Abstract:Objective-Rates of some psychological disorders are higher among enlisted U.S. military personnel than socio-demographically matched civilians. Indirect evidence suggests some internalizing and externalizing psychological problems among enlistees onset prior to enlistment. However, the consistency and strength of the associations between pre-enlistment psychological problems and enlistment over time is unknown. We address this uncertainty by examining whether internalizing and externalizing problems in high sc… Show more
“…Third, as the majority of soldiers in this representative sample were male, statistical power for stratified analyses was lower for female soldiers. It is also important to recognize that while female soldiers in the NSS are representative of female soldiers entering basic training during the study period, they differ from women in the civilian population on a number socio‐demographic and psychological characteristics (Chu et al, 2020; Office of the Under Secretary for Personnel & Readiness, 2012). Further studies are needed to include larger number of female participants.…”
Objective: Suicide and suicide attempts among U.S. Army soldiers are a significant concern for public health. This study examined the association of parental suicide attempt prior to age 13 of the soldier with subsequent risk of pre-enlistment suicide attempt. Method: We conducted secondary analyses of survey data from new soldiers who participated in the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS) (N = 38,396). A series of logistic regression analyses were conducted. Results: Of all new soldiers, 1.4% reported that they attempted suicide between age 13 and entering the Army, and 2.3% reported a parental suicide attempt prior to age 13. Parental suicide attempt was associated with increased odds of subsequent suicide attempt; however, this association was moderated by gender and was significant only among male soldiers. The association between parental suicide attempt and preenlistment suicide attempt among male soldiers was still significant after controlling for socio-demographic characteristics, soldier/parental psychopathology, and childhood adversities. Conclusions: These results highlight parental suicide attempt as a unique preenlistment risk factor for suicide attempt, especially among male new soldiers.Further studies are needed to separate the genetic and environmental contributions to intra-familial risk for suicidal behavior.
“…Third, as the majority of soldiers in this representative sample were male, statistical power for stratified analyses was lower for female soldiers. It is also important to recognize that while female soldiers in the NSS are representative of female soldiers entering basic training during the study period, they differ from women in the civilian population on a number socio‐demographic and psychological characteristics (Chu et al, 2020; Office of the Under Secretary for Personnel & Readiness, 2012). Further studies are needed to include larger number of female participants.…”
Objective: Suicide and suicide attempts among U.S. Army soldiers are a significant concern for public health. This study examined the association of parental suicide attempt prior to age 13 of the soldier with subsequent risk of pre-enlistment suicide attempt. Method: We conducted secondary analyses of survey data from new soldiers who participated in the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS) (N = 38,396). A series of logistic regression analyses were conducted. Results: Of all new soldiers, 1.4% reported that they attempted suicide between age 13 and entering the Army, and 2.3% reported a parental suicide attempt prior to age 13. Parental suicide attempt was associated with increased odds of subsequent suicide attempt; however, this association was moderated by gender and was significant only among male soldiers. The association between parental suicide attempt and preenlistment suicide attempt among male soldiers was still significant after controlling for socio-demographic characteristics, soldier/parental psychopathology, and childhood adversities. Conclusions: These results highlight parental suicide attempt as a unique preenlistment risk factor for suicide attempt, especially among male new soldiers.Further studies are needed to separate the genetic and environmental contributions to intra-familial risk for suicidal behavior.
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