Mental Disorders, Comorbidity, and Pre-enlistment Suicidal Behavior Among New Soldiers in the U.S. Army: Results from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS)

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Mental Disorders, Comorbidity, and Pre-enlistment Suicidal Behavior Among New Soldiers in the U.S. Army: Results from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS)

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Title: Mental Disorders, Comorbidity, and Pre-enlistment Suicidal Behavior Among New Soldiers in the U.S. Army: Results from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS)
Author: Nock, Matthew K.; Ursano, Robert J.; Heeringa, Steven G.; Stein, Murray B.; Jain, Sonia; Raman, Rema; Sun, Xiaoying; Chiu, Wai Tat; Colpe, Lisa J.; Fullerton, Carol S.; Gilman, Stephen Edward; Hwang, Irving; Naifeh, James A.; Rosellini, Anthony; Sampson, Nancy A.; Schoenbaum, Michael; Zaslavsky, Alan M.; Kessler, Ronald

Note: Order does not necessarily reflect citation order of authors.

Citation: Nock, Matthew K., Robert J. Ursano, Steven G. Heeringa, Murray B. Stein, Sonia Jain, Rema Raman, Xiaoying Sun, et al. 2015. “Mental Disorders, Comorbidity, and Pre-Enlistment Suicidal Behavior Among New Soldiers in the U.S. Army: Results from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS).” Suicide and Life-Threatening Behavior 45 (5) (January 26): 588–599. Portico. doi:10.1111/sltb.12153.
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Abstract: We examined the associations between mental disorders and suicidal behavior (ideation, plans, and attempts) among new soldiers using data from the New Soldier Study (NSS) component of the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS; n=38,507). Most new soldiers with a pre-enlistment history of suicide attempt reported a prior mental disorder (59.0%). Each disorder examined was associated with increased odds of suicidal behavior (ORs=2.6–8.6). Only PTSD and disorders characterized by irritability and impulsive/aggressive behavior (i.e., bipolar disorder, conduct disorder, oppositional defiant disorder, and attention-deficit/hyperactivity disorder) predicted unplanned attempts among ideators. Mental disorders are important predictors of pre-enlistment suicidal behavior among new soldiers and should figure prominently in suicide screening and prevention efforts.
Published Version: doi:10.1111/sltb.12153
Other Sources: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4515394/
Terms of Use: This article is made available under the terms and conditions applicable to Open Access Policy Articles, as set forth at http://nrs.harvard.edu/urn-3:HUL.InstRepos:dash.current.terms-of-use#OAP
Citable link to this page: http://nrs.harvard.edu/urn-3:HUL.InstRepos:33461087
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