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Table 3 Multivariable associations of psychiatric diagnosis in active-duty Regular U.S. Army enlisted soldiers with documented suicide attempt within 30 days following initial major depression diagnosis and no prior suicidal ideationa

From: Predictors of suicide attempt within 30 days of first medically documented major depression diagnosis in U.S. army soldiers with no prior suicidal ideation

 

χ²

OR

(95% CI)

Socio-demographic characteristics

   

Gender

   

 Male

 

1.0

 Female

 

1.2

(0.9–1.5)

 

1.51

 

Current Age

   

 < 21

 

2.4

(1.2–4.9)

 21–24

 

1.7

(1.0–3.2)

 25–29

 

1.4

(0.9–2.4)

 30–34

 

1.0

 35–39

 

0.8

(0.4–1.7)

 40+

 

0.9

(0.4–2.1)

 

7.81

 

Race/ethnicity

   

 White

 

1.0

 Black

 

1.0

(0.8–1.3)

 Hispanic

 

1.1

(0.8–1.5)

 Asian

 

0.6

(0.3–1.1)

 Other

 

1.1

(0.4–2.6)

 

3.30

 

Education

   

 < High schoolc

 

1.5*

(1.2–1.9)

 High school

 

1.0

 Some college

 

0.7

(0.3–1.5)

 ≥ College

 

0.9

(0.5–1.8)

 

11.21*

 

Marital status

   

 Never married

 

1.0

 Currently married

 

0.7*

(0.6–0.9)

 Previously married

 

0.9

(0.5–1.6)

 

6.68*

 

Service-related characteristics

   

Age at Army Entry

   

 < 21

 

0.9

(0.7–1.2)

 21–24

 

1.0

 25+

 

0.9

(0.6–1.5)

 

0.34

 

Time in Service

   

 1–2 years

 

1.5

(0.9–2.7)

 3–4 years

 

1.1

(0.8–1.6)

 5–10 years

 

1.0

 > 10 years

 

0.4*

(0.2–0.7)

 

10.06*

 

Deployment Status

   

 Never

 

1.0

 Currently

 

1.5

(1.0–2.2)

 Previously

 

1.0

(0.8–1.4)

 

4.67

 

Demotion

   

 Past year

 

1.3

(0.8–2.0)

 Before past year

 

1.4

(0.9–2.0)

 Never demoted

 

1.0

 

3.24

 

Delayed Promotion

   

 On schedule

 

1.0

 Late: </= 2 months

 

0.6

(0.2–1.6)

 Late: > 2 months

 

0.7

(0.4–1.3)

 Not relevant due to rankd

 

0.8

(0.5–1.3)

 

2.02

 

Military Occupational Specialty (MOS)

   

 Combat Armse

 

1.3

(1.0–1.7)

 Combat Medics

 

1.5*

(1.1–2.2)

 Other MOS

 

1.0

 

8.95*

 

Psychiatric diagnosis

   

Adjustment Disorder (Day of depression diagnosis)

   

 Yes

 

1.3

(0.9–1.9)

 No

 

1.0

 

1.41

 

Alcohol Use Disorder (Day of depression diagnosis)

   

 Yes

 

1.2

(0.8–1.7)

 No

 

1.0

 

0.90

 

Alcohol Use Disorder (Prior to depression diagnosis)

   

 Yes

 

1.4*

(1.0–1.8)

 No

 

1.0

 

3.95*

  

Anxiety Disorders (Day of depression diagnosis)

   

 Yes

 

1.3

(1.0–1.6)

 No

 

1.0

 

3.43

  

Bipolar Disorder (Day of depression diagnosis)

   

 Yes

 

3.1*

(1.5–6.3)

 No

 

1.0

 

9.71*

  

Dysthymic Disorder / Neurasthenia / Depression NOS (Day of depression diagnosis)

   

 Yes

 

1.4

(1.0–2.0)

 No

 

1.0

 

3.18

  

Stressors/Adversities & Marital Problems

(Day of depression diagnosis)

   

 Yes

 

1.1

(0.8–1.5)

 No

 

1.0

 

0.45

  

Non-Affective Psychosis (Day of depression diagnosis)

   

 Yes

 

1.4

(0.7–2.7)

 No

 

1.0

 

0.77

  

Other Diagnosis (Day of depression diagnosis)f

   

 Yes

 

5.5*

(3.8–8.0)

 No

 

1.0

 

82.71*

  

Personality Disorder (Day of depression diagnosis)

   

 Yes

 

1.7

(0.8–3.4)

 No

 

1.0

 

1.95

  

Sleep Disorder (Day of depression diagnosis)

   

 Yes

 

0.3*

(0.1–0.9)

 No

 

1.0

 

4.40*

  

Somatoform/Dissociative Disorders (Prior to depression diagnosis)

   

 Yes

 

1.7*

(1.0–2.8)

 No

 

1.0

 

4.36*

  

Tobacco Use Disorder (Day of depression diagnosis)

   

 Yes

 

1.2

(0.9–1.7)

 No

 

1.0

 

1.25

  

Traumatic Stress (Day of depression diagnosis)

   

 Yes

 

2.6*

(1.4–4.8)

 No

  

 

9.26*

  

Drug Induced Mental Disorder (Prior to depression diagnosis)

   

 Yes

 

1.5

(0.9–2.5)

 No

 

1.0

 

2.15

  
  1. aAll variables that were significant in separate multivariable models that adjusted for socio-demographics (gender, current age, race, education, and marital status) and service-related characteristics (age at entry into Army service, time in service, deployment status, delayed promotion, demotion, military occupation) were examined together in a final multivariable model
  2. bOR = Odds ratio; CI = Confidence interval
  3. c< High School includes: General Educational Development credential (GED), home study diploma, occupational program certificate, correspondence school diploma, high school certificate of attendance, adult education diploma, and other non-traditional high school credentials
  4. dSoldiers above the rank of E4 are not promoted on a set schedule
  5. eCombat Arms includes Combat Arms and Special Forces soldiers
  6. fAmong soldiers who were diagnosed with a disorder classified as “Other,” 33/37 (89.2%) were identified by the ICD-9-CM code 300.9 (Unspecified nonpsychotic mental disorder)
  7. *p < .05