title: Medically Documented Suicide Ideation Among U.S. Army Soldiers.
abstract: We used administrative data to examine predictors of medically documented suicide ideation (SI) among Regular Army soldiers from 2006 through 2009 (N = 10,466 ideators, 124,959 control person-months). Enlisted ideators (97.8% of all cases) were more likely than controls to be female, younger, older when entering service, less educated, never or previously deployed, and have a recent mental health diagnosis. Officer ideators were more likely than controls to be female, younger, younger when entering service, never married, and have a recent mental health diagnosis. Risk among enlisted soldiers peaked in the second month of service and declined steadily, whereas risk among officers remained relatively stable over time. Risk of SI is highest among enlisted soldiers early in Army service, females, and those with a recent mental health diagnosis.
authors.affiliation: Department of Psychiatry, Center for the Study of Traumatic Stress, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Ursano
authors.affiliation: Department of Health Care Policy, Harvard Medical School, Boston, MA, USA.
authors.forename: Ronald C
authors.initials: RC
authors.lastname: Kessler
authors.affiliation: Department of Psychiatry and Department of Family Medicine and Public Health, University of California San Diego, La Jolla, CA, USA.|VA San Diego Healthcare System, San Diego, CA, USA.
authors.forename: Murray B
authors.initials: MB
authors.lastname: Stein
authors.affiliation: Department of Psychiatry, Center for the Study of Traumatic Stress, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
authors.forename: James A
authors.initials: JA
authors.lastname: Naifeh
authors.affiliation: Department of Psychology, Harvard University, Cambridge, MA, USA.
authors.forename: Matthew K
authors.initials: MK
authors.lastname: Nock
authors.affiliation: Department of Psychiatry, Center for the Study of Traumatic Stress, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
authors.forename: Pablo A
authors.initials: PA
authors.lastname: Aliaga
authors.affiliation: Department of Psychiatry, Center for the Study of Traumatic Stress, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
authors.forename: Carol S
authors.initials: CS
authors.lastname: Fullerton
authors.affiliation: Department of Psychiatry, Center for the Study of Traumatic Stress, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
authors.forename: Gary H
authors.initials: GH
authors.lastname: Wynn
authors.affiliation: Department of Psychiatry, Center for the Study of Traumatic Stress, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
authors.forename: Tsz Hin Hinz
authors.initials: THH
authors.lastname: Ng
authors.affiliation: Department of Psychiatry, Center for the Study of Traumatic Stress, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
authors.forename: Hieu M
authors.initials: HM
authors.lastname: Dinh
authors.affiliation: Department of Health Care Policy, Harvard Medical School, Boston, MA, USA.
authors.forename: Nancy A
authors.initials: NA
authors.lastname: Sampson
authors.affiliation: Department of Preventive Medicine and Biometrics, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
authors.forename: Tzu-Cheg
authors.initials: TC
authors.lastname: Kao
authors.affiliation: National Institute of Mental Health, Bethesda, MD, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Schoenbaum
authors.affiliation: Department of Psychiatry, Center for the Study of Traumatic Stress, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
authors.forename: James E
authors.initials: JE
authors.lastname: McCarroll
authors.affiliation: U.S. Army Public Health Center (Provisional), Aberdeen Proving Ground, MD, USA.
authors.forename: Kenneth L
authors.initials: KL
authors.lastname: Cox
authors.affiliation: Institute for Social Research, University of Michigan, Ann Arbor, MI, USA.
authors.forename: Steven G
authors.initials: SG
authors.lastname: Heeringa
mesh_terms: D000328:Adult; D000367:Age Factors; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology*; D008603:Mental Health / Q000706:statistics & numerical data*; D008889:Military Personnel / Q000523:psychology / Q000706:statistics & numerical data; D018570:Risk Assessment / Q000379:methods; D012307:Risk Factors; D012737:Sex Factors; D012959:Socioeconomic Factors; D059020:Suicidal Ideation; D013405:Suicide / Q000523:psychology / Q000706:statistics & numerical data; D014481:United States / Q000453:epidemiology; D000092864:Suicide Prevention