背景:自杀意念和企图被认为是毕业的自杀风险,然而,他们仍在研究中。自杀是美国所有年龄在10至64岁之间的人的主要死亡原因之一。自杀是美国军方的一个关键问题。美国陆军自杀率在2008年超过平民,并继续稳步攀升;美国陆军士兵的风险是美国平民的两倍多,征募人员的风险是军官的两倍以上。在美国陆军旅中,通常使用与自杀有关的严重事件报告(SR-SIR)报告自杀意念和企图。这些报告可以为预防规划提供有用的信息来源,但是到目前为止,还没有努力总结这些报告。本文分析了1个陆军旅4年入伍人员的SR-SIR,测试这些信息的有用性,并探讨是否可以识别与构想相比的尝试风险因素。
方法:本报告分析了2018年8月至2022年6月在美国大陆以外的空降步兵旅战斗队(BCT)的入伍人员中以SR-SIR报告的130份自杀意念(n=102)和自杀未遂(n=28)的去识别报告。旅和大学人类受试者/IRB当局未考虑对去识别数据的分析进行研究。检查了十四个士兵的特征和背景因素,以确定它们是否区分了两种类型的事件,自杀意念和自杀企图。
结果:事件发生时的单位位置和饮酒与自杀企图密切相关。在下班时间发生的尝试不成比例,尝试者比构想者更有可能事先接触过行为健康服务;然而,这些差异没有达到常规的统计学意义.
结论:该研究可以帮助告知特定单位的自杀预防和干预策略。下班时间和饮酒是尝试的危险因素,特别是在寻求行为保健的士兵中。计划参与和支持在下班时间寻求行为保健的士兵,以及有关饮酒风险的信息,可以有意义地降低他们的风险。这是已知的首次尝试检查现役美国陆军旅战斗队SR-SIR,它们是健康和心理健康相关信息的潜在有价值的来源。
BACKGROUND: Suicidal ideation and attempts are considered to be graduated risks for suicide, yet they remain under studied. Suicide is among the leading causes of death in the U.S. for all individuals between the ages of 10 and 64 years.
Suicide is a critical problem in the U.S. Military. The U.S. Army suicide rates surpassed civilian rates in 2008 and continue to climb steadily; with U.S. Army soldiers at more than twice the risk than U.S. civilians, and enlisted personnel at more than twice the risk of officers. Suicidal ideation and attempts are routinely reported within U.S. Army brigades using
suicide-related serious incident
reports (SR-SIRs). These
reports could form a useful source of information for prevention planning, but to date there have been no efforts to summary these
reports. This paper analyzes SR-SIRs among enlisted personnel for a 4-year period for 1 Army brigade, to test the usefulness of this information and to explore whether risk factors for attempts compared to ideation can be identified.
METHODS: This report analyzes 130 de-identified
reports of suicidal ideation (n = 102) and suicide attempts (n = 28) reported as SR-SIRs from August 2018 to June 2022 among enlisted personnel in an airborne infantry brigade combat team (BCT) outside the continental U.S. Analysis of de-identified data was not considered research by brigade and university human subject/IRB authorities. Fourteen soldier characteristics and context factors were examined to determine if they differentiate the two types of incidents, suicidal ideations and suicide attempts.
RESULTS: Unit location and alcohol use at the time of the incident were strongly associated with suicide attempts compared to ideation. Attempts occurred disproportionately during off duty hours, and attempters were more likely to have had prior contact with behavioral health services than ideators; however, these differences did not attain conventional statistical significance.
CONCLUSIONS: The study can help inform unit-specific suicide prevention and intervention strategies. Off duty hours and alcohol use are risk factors for attempts, particularly among soldiers who have sought behavioral health care. Plans to engage and support soldiers who have sought behavioral health care during off duty hours, and information regarding the risks of alcohol use, could meaningfully reduce their risk. This is the first known attempt to examine active duty U.S. Army brigade combat team SR-SIRs, and they are a potentially valuable source of health and mental health-related information.