San Francisco VA Medical Center, San Francisco, CA, USA; Department of Psychiatry, University of California, San Francisco, San Francisco, CA, USA.
National Center for Telehealth & Technology, Defense Centers of Excellence for Psychological Health & Traumatic Brain Injury, Joint Base Lewis-McChord, Tacoma, WA, USA; Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA.
Psychiatry Res. 2015 Feb 28;225(3):545-9. doi: 10.1016/j.psychres.2014.11.050. Epub 2014 Dec 5.
In order to best tailor suicide prevention initiatives and programs, it is critical to gain an understanding of how service members׳ suicide risk factors may differ by gender. We aimed to better understand gender differences in suicide and suicide attempts among soldiers, including demographic, military, mental health, and other risk factors. We also examined risk factors uniquely associated with suicide and suicide attempts. We conducted a retrospective study of 1857 US Army soldiers who died by suicide or attempted suicide between 2008 and 2010 and had a Department of Defense Suicide Event Report. Female and male soldiers had more similarities than differences when examining risk factors associated with suicide. The only gender difference approaching significance was workplace difficulties, which was more strongly associated with suicide for female soldiers, compared to their male counterparts. Among suicide decedents, the most common risk factor was having a failed intimate relationship in the 90 days prior to suicide. Among those who attempted suicide, the most common risk factor was a major psychiatric diagnosis. Better understanding both gender differences and risk factors uniquely associated with suicide has critical prevention and public health implications as we work to better understand preventable mortality in our youngest generation of service members.
为了更好地针对自杀预防计划进行定制，了解军人的自杀风险因素因性别而异至关重要。我们旨在更好地了解士兵中自杀和自杀企图的性别差异，包括人口统计学、军事、心理健康和其他风险因素。我们还研究了与自杀和自杀企图相关的独特风险因素。我们对 2008 年至 2010 年间自杀或企图自杀的 1857 名美国陆军士兵进行了回顾性研究，并进行了国防部自杀事件报告。在研究与自杀相关的风险因素时，女性和男性士兵的相似之处多于差异。唯一接近显著差异的是工作场所困难，与男性相比，女性士兵的自杀风险更高。在自杀死亡者中，最常见的风险因素是在自杀前 90 天内发生亲密关系破裂。在试图自杀的人中，最常见的风险因素是严重的精神疾病诊断。更好地了解与自杀相关的性别差异和独特风险因素，对我们努力更好地了解我们最年轻一代军人的可预防死亡率具有重要的预防和公共卫生意义。
