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Occupational differences in US Army suicide rates.

R C Kessler¹, M B Stein², P D Bliese³

¹Department of Health Care Policy,Harvard Medical School,Boston,MA,USA.

Psychological Medicine

|July 21, 2015

Summary

This summary is machine-generated.

Military suicide rates are highest in combat roles, particularly for soldiers who have never deployed. Deployment status significantly impacts suicide risk in infantrymen and combat engineers, suggesting unique preventive strategies are needed.

Keywords:

Army Army STARRS deployment resiliency factors suicide

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Area of Science:

Military suicide research
Occupational health
Deployment-related stress

Background:

Civilian suicide rates differ by occupation, influenced by occupational stress.
Military studies show elevated suicide rates in combat arms occupations.
The impact of deployment history on military suicide rates remains under-researched.

Purpose of the Study:

To analyze the combined effects of Army occupation and deployment history on suicide risk.
To investigate how deployment status modifies suicide rates within specific military occupations.

Main Methods:

Analysis of an administrative dataset of 729,337 male enlisted Regular Army soldiers (2004-2009).
Examined joint associations between Army occupation, deployment history, and suicide prediction.

Main Results:

Infantrymen and combat engineers had significantly elevated suicide rates (37.2 and 38.2 per 100,000 person-years, respectively).
Suicide rates for these combat roles were lower when currently deployed compared to never or previously deployed.
Never-deployed infantrymen and combat engineers showed the highest adjusted suicide risk (OR 2.9).

Conclusions:

Deployment history interacts with military occupation to influence suicide risk.
The "healthy warrior effect" does not fully explain these variations.
Further research into causal mechanisms is crucial for developing targeted suicide prevention interventions for soldiers.