دورية أكاديمية
أعرض في EDS

Prospective comparison of risk factors for firearm suicide and non-firearm suicide in a large population-based cohort of current and former US service members: findings from the Millennium Cohort Study.

التفاصيل البيبلوغرافية
العنوان: Prospective comparison of risk factors for firearm suicide and non-firearm suicide in a large population-based cohort of current and former US service members: findings from the Millennium Cohort Study.
المؤلفون: LeardMann CA; Deployment Health Research Department, Naval Health Research Center, San Diego, CA, USA.; Leidos, Inc., San Diego, CA, USA., Sharifian N; Deployment Health Research Department, Naval Health Research Center, San Diego, CA, USA.; Leidos, Inc., San Diego, CA, USA., Warner S; Deployment Health Research Department, Naval Health Research Center, San Diego, CA, USA.; Leidos, Inc., San Diego, CA, USA., Boyko EJ; Seattle Epidemiologic Research and Information Center, Department of Veterans Affairs Puget Sound Health Care System, Seattle, WA, USA.; Department of Epidemiology, University of Washington School of Public Health, Seattle, WA, USA.; Department of Medicine, University of Washington School of Medicine, Seattle, WA, USA., Boparai SK; Deployment Health Research Department, Naval Health Research Center, San Diego, CA, USA.; Leidos, Inc., San Diego, CA, USA., Powell TM; The Informatics Applications Group, Reston, VA, USA., Rull RP; Deployment Health Research Department, Naval Health Research Center, San Diego, CA, USA., Reger MA; Veterans Affairs Puget Sound Health Care System, Seattle, WA, USA.; Department of Psychiatry & Behavioral Sciences, University of Washington, Seattle, WA, USA., Hoge CW; Center for Psychiatry and Neuroscience, Walter Reed Army Institute of Research, Silver Spring, MD, USA.; Office of the Army Surgeon General, Falls Church, VA, USA.
المصدر: Lancet regional health. Americas [Lancet Reg Health Am] 2024 Jun 14; Vol. 36, pp. 100802. Date of Electronic Publication: 2024 Jun 14 (Print Publication: 2024).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Ltd Country of Publication: England NLM ID: 9918232503006676 Publication Model: eCollection Cited Medium: Internet ISSN: 2667-193X (Electronic) Linking ISSN: 2667193X NLM ISO Abbreviation: Lancet Reg Health Am Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [Oxford] : Elsevier Ltd., [2021]-
مستخلص: Background: Suicide is a leading cause of death among service members and veterans. Among suicide methods, firearms are the most lethal and commonly used method among military populations. Limited research has compared risk factors for the various suicide methods. This study evaluated and compared risk factors for firearm versus non-firearm suicides using data from the Millennium Cohort Study, a large longitudinal military cohort.
Methods: Using a competing risk approach, we identified factors associated with each suicide method. Risk factors included demographics, mental health diagnoses, mental health symptoms, military-specific characteristics, health behaviors, and psychosocial factors. Cause of death was assessed from July 1, 2001, through December 31, 2018.
Findings: Among 201,565 eligible participants with a mean [SD] age of 29.0 [58.1] years, there were 139,789 (69.3%) male, 61,776 (30.7%) female, 15,927 (7.9%) Hispanic, 24,667 (12.3%) non-Hispanic Black, 14,138 (7.0%) Asian, Pacific Islander, American Indian or Multiracial, and 146,736 (72.8%) non-Hispanic White participants. During the study period, 330 died by firearm suicide and 168 died by non-firearm suicide. Overall, effect estimates for risk factors were similar across both methods of suicide. After adjustment, men (HR: 3.69, 95% CI: 2.59, 5.24) and those who screened positive for depression (HR: 1.97, 95% CI: 1.36, 2.87) had an elevated risk for firearm suicide. In contrast, those who self-reported a history of bipolar diagnosis (HR: 3.40, 95% CI: 1.76, 6.55) had significantly increased risk for non-firearm suicide.
Interpretation: Findings suggest that prevention and intervention strategies overall may not need to be differentiated by specific demographic, military, or health factors. Targeted interventions that consider sex and mental health screens might have relative utility in preventing firearm related suicide risk compared with non-firearm suicide.
Funding: Military Operational Medicine Research Program, Defense Health Program, and Department of Veterans Affairs.
Competing Interests: Edward J Boyko reported receiving payment or honoraria and support for travel to the Korean Diabetes Association and American Diabetes Association. All other authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
(© 2024 The Authors.)
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فهرسة مساهمة: Keywords: Cohort studies; Depression; Health behavior; Mental health; Risk factors; Suicide; Veterans
تواريخ الأحداث: Date Created: 20240708 Latest Revision: 20240709
رمز التحديث: 20240709
مُعرف محوري في PubMed: PMC11225814
DOI: 10.1016/j.lana.2024.100802
PMID: 38974380
قاعدة البيانات: MEDLINE
الوصف
تدمد:2667-193X
DOI:10.1016/j.lana.2024.100802