Naval Postgraduate School
Dudley Knox Library
NPS Dudley Knox Library
View Item 
  •   Calhoun Home
  • Faculty and Researchers
  • Faculty and Researchers' Publications
  • View Item
  •   Calhoun Home
  • Faculty and Researchers
  • Faculty and Researchers' Publications
  • View Item
  • How to search in Calhoun
  • My Accounts
  • Ask a Librarian
JavaScript is disabled for your browser. Some features of this site may not work without it.

Browse

All of CalhounCollectionsThis Collection

My Account

LoginRegister

Statistics

Most Popular ItemsStatistics by CountryMost Popular Authors

Time-varying associations of suicide with deployments, mental health conditions, and stressful life events among current and former US military personnel

Thumbnail
Download
IconAbbreviated article (428.7Kb)
Download Record
Download to EndNote/RefMan (RIS)
Download to BibTex
Author
Shen, Yu-Chu
Cunha, Jesse M.
Williams, Thomas V.
Date
2016
Metadata
Show full item record
Abstract
Background U.S. military suicides have increased significantly over the past decade and currently account for almost 20% of all military deaths. We investigated the associations of a comprehensive set of time-varying risk factors with suicides among current and former service members. Methods Retrospective multivariate analysis of all U.S. military personnel between 2001-2011 (N=110,035,573 person-quarters, representing 3,795,823 service members). Outcome was death by suicide, either during service or post-separation. Cox proportional hazard models at the person-quarter level were used to examine associations of deployment, mental disorders, history of unlawful activity, stressful life events, and other demographic and service factors with suicide death. Findings The strongest predictors of suicide were current and past diagnoses of self-inflicted injuries, major depression, bipolar disorder, substance use disorder, and other mental health conditions (comparing to those with no history of diagnoses, hazard ratio, HR, ranged from 1.4 [CI, 1.14- 1.72] to 8.34 [CI, 6.71-10.37]). Compared to those never deployed, hazards were lower among the currently-deployed (HR=0.50; CI,0.40-0.61) but significantly higher in the quarters following first deployment (HR=1.51; CI, 1.17-1.96). Hazard of suicide was elevated within the first year of separation from the military (HR=2.49; CI,2.12-2.91), and remained high for those who separated 6 or more years ago (HR=1.63; CI,1.45-1.82). Interpretation Elevated hazard of suicide death varies by time-since-exposure to deployment, mental health diagnoses, and other stressful life events. Continued monitoring is particularly needed for these high-risk individuals. Additional information should be gathered to address the persistent elevated risks of suicides among service members after separation.
Description
This abbreviated version provided by author request.
 
 
The article of record as published may be found at http://dx.doi.org/10.1016/S2215-0366(16)30304-2
 
Rights
This publication is a work of the U.S. Government as defined in Title 17, United States Code, Section 101. Copyright protection is not available for this work in the United States.
URI
http://hdl.handle.net/10945/56669
Collections
  • Faculty and Researchers' Publications

Related items

Showing items related by title, author, creator and subject.

  • Thumbnail

    Analysis of Suicide Behaviors in the Navy Population 

    Shen, Yu-Chu; Cunha, Jesse (Monterey, California. Naval Postgraduate School, 2015);
    U.S. military suicides have increased significantly over the past decade and currently account for almost 20% of all military deaths. Effective suicide prevention efforts require better information to identify high-risk ...
  • Thumbnail

    Analysis of Suicide Behaviors in the Navy Population 

    Shen, Yu-Chu; Cunha, Jesse; Blankenship, Neeta Serena; Shepherd, Kristen (Monterey, California. Naval Postgraduate School, 2015);
    Since 2010, U.S. Navy suicides have been increasing, gaining considerable attention from the Secretary of Defense. Although each case is a result of a unique series of events, several observable factors can contribute to ...
  • Thumbnail

    Contrasting the impacts of combat and humanitarian assistance/disaster relief missions on the mental health of military service members 

    Cunha, Jesse M.; Shen, Yu-Chu; Burke, Zachary R. (Taylor & Francis, 2017);
    We study the differential impacts of combat and humanitarian assistance/disaster relief (HA/DR) missions on the mental health of U.S. Marine Corps members. The deployment experiences of any individual Marine are plausibly ...
NPS Dudley Knox LibraryDUDLEY KNOX LIBRARY
Feedback

411 Dyer Rd. Bldg. 339
Monterey, CA 93943
circdesk@nps.edu
(831) 656-2947
DSN 756-2947

    Federal Depository Library      


Start Your Research

Research Guides
Academic Writing
Ask a Librarian
Copyright at NPS
Graduate Writing Center
How to Cite
Library Liaisons
Research Tools
Thesis Processing Office

Find & Download

Databases List
Articles, Books & More
NPS Theses
NPS Faculty Publications: Calhoun
Journal Titles
Course Reserves

Use the Library

My Accounts
Request Article or Book
Borrow, Renew, Return
Tech Help
Remote Access
Workshops & Tours

For Faculty & Researchers
For International Students
For Alumni

Print, Copy, Scan, Fax
Rooms & Study Spaces
Floor Map
Computers & Software
Adapters, Lockers & More

Collections

NPS Archive: Calhoun
Restricted Resources
Special Collections & Archives
Federal Depository
Homeland Security Digital Library

About

Hours
Library Staff
About Us
Special Exhibits
Policies
Our Affiliates
Visit Us

NPS-Licensed Resources—Terms & Conditions
Copyright Notice

Naval Postgraduate School

Naval Postgraduate School
1 University Circle, Monterey, CA 93943
Driving Directions | Campus Map

This is an official U.S. Navy Website |  Please read our Privacy Policy Notice  |  FOIA |  Section 508 |  No FEAR Act |  Whistleblower Protection |  Copyright and Accessibility |  Contact Webmaster

Export search results

The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

A logged-in user can export up to 15000 items. If you're not logged in, you can export no more than 500 items.

To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.