title: Suicidal ideation and mental distress among adults with military service history: results from 5 U.S. states, 2010.
abstract: OBJECTIVE
  We examined the association of military service history with past-year suicidal ideation and past-30-days mental distress in a probability-based sample of adults.
  
  
  METHODS
  We gathered 2010 Behavioral Risk Factor Surveillance System data from 5 states that asked about past-year suicidal ideation. Military service was defined as current or former active-duty service or National Guard or Reserves service. We stratified analyses into 18 to 39 years, 40 to 64 years, and 65 years and older age groups and used multiple logistic regression analyses, adjusted for demographic confounders, to discern the association of military service history with past-year suicidal ideation and past-30-days mental distress.
  
  
  RESULTS
  Among the 26,736 respondents, 13.1% indicated military service history. After adjusting for several confounders, we found military history status among those aged 40 to 64 years was associated with both past-year suicidal ideation and past-30-days mental distress. We found no significant associations among the younger or older age groups.
  
  
  CONCLUSIONS
  Differences in suicidal ideation between military and nonmilitary individuals may occur in midlife. Future research should examine the possibility of cohort effects, service era effects, or both.
authors.affiliation: At the time of the study, John R. Blosnich and Adam J. Gordon were with the US Department of Veterans Affairs Center for Health Equity Research and Promotion, Pittsburgh, PA. John R. Blosnich was also with the Department of Psychiatry, University of Rochester, NY. Adam J. Gordon was also with the School of Medicine, University of Pittsburgh. Robert M. Bossarte was with the VISN 2 Center of Excellence for Suicide Prevention, Canandaigua, NY, and the Department of Psychiatry, University of Rochester.
authors.forename: John R
authors.initials: JR
authors.lastname: Blosnich
authors.forename: Adam J
authors.initials: AJ
authors.lastname: Gordon
authors.forename: Robert M
authors.initials: RM
authors.lastname: Bossarte
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D040343:Behavioral Risk Factor Surveillance System; D005260:Female; D006801:Humans; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D012307:Risk Factors; D012959:Socioeconomic Factors; D013315:Stress, Psychological / Q000453:epidemiology*; D059020:Suicidal Ideation; D013405:Suicide; D014481:United States; D014728:Veterans / Q000706:statistics & numerical data*; D058014:Veterans Health; D055815:Young Adult
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