Blosnich John R, Kopacz Marek S, McCarten Janet, Bossarte Robert M
J Am Coll Health. 2015;63(7):418-26. doi: 10.1080/07448481.2014.931282.
Using a sample of student service members/veterans, the current study aimed to examine the prevalence of psychiatric diagnoses and suicide-related outcomes and the association of hazardous duty with mental health.
Data are from the Fall 2011 National College Health Assessment (N = 27,774).
Logistic regression was used to examine (1) the association of student service member/veteran status with mental health outcomes and (2) the association of hazardous duty with mental health outcomes among student service members/veterans (n = 706).
Student service members/veterans had higher odds of self-harm than students without military experience. Among student service members/veterans, hazardous duty was positively associated (odds ratio [OR] = 2.00, 95% confidence interval [CI] [1.30, 3.07]) with having a psychiatric diagnosis but negatively associated (OR = 0.41, 95% CI [0.20, 0.85]) with suicidal ideation.
Self-harm may be a unique phenomenon among service members/veterans. Suicide prevention with this population should include information about self-harm, and future research should explore whether suicidal intent underlies self-harm.
本研究以学生服役人员/退伍军人作为样本，旨在调查精神疾病诊断和自杀相关结果的患病率，以及危险任务与心理健康之间的关联。
数据来自2011年秋季全国大学生健康评估（N = 27,774）。
采用逻辑回归分析来检验（1）学生服役人员/退伍军人身份与心理健康结果之间的关联，以及（2）在学生服役人员/退伍军人（n = 706）中危险任务与心理健康结果之间的关联。
与没有军事经历的学生相比，学生服役人员/退伍军人有更高的自我伤害几率。在学生服役人员/退伍军人中，危险任务与患有精神疾病诊断呈正相关（优势比[OR] = 2.00，95%置信区间[CI] [1.30, 3.07]），但与自杀意念呈负相关（OR = 0.41，95% CI [0.20, 0.85]）。
自我伤害可能是服役人员/退伍军人中的一种独特现象。针对这一人群的自杀预防应包括有关自我伤害的信息，并且未来的研究应探索自我伤害是否以自杀意图为潜在原因。
