilitarynon-medicalrisksocial determinantsuicidethoughts

Identifiers

PMID40173374
PMCPMC12013649

What OpenQuestion holds

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Registered trials

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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.