从美国军队退役的性质和自杀死亡率
Mark A Reger1,2, Chandru Ravindran3, Sybil W Morley3
1Veterans Affairs Puget Sound Health Care System, Seattle, Washington.
JAMA network open
|May 23, 2025
概括
退伍军人分离不到荣誉退役面临着明显更高的自杀风险. 这种退役状态是军事自杀预防工作的关键因素.
科学领域:
- 军人卫生保健 军人卫生保健
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 高度自杀风险是退伍军人离开服役时的一个担忧.
- 之前对出院后自杀风险的全面评估缺乏.
研究的目的:
- 根据出院的性质,检查自杀死亡率.
- 比较退伍军人与非荣誉退役军人之间的自杀风险与荣誉退役军人和一般退伍军人人口之间的自杀风险.
主要方法:
- 美国军事人员在2002-2021年间分离的回顾性队列研究.
- 使用的退伍军人事务部/国防部死亡率数据库.
- 使用年龄标准化率和死亡率比率比较自杀率.
主要成果:
- 所有非荣誉退役组的自杀率明显高于荣誉退役组.
- 自杀的标准化比率从1.91 (无特征) 到2.77 (一般) 之间.
- 与总体退伍军人队伍相比,没有荣誉退役的退伍军人死亡率更高.
结论:
- 退役的非荣誉性质与明显增加的自杀风险有关.
- 退役特征是识别风险退伍军人的一个重要因素.
- 研究结果支持将退役状态纳入服务人员和退伍军人的自杀预防策略.
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