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美国陆军特种作战部队的自杀行为

James A Naifeh1,2, Robert J Ursano1, Rachel Shor1,2

  • 1Center for the Study of Traumatic Stress, Department of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, Maryland.

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概括

与支持人员相比,美国陆军特种作战部队 (SOF) 操作人员的自杀行为率较低,但死亡率较高. 需要进一步研究女性SOF操作员的自杀风险.

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科学领域:

  • 军事医学 军事医学
  • 精神病学是一个精神病学.
  • 流行病学 流行病学

背景情况:

  • 美国陆军特种作战部队 (SOF) 中的自杀风险未得到充分研究.
  • 了解SOF操作员与支持人员的自杀行为至关重要.

研究的目的:

  • 检查在伊拉克和阿富汗战争期间的SOF操作员和支持人员的自杀行为 (思想,非致命的尝试,死亡).
  • 确定这些人群中与自杀行为相关的风险因素.

主要方法:

  • 使用2004-2012年的行政数据进行了回顾性队列研究.
  • 包括正规陆军的士兵,专注于SOF操作员和支持人员.
  • 通过ICD-9-CM代码,国防部自杀事件报告和武装部队法医追踪系统识别的自杀行为.

主要成果:

  • 与支持人员和常规陆军相比,SOF操作人员的自杀思想和非致命尝试率明显较低.
  • 自杀死亡率在各组之间没有差异,但操作员的死亡尝试比率更高.
  • 在这两组中,较低的等级,去年降级和心理健康诊断与自杀企图有关. 女性操作员的尝试率更高.

结论:

  • SOF操作员表现出较低的自杀行为率,但当尝试发生时死亡率更高.
  • 诸如等级和心理健康诊断等风险因素在SOF角色中是一致的.
  • 需要进一步调查女性SOF操作员中自杀风险.