Reimann Carolyn A, Mazuchowski Edward L
Armed Forces Medical Examiner System, Dover Air Force Base, Delaware, 115 Purple Heart Drive, Dover Air Force Base, DE 19902.
Mil Med. 2018 Mar 1;183(suppl_1):396-402. doi: 10.1093/milmed/usx209.
The objective of this study was to compare military suicide rates with civilian suicide rates, adjusting for age and sex differences that exist between the two populations. The number of active component (AC) service members whose manner of death was certified as suicide was determined for specific age and sex groups for each year from 2005 to 2014. Indirect standardization was then used to determine the expected number of suicides for each age/sex group, based on the U.S. suicide rates for the corresponding age/sex groups obtained from the Centers for Disease Control and Prevention's Web-based Injury Statistics Query and Reporting System. Although suicide rates among U.S. active duty Service Members were found to increase between 2005 and 2009, overall age- and sex-adjusted AC suicide rates were lower than or comparable to civilian rates every year of the study period. When suicide numbers were analyzed within specific age and sex categories, there was a significant association between higher suicide incidence and AC military status for 17-29-yr-old females in 2010, 2012, and 2014, and a significant association between lower suicide incidence and AC military status for 25-49 -yr-old males in some years.
本研究的目的是比较军人自杀率与平民自杀率,并对这两类人群之间存在的年龄和性别差异进行调整。确定了2005年至2014年各特定年龄和性别组中死亡方式被认定为自杀的现役军人数量。然后采用间接标准化法,根据从疾病控制与预防中心基于网络的伤害统计查询与报告系统获取的美国相应年龄/性别组的自杀率,确定每个年龄/性别组的预期自杀人数。尽管发现2005年至2009年期间美国现役军人的自杀率有所上升,但在研究期间的每一年,经年龄和性别调整后的现役军人总体自杀率均低于或与平民自杀率相当。在按特定年龄和性别类别分析自杀人数时,2010年、2012年和2014年17至29岁女性的自杀发生率较高与现役军人身份之间存在显著关联,在某些年份,25至49岁男性的自杀发生率较低与现役军人身份之间也存在显著关联。