在越南战争期间服役的美国退伍军人中存在自杀风险
Tim A Bullman1, Fatema Z Akhtar1, Sybil W Morley2
1Health Outcomes Military Exposures, Veterans Health Administration, Department of Veterans Affairs (VA), Washington, DC.
JAMA network open
|December 28, 2023
概括
与一般人口相比,越南战争退伍军人没有自杀的风险增加. 这项研究分析了从1979年到2019年的900多万越南战争时代退伍军人.
科学领域:
- 军人卫生保健 军人卫生保健
- 流行病学 流行病学
- 退伍军人事务 退伍军人事务
背景情况:
- 关于美国越南战争退伍军人中自杀率的持续问题存在.
- 以前的信念表明,越南战争退伍军人的自杀风险可能会增加.
研究的目的:
- 为了确定在越南战争中服役是否与更高的自杀风险相关.
- 量化自杀和分析与美国人口相比越南战争剧场退伍军人之间的模式.
主要方法:
- 一项队列研究追踪了1979年至2019年的越南战争时代和剧院退伍军人.
- 通过使用国家死亡指数来确定自杀死亡率.
- 考克斯比例危险回归和标准化死亡率被用于分析.
主要成果:
- 该研究包括超过240万剧院退伍军人和超过710万非剧院退伍军人.
- 越南战争的部署与增加自杀风险无关 (HR,0.94).
- 无论是剧院还是非剧院的退伍军人,与美国人口相比,他们的自杀风险都没有增加 (SMR,两者均为0.97).
结论:
- 在1979-2019年期间,越南战争时期的服役与自杀风险增加之间没有发现任何关联.
- 越南战争时代退伍军人自杀的总数值得政策制定者和心理健康专业人员的持续关注.
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