US soldiers who attempt suicide often have no prior mental health diagnosis

August 29, 2018

BottomLine: The latest study based on data from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS) reports that among 9,650 enlisted soldiers with a documented suicide attempt, more than one-third had no prior mental health diagnosis. Risk factors for attempting suicide (sociodemographic, service-related, physical health care-related, injury, being subject to crime, perpetrating crime and family violence) were similar for soldiers with or without a prior mental health diagnosis, although the degree to which they were factors differed. Risk factors most strongly associated with suicide attempt by soldiers with no prior mental health diagnosis included being in their first year of service. Being female, having less than a high school education, delayed promotion and past-year demotion increased the odds of suicide attempt in both groups of soldiers with or without a prior mental health diagnosis but the effect was more so in soldiers without a prior mental health diagnosis. The study is limited by administrative data that reflect only events that came to the Army's attention. Study results suggest administrative records from personnel, medical, legal and family service systems could help to identify soldiers at risk for suicide attempt.

Authors: Robert J. Ursano, M.D., of the Uniformed Services University of the Health Sciences, Bethesda, Maryland, and coauthors

Related Material: The editorial, "Suicide Prevention in the U.S. Army: A Mission for More Than Mental Health Clinicians," by Mark A. Reger, Ph.D., of the Veterans Affairs Puget Sound Health Care System, Seattle, Washington, and coauthors also is available on the For The Media website.

To Learn More: The full study is available on the For The Media website.

(doi:10.1001/ jamapsychiatry.2018.2069)

Editor's Note: The article includes conflict of interest and funding/support disclosures. Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.
-end-
Want to embed a link to this study in your story? Link will be live at the embargo time: http://jamanetwork.com/journals/jamapsychiatry/fullarticle/10.1001/jamapsychiatry.2018.2069

JAMA Psychiatry

Related Risk Factors Articles from Brightsurf:

Early life risk factors predict higher obesity and cardiometabolic risk
Early life risk factors in the first 1000 days cumulatively predict higher obesity and cardiometabolic risk in early adolescence, according to new research led by the Harvard Pilgrim Health Care Institute.

Insomnia identified as a new risk factor for type 2 diabetes in new study which also confirms many other risk and protective factors
A new 'global atlas' study published in Diabetologia (the journal of the European Association for the Study of Diabetes [EASD]) is the first to identify insomnia as a risk factor associated with increased risk of developing type 2 diabetes (T2D).

Lung-specific risk factors may increase hip fracture risk in individuals who smoke
Smoking has been linked to a higher risk of bone fractures.

Factors associated with firearm suicide risk
Researchers compared the risk of suicide by firearm based on sociodemographic characteristics of US adults.

Modifiable risk factors contribute to gout
Elevated urate in the blood (hyperuricemia) is a precursor of gout, which is the most common form of inflammatory arthritis worldwide.

Social risk factors and readmission penalties
New research shows that US safety net hospitals could benefit substantially from a new model that accounts for social risk factors like poverty and living in a disadvantaged neighborhood in determining how the federal government penalizes hospitals financially for their readmission rates.

AI study of risk factors in type 1 diabetes
In combination with conventional statistical methods, artificial intelligence (AI) has now been used in a study of risk factors in type 1 diabetes.

Stroke risk factors on the rise in Native-Americans
Stroke risk factors such as high blood pressure, diabetes, heart disease and smoking are common and on the rise among Native-Americans with clot-caused stroke.

Discovery of the first common genetic risk factors for ADHD
A global team of researchers has found the first common genetic risk factors associated with attention deficit hyperactivity disorder (ADHD), a complex condition affecting around one in 20 children.

Military risk factors for dementia
In recent years, there has been growing discussion to better understand the pathophysiological mechanisms of traumatic brain injury and post-traumatic stress disorder and how they may be linked to an increased risk of neurodegenerative diseases including Alzheimer's disease in veterans.

Read More: Risk Factors News and Risk Factors Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.