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Suicide risk in the military similar to that in civilian populations

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Military suicides remain rare


Dr. Charles C. Engel

Military suicides are sometimes characterized as an epidemic, and many assume that the rate is escalating out of control because of prolonged combat deployments and their associated stresses, said Dr. Charles C. Engel.

But suicide within the military remains rare, despite the worrisome increase that has occurred in recent years. This trend should be viewed in context: A similar increase in suicides has been reported in the general U.S. population during the same time period, and has been linked to declines in the economy and escalating unemployment.

The findings of LeardMann et al. are reassuring in that they identify three leading causes of military suicide – mood disorders and alcohol misuse – for which effective treatments exist, he said.

Charles C. Engel, M.D., is with the department of psychiatry at the Uniformed Services University of the Health Sciences, Bethesda, Md. He reported no financial conflicts of interest. These remarks were taken from his editorial accompanying Ms. LeardMann’s report (JAMA 2013:310:484-5).


 

FROM JAMA

"However, the study did include the 3 years with the sharpest statistically significant increases in suicides." And the overall evidence clearly "points to the lack of any specific deployment-related effects," they noted.

This study was limited in that all the findings are based on only 83 suicide deaths, so it "may have lacked statistical power to produce a stable and reproducible multivariable model," Ms. LeardMann and her associates added.

This study was supported by the Department of Defense. Ms. LeardMann reported no financial conflicts of interest; one of her associates reported receiving a lecture fee from Merck.

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