与现任和前任美国军人自杀相关的危险因素
Cynthia A LeardMann1, Teresa M Powell, Tyler C Smith
1Deployment Health Research Department, Naval Health Research Center, San Diego, California 92106-3521, USA. cynthia.leardmann@med.navy.mil
JAMA
|August 9, 2013
概括
军事自杀风险与男性性别和心理健康状况 (如抑郁症和双相情感障碍) 有关,而不是战斗部署. 这些发现可以帮助服务人员制定更好的预防策略.
科学领域:
- 军事卫生研究军事卫生研究
- 流行病学 流行病学
- 心理健康研究 心理健康研究
背景情况:
- 美国军人自杀率从2005年开始大幅增加.
- 战斗部署以前被认为是主要的驱动因素.
- 之前的研究缺乏连接服役和服役后期间的纵向数据.
研究的目的:
- 为了前性地识别和量化美国现任和前任军事人员的自杀风险因素.
- 检查人口,军事,心理健康,行为和部署特征.
- 分析不同服务部门和状态 (现役,预备役/国民警卫队) 的自杀风险.
主要方法:
- 来自千年队列研究 (2001-2007) 的151,560名参与者的前性纵向研究.
- 数据与国家死亡指数和国防部医疗死亡登记处的数据连接到2008年12月31日.
- 使用了考克斯的比例危险模型和匹配的病例控制分析.
主要成果:
- 在707,493个人年的随访中,发生了83起自杀事件.
- 自杀风险增加与男性性别,抑郁症,躁郁症和与酒精有关的问题有关.
- 没有部署相关的因素 (战斗经验,持续时间或部署次数) 与增加自杀风险有显著的关联.
结论:
- 军事人员的自杀风险与男性性别和精神障碍独立相关.
- 在本研究中,军事特定变量,包括部署历史,并不是显著的风险因素.
- 调查结果表明,在军队中,预防自杀的重点是心理健康和行为因素.
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