Department of Psychiatry, Center for the Study of Traumatic Stress, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
Department of Psychiatry and Department of Family Medicine and Public Health, University of California San Diego, La Jolla, CA, USA.
Mol Psychiatry. 2019 Jan;24(1):34-48. doi: 10.1038/s41380-018-0197-z. Epub 2018 Aug 13.
Responding to an unprecedented increase in the suicide rate among soldiers, in 2008 the US Army and US National Institute of Mental Health funded the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS), a multicomponent epidemiological and neurobiological study of risk and resilience factors for suicidal thoughts and behaviors, and their psychopathological correlates among Army personnel. Using a combination of administrative records, representative surveys, computerized neurocognitive tests, and blood samples, Army STARRS and its longitudinal follow-up study (STARRS-LS) are designed to identify potentially actionable findings to inform the Army's suicide prevention efforts. The current report presents a broad overview of Army STARRS and its findings to date on suicide deaths, attempts, and ideation, as well as other important outcomes that may increase suicide risk (e.g., mental disorders, sexual assault victimization). The findings highlight the complexity of environmental and genetic risk and protective factors in different settings and contexts, and the importance of life and career history in understanding suicidal thoughts and behaviors.
针对军人自杀率空前上升的情况，2008 年美国陆军和美国国家心理健康研究所为陆军军人风险与适应研究（Army STARRS）提供了资金，这是一项多成分的流行病学和神经生物学研究，旨在研究自杀想法和行为的风险和适应因素，以及它们与军人心理病理学的相关性。该研究使用行政记录、代表性调查、计算机化神经认知测试和血液样本的组合，旨在确定可能具有可操作性的发现，为陆军的自杀预防工作提供信息。本报告概述了陆军 STARRS 的研究概况及其迄今为止在自杀死亡、自杀企图和自杀意念方面的发现，以及其他可能增加自杀风险的重要结果（例如，精神障碍、性侵犯受害）。研究结果强调了不同环境和遗传风险和保护因素的复杂性，以及了解自杀想法和行为时生活和职业经历的重要性。
